Behavioral health skills for primary care team members increased capacity to meet the need
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Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need. Larry Mauksch , M.Ed Senior Lecturer, Family Medicine, Univ of Washington Consultant. Presentation Objectives. Behavioral Health Role(s ): Integration Steps. Team Training and System

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Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need

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Behavioral health skills for primary care team members increased capacity to meet the need

Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need

Larry Mauksch, M.Ed

Senior Lecturer, Family Medicine,

Univ of Washington

Consultant


Presentation objectives

Presentation Objectives


Behavioral health role s integration steps

Behavioral Health Role(s): Integration Steps

Team Training

and

System

Transformation

Referral to BH onsite

Shared records,

shared planning

Supervision of

BH

care

management

Referral to BH onsite

Shared records

Referral to BH onsite

No collaboration

BH part of team

Disease mgmt for

Complex patients

Referral for BH offsite

Shared records

Referral to BH offsite

No collaboration


Mental disorders in primary care j of fam practice 2001 50 1 41 47

Mental Disorders in Primary CareJ of Fam Practice 200150(1), 41-47


Primary care realities

Primary Care Realities


Teamwork

Teamwork

The solution


Behavioral health skills for primary care team members increased capacity to meet the need

Patient Centered Medical Home:Two interdependent componentsRogers, PCMH Movement: Promise and peril for family medicine. JABFP, 2008 21(5)

Larry Mauksch, M.Ed University of Washington Department of Family Medicine


Why are high functioning teams essential to primary care

Why Are High Functioning Teams Essential To Primary Care


Role versus function

Role versus Function

Toward transdisciplinary teamwork


Continuum of role function

Continuum of Role Function


Behavioral health functions

Behavioral Health Functions


Mastering a skill domain

Mastering a Skill Domain


Common training sequence

Common Training Sequence

Larry Mauksch, M.Ed University of Washington Department of Family Medicine


Observer reflections

Observer Reflections


Observation form purpose and training

Observation Form Purpose and Training


Pcof use

PCOF Use

Larry Mauksch, M.Ed University of Washington Department of Family Medicine


Pcof categories

PCOF Categories


Behavioral health skills for primary care team members increased capacity to meet the need

Relationship Communication and Efficiency:Creating a model from a literature reviewMauksch, Dugdale, Dodson, Epstein 2008, Arch of Intern Med


Agenda creation

Agenda Creation


Agenda refinement

Then ask

Agenda Refinement

“What is going on in your life that causes stress and feeling down?”


Upfront agenda setting impressions

Upfront Agenda Setting: Impressions

Larry Mauksch, M.Ed University of Washington Department of Family Medicine


Behavioral health skills for primary care team members increased capacity to meet the need

Self Management-Complex(Integration of Goal Setting and Action Plan, Patient Activation and Motivational Models)


Complexity care influences and collaborators

Complexity Care Influences and Collaborators

  • Minnesota Complexity Assessment Model

    • Peek, Baird, Coleman

  • Bill Gunn, PhD and colleagues in Concord, NH

  • UW colleagues work on a Picker Foundation support pilot Study:

    • KavithaChunchu, MD., Carol Charles, MSW,

      Valerie Ross, MS., Judy Pauwels, MD

  • Family Care Network in Whatcom County, Wa

    • Berdi Safford, MD, Marcy Hipskind, MD. David Lynch, MD


Collaborative complexity care assessment goals and action plans

Collaborative Complexity Care Assessment, Goals and Action Plans


P atient c entered c are p lan or collaborative care plan

Patient Centered Care Plan or Collaborative Care Plan


Patient centered goal setting

Patient Centered Goal Setting


Goal setting chart review

Goal Setting Chart review


Continued work

Continued work


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