1 / 68

Department of Behavioral Health and Intellectual disAbility Services June 25, 2013

Department of Behavioral Health and Intellectual disAbility Services June 25, 2013. Eleventh Street Family Health Center 0 f Drexel University. Patricia Gerrity , RN PhD, FAAN. B. Community Partnership. Started 1996

sereno
Download Presentation

Department of Behavioral Health and Intellectual disAbility Services June 25, 2013

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Department of Behavioral Health and Intellectual disAbility ServicesJune 25, 2013 Eleventh Street Family Health Center 0f Drexel University Patricia Gerrity, RN PhD, FAAN

  2. B

  3. Community Partnership • Started 1996 • Residents of four public housing developments in Lower North Philadelphia • Community Driven • Had to develop trust • Community was tired of being assessed and surveyed

  4. Just cause you’ve got the recipe doesn’t mean you’ve got the cake

  5. “Man is the only animal that cries because man alone sees the difference between what is and what could be” Victor Hugo

  6. 11th Street Family Health Services of Drexel University In partnership with the Family & Practice & Counseling Network

  7. Development Based on NeedsPopulation Focused

  8. Original Study vs 11th St Results

  9. Integrative Health Care To create a seamless engagement by patients and caregivers of the full range of physical, psychological, social, preventive, and therapeutic factors known to be effective and necessary for the achievement of optimal health throughout the lifespan.

  10. Primary Care Redesign • More than adding services to primary care, or simply adding traditional mental health philosophies, skills & interventions in a new setting • Requires systems redesign • Providers shift from independent clinician to a functioning team member • Each member of the team must understand enough about the discipline & training of team members to communicate effectively and to design collaborative interventions that will meet the needs of the patient.

  11. Every great change must expect opposition because it shakes the very foundation of privelege.Lucretia Mott

  12. Integrated Team • Family nurse practitioner • Clinical nurse • Primary behavioral health consultant • Child & adult • Couples & Family Therapist • Generalist social worker • Health educator • Nutritionist • Complementary & integrated therapist • Physical therapist • Fitness trainer • Nurse family partnership home visitors • Creative arts therapists • Attorneys

  13. Characteristics of Integrated care • High degree of collaboration and communication • Establish comprehensive treatment plan to address biological, psychological and social needs of patients

  14. Shared Language • Project LEAP- Learning through Effective Ambulatory Practices • Integrated care • Complementary & integrative therapist • Architects- engagement room (ER)

  15. Lexicon for Behavioral Health & Primary Care • Peek CJ and the National Integration Academy Council AHRQ Pub No 13-IPOOO1-EF

  16. What is it? • The care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families, using a systemic and cost effective approach to provide patient centered care for a defined population.

  17. The care may address • Mental health conditions • Substance abuse • Health behaviors • Life stressors and crises • Stress related physical symptoms • Ineffective patterns of health care utilization

  18. How • A practice team tailored to the needs of each patient and situation • With a shared population and mission • Using a systematic clinical approach ( and a system that allows the clinical approach to function)

  19. Supported by • A community, population, or individual expecting that behavioral health and primary care will be integrated as a standard of care • Supported by office practice, leadership alignment, and business model • Continuous improvement and measurement of effectiveness

  20. All Services at 11th Street FHS

  21. Primary Care

  22. Microsystems • A small interdependent team defined at the level of each patient that forms to meet particular patient and family needs • The microsystem changes as the needs of the patient and family shift

  23. Creative Arts Therapies Creative Arts Therapies (CATs) are the psychotherapeutic use of movement/dance, music and art to further the emotional, cognitive, physical and social integration of the individual. CATs are behavioral health therapists who integrate evidence from fields like neuroscience, human development and behavior, counseling, psychopathology and multiculturalism to develop their practice of assessment and treatment. Both individual and group therapy is provided. CATS serve as primary counselors for our patients, and treat in conjunction with talk therapists, physical therapists, nurse practitioners and the nutritionist, for example.

  24. Social Work

  25. Pharmacy

  26. Dental

  27. Physical Therapy

  28. Health Education Outreach

  29. Behavioral Health, FPCN • Licensed social workers, psychologists and psychiatrists offer diagnostic assessments; psychiatry services including medication evaluation and management; short-term or long-term individual talk therapy for adults and talk and play therapy for families, children (ages 4 and up) and adolescents.

  30. Behavioral Health Programs • Co-located outpatient behavioral health • BHC Adult • ESBIRT • Trauma • BHC children & families • Creative arts therapy • Complimentary therapies • MBSR • Yoga • Mediation • Chronic pain- Power Over Pain • Intensive Care Management

  31. Adult BHC

  32. SBIRT • Screening, Brief Intervention, & Referral to Treatment • Collaboration with the Treatment Research Institute

  33. SBIRT • Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment. • Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change. • Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.

  34. Power Over Pain • Chronic Pain Resource Center • You are worth more than your pain! Empower yourself to be well! Goals: • Learn how to live with chronic pain. • Managing the different aspects of pain experience. • Create a safe and open learning environment where there is no judgment. • To empower patients to manage their own pain when they are at home doing the things they want to do.

  35. Power Over Pain • Clinical nurse • Behavioral health consultant • Physical therapist • Complimentary & integrative therapist • Creative arts therapists • Dance /movement

  36. The Goals of The Porch Light Initiative Shed light on challenges faced by those with behavioral health issues, reducing stigma and encouraging empathy among fellow community members Create a network of services for the benefit of individuals and families that heightens awareness of behavioral health resources and increases access to treatment Build a team of artists, service providers, individual participants, and other stakeholders that collaborate on transformative public art projects which encourage community ownership and pride and catalyze positive changes in neighborhoods 

  37. Adult BHC • Monitoring and supporting people with chronic physical illnesses • Care management for depression or other behavioral conditions • Skills in patient activation, goal setting, motivational interviewing and fostering health behavior change. • SBIRT- Treatment Research Institute

  38. Dance Movement Therapy with Lindsay Meeks

  39. Fitness Center

  40. Yoga with Kathleen Guidotti

  41. Pediatric Team • Behavioral health consultant PsyD • Family & child supports coordinator • FamilyNurse Practioner • Midwife • Resilience

  42. Pediatric BHC

  43. Centering Model • Incorporation of • Assessment • Education • Support • Provided by an interdisciplinary team in a group setting

  44. Visit for Mother and Baby

More Related