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Integrating Primary Care & Behavioral Health in Response to Public Health Needs: A Beginning

Integrating Primary Care & Behavioral Health in Response to Public Health Needs: A Beginning. Kate Jones, Psy.D., Esq. Stacey Carpenter, Psy.D. Elaine Fox, M.A. Public Health Need. Up to 70% of primary care appointments are linked to psychosocial issues

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Integrating Primary Care & Behavioral Health in Response to Public Health Needs: A Beginning

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  1. Integrating Primary Care & Behavioral Health in Response to Public Health Needs: A Beginning Kate Jones, Psy.D., Esq. Stacey Carpenter, Psy.D. Elaine Fox, M.A.

  2. Public Health Need • Up to 70% of primary care appointments are linked to psychosocial issues • Chronic conditions are the fastest growing part of primary care with about 60% of these patients adhering poorly to treatment • About 28% of Americans experience a diagnosable psychiatric disorder annually • ¾ of this group are not treated in specialty mental health care

  3. Mental Health vs. Behavioral Health • Implied division between mind and body • Behavioral health includes all issues impacted by behavior

  4. Behavioral Health Consultation • Behavioral health consultant (BHC) is a member of the primary care team • The BHC helps the primary care provider manage the psychosocial needs of patients • The BHC makes recommendations to the PCP and patient to improve overall patient functioning

  5. Why & How it works… • Unhealthy lifestyles are responsible for most of the top 10 causes of mortality and morbidity in the U.S. • BHCs have advanced training in helping people achieve behavioral change • Goals: avoid stigmatization; maximize function

  6. Case Study… • Derek • 41 y.o., male, engaged • Warm-hand off referral • Non-Compliance of Blood Pressure Medication

  7. Eludes Stigmas Increased Access Flexible Schedule Diverse Populations Challenging Providers Traditional Therapy vs. BHC Only Mental Health Referrals Benefits Barriers

  8. Thank You… Questions?? Comments!!

  9. References • American Psychological Association. (2000). Diagnostic and Statistical Manual of mental Disorders (4th ed. text revision) (DSM-IV-TR). Washington, D.C.: American Psychological Association. • Robinson, P.J., Reiter, J.T. (2007). Behavioral consultation and primary care: a guide to integrated services. New York: Springer.

  10. Contact Information Kate Jones, Psy.D., Esq. Quality Management & Special Projects Coordinator Behavioral Health Services & Quality Management katiej@phmc.org Stacey Carpenter, Psy.D. Behavioral Health Consultant scarpenter@phmc.org Elaine Fox, M.A. Vice President, Specialized Health Services elaine@phmc.org

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