Christina S. Lee, Ph.D. Dept. of Applied Psychology Northeastern University, Boston, MA

1. Establishing an Integrated Behavioral Health Program and Practicum Site in a Community-Based Primary Care Center Christina S. Lee, Ph.D.Dept. of Applied Psychology Northeastern University, Boston, MA IBH Program Director South End Community Health Center, Boston, MA

2. “Co-located”

3. Integration Primary Care Behavioral Health Laurie Goldman, Psy.D., R.N. Ray Walden, L.I.C.S.W. Alexander Young, Psy.D. Rick Silva, Pharm.D. Interns: Heather Bennett Atsushi Matsumoto • Dan Simpson, M.D. • Tom Sterne, M.D. • Deb Clifford, R.N.

4. Timeline Year 1 IBH Planning IBH intern seminars

5. Timeline Year 1, cont. IBH coordination and Intern seminars

6. Integrated Health Seminars 2013-2014 Functional Assessments and the 5As Integrated behavioral health: Anxiety and depression Medical literacy Writing case notes for integrated care Substance use assessments Crisis management Adult psychopharmacology in mental health, Part I Negotiating behavior change in health behaviors Adult psychopharmacology in mental health Part II

8. IBH Referral Form Date: ________________ Patient Name: ­­­­­­­­­­­­­­­­­­­­­­­_________________________ DOB: ­­­­­­­­­­­­­­­­­­­­­­­­­_________________________ Preferred Language: [ ] English [ ] Spanish [ ] Other: _______________ Referring Provider: ____________________________ Referral Type: [ ] Routine [ ] Urgent-seen in 2-3 days [ ] Emergent Reason for referral: [ ] Anxiety [ ] Grief [ ] Depression [ ] Recent Psych Hospitalization [ ] Smoking Cessation [ ] ADHD/ADD Evaluation [ ] Diagnostic Evaluation, e.g. Bipolar, ADD, other [ ] Substance Abuse [ ] Other: ­­­­­­­­­­­­­­­­­­­­­­­­­­­_____________________________________________________________ Referral to: [ ] Pharm D: For comprehensive medication management for anxiety, depression, other psychiatric conditions, access to Specialty BH 3rd floor [ ] CAMI Study: Alcohol use disorders, substance use [ ] Integrated BH Consultant: For evaluation and short term counseling; e.g. anxiety, depression, relaxation training, grief, sleep hygiene, smoking cessation, substance use [ ] Specialty Behavioral Health Service 3rd floor [ ] PLEASE CALL PATIENT: Patient could not see clinician today, but wished to be called Telephone number (confirmed with patient): ­­­­­­­­­­­­________________________________ NOTE: IBH will usually see patient up to 3 visits and will refer to Specialty Behavioral Health, 3rd floor, if patient needs long term management.

9. Importance of in-person referral

10. Patient Satisfaction Survey**Based on the Client Satisfaction Survey (citation)

11. Student education and training • IBH Manual drafted • Seminars planned • Supervision issues and coverage • Smaller cohort

12. Counseling PhD Student participation and development • IBH Internship Track at SECHC • 6 Phd Level trainees • IBH researchers: Welcome to our new Northeastern Counseling Ph.D students. Check them out on our website! • Janelle Alabiso, M.A. • Daniel Gittens Stone, M.A.

13. Thank You to the South End Community Health Center, and to the Psychology Interns for making this work possible!

14. Christina S. Lee, Ph.D.Dept. of Applied Psychology Northeastern University, Boston, MA Chr.lee@neu.edu Www.Northeastern.edu/cslee