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Overview of Behavioral Health Consultant Services

Overview of Behavioral Health Consultant Services. 1. Why I’m Here: Primary Care is our “de facto MH system”:. Full spectrum of psych disorders Children, adults, older adults Chronic as well as acute problems Somatic complaints HA, IBS, chronic pain, insomnia Sub-threshold problems

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Overview of Behavioral Health Consultant Services

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  1. Overview of Behavioral Health Consultant Services • 1

  2. Why I’m Here: Primary Care is our “de facto MH system”: • Full spectrum of psych disorders • Children, adults, older adults • Chronic as well as acute problems • Somatic complaints • HA, IBS, chronic pain, insomnia • Sub-threshold problems • Marital problems, DV, bereavement, occupational problems, parenting • 2

  3. The de facto MH system (cont’d) • Lifestyle counseling (prevention) • Smoking, ETOH, exercise, diet • Chronic disease management • Fastest growing part of primary care • Coping, self-mgmt, family education • Only half comply w/ self-mgmt regimen • 3

  4. Why are Behavioral Issues such a Challenge for Primary Care? • 3 c/o’s on average for 10-15 min visit • PCM reluctant to ask (Pandora’s Box) • Patients don’t report (focus on physical sx) • Stigma re psych care • Lack of insurance for psych care • Long waitlists for psych care • 4

  5. Patients I Can Help With • Adults, Children, Individuals, Families • Any pt with a significant behavioral component to his/her problem • Includes medical problems w/ behavioral component (tobacco cessation; wt mgmt; psychophysiological d/o; insomnia; tx nonadherence, etc.) • 5

  6. The Consultative Model: What I’ll do with your patients • CONSULTATION • You are primary customer • Brief, problem-focused • 20-mins; minimal f/u • Focus on small chg or treatment planning • Simple interventions • Education; referral; easily supported plans • PSYCHOTHERAPY • Patient is primary customer • Broad focus, long-term • 50-min; open-ended • Usu. large changes • Complex, multiple • Psych care separate from other health care • 6

  7. The Consultative Model (cont’d) • Help w/ complicated assessments, phone calls, crises, visit-sharing for high-utilizers • Re-referral is always appropriate • You will get written and/or verbal recommendations for each referral • Consult probably NOT appropriate for: • Specific medication questions • 7

  8. How to Refer to BHC • Refer to BHC as “consultant”, “team member” • Express that you’d like assistance helping pt with ______ problem • Find a problem the pt is concerned about • “Warm handoff” is ideal (okay to interrupt); important to see same day • Minimal (or no) paperwork! • 8

  9. In Sum… • I’m here to help you better assist your pts with their behavioral issues • I am open to ANY behaviorally-based issue • Please utilize same-day, warm-handoff referrals for every pt, if possible • I look forward to working with you! • 9

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