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The Role of the Older Adult Behavioral Health Specialist

The Role of the Older Adult Behavioral Health Specialist. Nirmala Dhar, LCSW Older Adult Behavioral Health Coordinator Oregon Health Authority Addictions & Mental Health. THREE PRIMARY FUNCTIONS. Interagency/multi-system planning for better coordination between systems

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The Role of the Older Adult Behavioral Health Specialist

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  1. The Role of the Older Adult Behavioral Health Specialist Nirmala Dhar, LCSW Older Adult Behavioral Health Coordinator Oregon Health Authority Addictions & Mental Health Adult Mental Health Older Adult Services

  2. THREE PRIMARY FUNCTIONS • Interagency/multi-system planning for better coordination between systems • Complex case consultation • Workforce development and community health and wellness promotion

  3. Role of the Older Adult Behavioral Health Specialist Triple Aim* Better Health Better Care Lower Costs

  4. FUNCTION #1 - COORDINATION • Promote partnerships and linkages • Promote value of collaboration • Build shared common culture and values • This process would result in – • Removal of silos • Elimination of barriers • Creation of synergies • Alignment of priorities and goals • Finding better solutions

  5. RESULTS OF BETTER COORDINATION - • Responsive service delivery system which is client centered • Reduces costs • Reduces redundancy in services • Reduces situations where clients “fall through the cracks”

  6. Benefits of enhanced coordination of systems - • Better use of resources and expertise • Better infrastructure of serve seniors • Reduces stigma around seniors • Better case finding – increase in referrals

  7. Some suggested activities for function#1 • ACTIVITY • ACTIVITY • Needs Assessments • Cross system coalition building • Older adults as active in coalitions • Collaborative Program Development • Focus Groups • SWOT Analysis • Strengthening partnerships • MOU/MOA • Impact Assessments

  8. FUNCTION #2 - CONSULTATION • Complex Case Consultation – • Multi-disciplinary team approach • Multi-morbidity lens • Individuals with cross-system needs • Social factors • Clinical data • Solution focused

  9. Some suggested activities for function #2 • Creating a multi-disciplinary team • Creation of a forum for complex case consultation • Providing technical assistance to systems that work with older adults

  10. FUNCTION #3 – Workforce Development and Community Education and Awareness • Workforce development – increase the human capital infrastructure through a range of activities that - • CREATE • SUSTAIN • RETAIN …….A viable and competent workforce

  11. FUNCTION #3 – COMMUNITY EDUCATION & AWARENESS : • Use a population health lens – • How do we increase the mental health literacy of the communities we serve with regards to the behavioral health needs of older adults? • How to we promote protective factors at a community planning level to prevent depression? • How can a community create greater opportunities for social and civic engagement for older adults?

  12. FUNCTION #3 – Core tasks • Advance and promote best practices • Facilitate implementation of evidence based practices. • Community assessments • Health and Wellness promotion

  13. Suggested activities for Function #3 • Adopting & implementing Mental Health First Aid for Older Adults • Partnering with public health initiatives such as Falls Prevention & SBIRT • Brown bag luncheons • Webinars • Using the training modules • Developing competencies and “soft skills”

  14. DATA • Qualitative and quantitative data collection across all three functions will help us identify and measure: • CHANGE • AREAS FOR IMPROVEMENT • OUTCOMES

  15. Acquire the mindset of the OABHS: • “IN ORDER TO GE TO NEW SOLUTIONS YOU HAVE TO GET TO KNOW DIFFERENT PEOPLE, DIFFERENT PLACES, DIFFERENT SCENARIOS”. EMI KOLAWOLE , Stanford University • “WE WANT TO GIVE OURSELVES THE PERMISSION TO EXPLORE LOTS OF DIFFERENT POSSIBILITIES SO THAT THE RIGHT ANSWER CAN REVEAL ITSELF”. PATRICE MARTIN • Optimism • Creative confidence • Tolerance of ambiguity • Immersion • Learning from failure • Iterate ..iterate…iterate

  16. THANK YOU! • QUESTIONS? • Email me at Nirmala.Dhar@state.or.us • Call me at 503-945-9715.

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