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National Models AND KEY TRENDS IN Primary Care and behavioral Health INTEGRATION

This presentation discusses the principles of the Patient-Centered Medical Home and the inclusion of behavioral health in the healthcare home. It presents the bi-directional integration model, public models of doing bidirectional integration, and consumer support and involvement. Contact Kathleen Reynolds for more information.

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National Models AND KEY TRENDS IN Primary Care and behavioral Health INTEGRATION

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  1. National Models AND KEY TRENDS IN Primary Care and behavioral Health INTEGRATION Presented by: Kathleen Reynolds, LMSW ACSW The National Council for Community Behavioral Healthcare

  2. The National Medical Home Discussion • Principles of the Patient-Centered Medical Home • Personal physician • Physician directed medical practice (team care that collectively takes responsibility for the ongoing care of patients) • Whole person orientation • Care that is coordinated and/or integrated • Quality and safety (including evidence based care, use of information technology and performance measurement/quality improvement) • Enhanced access to care • Payment structure that reflects these characteristics beyond the current encounter-based reimbursement mechanisms The American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association http://www.pcpcc.net/

  3. Inclusion of Behavioral Health in the “Healthcare” Home • Most articles on the medical home do not include behavioral health interventions even though they are linked to increased positive health outcomes • A large portion of psychiatric medications (~70%) are prescribed in primary care • A large proportion of primary care visits are for behavioral health issues

  4. Bi-Directional Integration Model • Master’s prepared behavioral health professional (LCSW, CSW, LPC, LLP) based on reimbursement • Short term solution focused sessions • Case Management • 1-3 sessions • Psychiatrist part time/Primary Care Provider • Curbside Consultation • Some evaluations • Clinic hours for PCP • Creation of a team

  5. Public Models of Doing Bidirectional Integration • One organization does the full range of services • Partnership models • FQHC’s & CMHC’s working together • Private Practitioners and Behavioral Health working together • Academic Medicine Centers and Behavioral Health

  6. Care Management Models • Active Care Management Roles are emerging as key components of the team • Do disease management functions but more personal, more interactive • PCARE – Ben Druss, Emory University • Health Navigators – New role for mental health case managers

  7. Consumer Support and Involvement • Peer wellness coaches ( Warbrick - Boston) • Promatoras (Health Centers) • Peer Support Services (HARP – Loring – Stanford)

  8. Contact Information Kathleen Reynolds, LMSW ACSW kathyr@thenationalcouncilc.org 734-476-9879

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