Effective bi directional integration evidence based best practices
Download
1 / 10

Effective Bi-Directional Integration: Evidence Based & Best Practices - PowerPoint PPT Presentation


  • 102 Views
  • Uploaded on
  • Presentation posted in: General

Effective Bi-Directional Integration: Evidence Based & Best Practices. Presented by: Kathleen Reynolds LMSW ACSW kathyr@thenationalcouncil.org. Why bi-directional integration?. Persons with serious and persistent mental illness die, on average at the age of 53 .

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha

Download Presentation

Effective Bi-Directional Integration: Evidence Based & Best Practices

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Effective Bi-Directional Integration: Evidence Based & Best Practices

Presented by:

Kathleen Reynolds LMSW ACSW

kathyr@thenationalcouncil.org


Why bi-directional integration?


Persons with serious and persistent mental illness die, on average at the age of 53

  • Higher Rates of Modifiable Risk Factors:

    • Smoking

    • Alcohol consumption

    • Poor nutrition / obesity

    • Lack of exercise

    • “Unsafe” sexual behavior

    • IV drug use

    • Residence in group care facilities and homeless shelters

Vulnerability due to higher rates of:

  • Homelessness

  • Victimization / trauma

  • Unemployment

  • Poverty

  • Incarceration

  • Social isolation


Model of Bi-Directional Integration


Models – Bi-Directional Integration

Behavioral Health –Disease Specific

  • IMPACT

  • RWJ

  • MacArthur Foundation

  • Diamond Project

  • Hogg Foundation for Mental Health

  • Primary Behavioral Healthcare Integration Grantees

    Behavioral Health - Systemic Approaches

  • Cherokee Health System

  • Washtenaw Community Health Organization

  • American Association of Pediatrics - Toolkit

  • Collaborative Health Care Association

  • Health Navigator Training

Physical Health

  • TEAMcare

  • Diabetes (American Diabetes Assoc)

  • Heart Disease

  • Integrated Behavioral Health Project – California – FQHCs Integration

  • Maine Health Access Foundation – FQHC/CMHC Partnerships

  • Virginia Healthcare Foundation – Pharmacy Management

  • PCARE – Care Management

    Consumer Involvement

  • HARP – Stanford

  • Health and Wellness Screening – New Jersey (Peggy Swarbrick)

  • Peer Support (Larry Fricks)


What do we know about what works?

  • Three strategies have been identified in a meta-analysis of successful integration programs

    • A consulting psychiatrist

    • A primary care provider prescribing all meds

    • Care coordination (Gilbody, 2006)


Additional Implementation Strategies for Bi-directional Integration

  • Partnerships between behavioral health and primary care or “do it yourself”

  • Financing: Maximize existing billing options to fund integrated care

  • Staffing: PhD, LMSW, LPC, BSW, Consumers

  • Electronic Medical Records

  • Registries

  • Bridging the professional culture gap


ad
  • Login