User-Friendly Psychiatric Consultation to Support Integration of Behavioral Healthcare in

1. User-Friendly Psychiatric Consultation to Support Integration of Behavioral Healthcare in Primary Care Practice ---------- SmartCare PC2 is a Behavioral Health Integration Partnership Program of Vista Hill Funding is provided by San Diego County HHSA Behavioral Health Services

2. Who Can Contact PC2? • All FQHC Clinic Providers/Prescribers • Clinic must sign MOU with Vista Hill. • We’ll need your contact information • Your name • Clinic site • Telephone number • Email address • Allied and Ancillary clinic staff (RN, MA, LCSW, etc.) may call for consults on resources or other management issues.

3. How to Connect to PC2 • Our phone number is: (858) 880-6405 • Our email is: pc2@vistahill.org • eConsultSD access www.econsultsd.com • SmartCare PC2 e-Weekly

4. When you call: • Our Nurse Practitioner will receive your call directly. She has experience in behavioral health and in primary care. • She will consult with the PC2 psychiatrist and provide a verbal and written FAX report. As needed, our psychiatrist will speak directly with you. • A clinic nurse or assistant can initiate a call for your convenience.

5. How long will it take? • We aim to give definitive responses with a 10 minute turnaround, particularly when you have the patient in the exam room. • When needed, we may ask for further information or review the relevant literature prior to responding. We will work with you to meet your service delivery needs as promptly as possible. • If you have a general question that is not urgent, we will respond as soon as feasible, with no later than one day turnaround.

6. Who will be responding to my questions? • Our nurse practitioner and psychiatric consultant work as a team in responding to your questions. • The PC2 clinical staff: • Bella Montgomery, CNP • Mark Chenven, MD • Will Connor, MD • Charmi Patel-Rao, MD • If it is a general question regarding resources, the nurse practitioner may be the prime responder.

7. What Types of Call Can I Make? • All Ages: Pediatric, Adult, Geriatric • Clinical Arenas • General Behavioral Health Conditions • Depression, Anxiety, Adjustment Issues, ADHD, Sleep Disorder, etc. • Severe persistent mental illnesses • Psychosis, Bipolar Disorder, Borderline Disorders • Substance Abuse • Other Co-Morbid Conditions • Medication management support • Side effects & Dosing • Titration Strategies • Contraindications • Crisis Assessment and Management Strategies • Suicide Risk, Danger to Others, Risk Management

8. What we need from you…? • Your Name and Clinic site • Patient’s name and demographics • Current concerns---- How can we best assist you & your patient? • Relevant behavioral health data • Presenting Symptoms and Needs • History of illness • Prior treatment • Medication status and history • Relevant Medical concerns: conditions, medications, etc. • What is your comfort level in dealing with this patient in question?

9. Will PC2 prescribe medication? • PC2 offers consultative recommendations regarding medication management (med class, dosage, titration, etc.). • Prescriptions and ongoing care are the responsibility of the PCP. • Follow-up consults are available to support Primary Care Providers with on-going care of complex cases.

10. Will I receive a written consultation? • Yes. We will fax a concise report to your clinic’s Medical Records Department. “Dear Dr. Jones: Thanks for your call. As discussed, it appears that your patient is experiencing an exacerbation of ………. Based on the information available, it seems appropriate to titrate patient’s medication in the following manner. 1) ……………… 2) ……………… If needed, please recontact us to discuss your patient’s needs Yours, The PC2 Clinical Team

11. What if the question is after the hours of 8:30-4:30? • If you have a consult question after hours, you may contact us to leave a message. If feasible we will respond----most after hours contacts will be responded to first thing the next business day. • For urgent calls after hours, consider the Access Line below: 1-888-724-7240, available 24/7

12. Telephone consults 8:30-4:30 Mon-Friday (858) 880-6405 E-mail consultation at pc2@vistahill.org E-consult SD, a HIPAA compliant platform www.econsultsd.com PC2 E-Weekly newsletter SmartCare PC2 is a Behavioral Health Integration Partnership Program of Vista Hill Funded by San Diego County HHSA Behavioral Health Services

13. Telephone consults 8:30-4:30 Mon-Friday (858) 880-6405 E-mail consultation at pc2@vistahill.org E-consult SD, a HIPAA compliant platform www.econsultsd.com PC2 E-Weekly newsletter SmartCare PC2 is a Behavioral Health Integration Partnership Program of Vista Hill Funded by San Diego County HHSA Behavioral Health Services

14. Telephone consults 8:30-4:30 Mon-Friday (858) 880-6405 • E-mail consultation at pc2@vistahill.org • E-consult SD, a HIPAA compliant platform www.econsultsd.com • PC2 E-Weekly newsletter SmartCare PC2 is a Behavioral Health Integration Partnership Program of Vista Hill Funded by San Diego County HHSA Behavioral Health Services

15. Telephone consults 8:30-4:30 Mon-Friday (858) 880-6405 E-mail consultation at pc2@vistahill.org E-consult SD, a HIPAA compliant platform www.econsultsd.com PC2 E-Weekly newsletter SmartCare PC2 is a Behavioral Health Integration Partnership Program of Vista Hill Funded by San Diego County HHSA Behavioral Health Services