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Integrating Services to Improve Access to Care

Integrating Services to Improve Access to Care. THE BARN. LCDR Jane Olien CDR Richard Schobitz. June 20, 2012. This briefing is unclassified. DISCLAIMER.

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Integrating Services to Improve Access to Care

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  1. Integrating Services to Improve Access to Care THE BARN LCDR Jane Olien CDR Richard Schobitz June 20, 2012 This briefing is unclassified

  2. DISCLAIMER The views expressed herein are those of the author and do not reflect the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, Department of Defense or the U.S. Government.

  3. Learning Objectives PURPOSE: To provide an overview of lessons learned while integrating social work and psychology services in a behavioral health clinic • Identify the benefits of program integration among services with overlapping missions. • Develop an understanding systemic challenges that may create barriers to care. • Describe the benefits of focusing services not only on the service member, but also on the family. 20 June 2012 Unclassified CDR Schobitz/LCDR Olien

  4. Current Statistics

  5. Current Statistics

  6. Improving the training environment • BAMC has an APA accredited Psychology Internship • BAMC has a Social Work Internship Program in cooperation with the University of North Carolina, Fayettville • The programs collaborate to streamline training, increase faculty and improve access to care for all

  7. Mission Disposition Every consult is seen for an intake • All consults are contacted and appointed within a 7-10 window • Intakes are performed primarily by Interns • Develop working diagnosis • Working disposition plan • Staff with clinic OIC • Disposition prior to client leaving the office

  8. WIN-WIN • Consult is addressed in timely manner • Interns trained on intake and quick decision disposition • Clinical staff are freed up to see more follow up sessions • Clients are appropriately dispositioned • Referrals to network are decreased

  9. References • Demographics 2010: Profile of the military community (Office of the Deputy Under Secretary of Defense, Military Community and Family Policy, 2009), http://www.militaryhomefront.dod.mil/12038/Project%20Documents/MilitaryHOMEFRONT/QOL%20Resources/Reports/2009_Demographics_Report.pdf • Hosek, J. (2011). How is deployment to Iraq and Afghanistan affecting U.S. service members and their families? An overview of early RAND research on the topic. OP-316-DOD. Santa Monica, CA: RAND Corporation. • Meadows, Sarah O. Military Families: What We Know and What We Don't Know. National Council on Family Relations Report Magazine, March 2012. Santa Monica, CA: RAND Corporation. • White House. (2011). Joining forces. http://www.whitehouse.gov/joiningforces

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