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Integrated Behavioral Health : What Have You Tried? How Has It Worked? What Next?. Kirk Strosahl Ph.D. Mountainview Consulting Group, Inc. E-mail: [email protected] Website: www.behavioral-health-integration.com. Webinar Objectives.

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Integrated Behavioral Health : What Have You Tried? How Has It Worked? What Next?

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Integrated behavioral health what have you tried how has it worked what next l.jpg

Integrated Behavioral Health:What Have You Tried? How Has It Worked? What Next?

Kirk Strosahl Ph.D.

Mountainview Consulting Group, Inc.

E-mail: [email protected]

Website: www.behavioral-health-integration.com


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Webinar Objectives

  • Appreciate the range of integration models and options

  • Characterize what you have done thus far

  • Assess successes and setbacks thus far

  • Consider six domains of integration activity

  • Conduct a self assessment of your integration program


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The Continuum of Integration


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Two Perspectives On Population-Based Care

Vertical Integration

Depression Clinical Pathway

Chronic Depression

Major Depression

Dysthymia & Minor Depression

Adjustment & stress reactions with depressive symptoms

Horizontal Integration

Panel Population

Specialty Consultation

Integrated Programs

General

Behavioral

Health Consultation


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Dimensions of Integration

  • Mission

  • Clinical Service

  • Physical

  • Operational

  • Information

  • Financial


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Mission Integration

  • The extent to which the behavioral and general medical service systems are pointing toward the same health objectives, goals and strategies

    • Rule: The goal is to improve the “health” of the entire population, not just to treat the sick


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Clinical service integration

  • The degree to which general medical and behavioral providers seamlessly engage in assessment, intervention, and follow up activities

    • Rule: The more co-management processes, protocols and assessment tools, the better


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Physical integration

  • The degree to which the general medical and behavioral health providers work in the same space, allowing for instantaneous access to care

    • Rule: Co-location is NOT the same as integration


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Operations integration

  • The degree to which the general medical and behavioral health providers work off the same clinic “platform”

    • Rule: The more operations processes are shared (scheduling, reception, QI, support staff), the better


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Information integration

  • The degree to which the general medical and behavioral health providers can access real time patient care information

    • Rule: Separate charts and sequestered information are the bane of our professions


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Financial integration

  • The degree to which general medical and behavioral health services are funded as a “basic” form of health care

    • Rule: Integrative behavioral care should be financed as a “core” primary care service


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So. . .How integrated are we?

  • General Rule: The more you have completely accomplished the six domains of integration, the more integrated you are!

  • It’s that simple.

  • Except that the “devil is in the details”!


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Qualities of A Successful Integrated Behavioral Care Service

  • Provides timely access for PCP

  • Service is integrated within primary care setting

  • Service is viewed as a form of primary care

  • Service is provided in collaboration with the PCP

  • Service is provided as part of the health care process


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Qualities of a Successful Integrated Behavioral Health Care Service

  • Goal is to increase impact of PCP team interventions

  • Goal is to consult with and train the PCP to produce better outcomes

  • Improved clinical outcomes, satisfied patients and health care providers, and managing productivity and financial risk are key targets


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