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Next Steps for Your Practice

Explore how to implement new practices, enlist virtual team members, identify resources, and overcome obstacles in primary care mental health. Develop plans and strategies for achieving goals.

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Next Steps for Your Practice

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  1. Next Steps for Your Practice

  2. Learning Objectives • Identify specific goals and create a plan to put your new skills into practice • Describe obstacles to taking your next steps • Develop workarounds for your obstacles • Commit and get started!

  3. Agenda • Identify resources and “Virtual Team Members” you will enlist to help you put new practices and procedures into place • Discuss available resources for PCP’s and Families: • Books (“Lending Library), hand-outs • Websites • Community resources • Support groups (live and internet) • Table Activity: Forming goals, making plans

  4. Guidelines & Best Practices PCPimplements Alone (or tries) VIRTUAL TEAM PCPrefers all to Subspecialist(s) Three Models for Accomplishing “Primary Care Mental/Behavioral Health” VIRTUAL TEAM !

  5. Forming Effective Virtual Teams for PC Child Mental Health: Questions to Ask • Who are the Virtual Team members (office & community)? • PARENTS!! (the most important TEAM member) • Internal: Partners, Practice Manager, Nurses, MAs, Office staff • External: parent groups, schools, MH providers, coaches, youth groups • Whatwill each Team Member do? What will they need? • How will we meet families' needs for: • Info, education, support (websites, Lending Library, parent hand-outs) • New Skills (e.g., “required readings”, “parent homework”, etc. • What tools will we use (paper- or computer-rating scales, hand-outs)? • How will we handle refills? My partners? • How do we access treatments not provided in our office?

  6. Care Model for Child Health Health System Community Health Care Organization Resources and Policies ClinicalInformationSystems Family-Management Support DeliverySystem Design Self-Management Support Decision Support Productive Interactions Supportive, Integrated Community Prepared, Proactive Practice Team Informed, Activated Patient Outcomes Adapted from the Institute for Healthcare Improvement’s Breakthrough Series Collaborative: Improving Care for People With Chronic Conditions III - by Dr. Ed Wagner, Group Health Cooperative of Puget Sound

  7. Work Flow Roadmap – Fill in 1 Row of Boxes for Your Chosen Change Area: Who are your Team Members? Q 1.1

  8. Table Activity • At each table: • Discuss together possible changes each might put into place • Identify specific, easily observable, tangible new behavior or practice you want to put into place in your practice • Identify which members of the VIRTUAL TEAM will be needed (Don’t forget PARENTS!! -- your most important TEAM member). What will you ask them to do? • Identify the most likely obstacle(s) that might deter/stop you! • Develop a specific PLAN how you will circumvent this obstacle • SCRIBES:Write on your flipchart: • Each person’s name, and then, next to it: • What specific, observable & feasible new behavior/practice he/she will put into place

  9. A Promise to Keep…

  10. REMINDER: Please fill out Unit Q evaluation

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