Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need

1. Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need Larry Mauksch, M.Ed Senior Lecturer, Family Medicine, Univ of Washington Consultant

2. Presentation Objectives

3. Behavioral Health Role(s): Integration Steps Team Training and System Transformation Referral to BH onsite Shared records, shared planning Supervision of BH care management Referral to BH onsite Shared records Referral to BH onsite No collaboration BH part of team Disease mgmt for Complex patients Referral for BH offsite Shared records Referral to BH offsite No collaboration

4. Mental Disorders in Primary CareJ of Fam Practice 200150(1), 41-47

5. Primary Care Realities

6. Teamwork The solution

7. Patient Centered Medical Home:Two interdependent componentsRogers, PCMH Movement: Promise and peril for family medicine. JABFP, 2008 21(5) Larry Mauksch, M.Ed University of Washington Department of Family Medicine

8. Why Are High Functioning Teams Essential To Primary Care

9. Role versus Function Toward transdisciplinary teamwork

10. Continuum of Role Function

11. Behavioral Health Functions

13. Mastering a Skill Domain

14. Common Training Sequence Larry Mauksch, M.Ed University of Washington Department of Family Medicine

15. Observer Reflections

16. Observation Form Purpose and Training

17. PCOF Use Larry Mauksch, M.Ed University of Washington Department of Family Medicine

18. PCOF Categories

19. Relationship Communication and Efficiency:Creating a model from a literature reviewMauksch, Dugdale, Dodson, Epstein 2008, Arch of Intern Med

21. Agenda Creation

22. Then ask Agenda Refinement “What is going on in your life that causes stress and feeling down?”

23. Upfront Agenda Setting: Impressions Larry Mauksch, M.Ed University of Washington Department of Family Medicine

24. Self Management-Complex(Integration of Goal Setting and Action Plan, Patient Activation and Motivational Models)

25. Complexity Care Influences and Collaborators • Minnesota Complexity Assessment Model • Peek, Baird, Coleman • Bill Gunn, PhD and colleagues in Concord, NH • UW colleagues work on a Picker Foundation support pilot Study: • KavithaChunchu, MD., Carol Charles, MSW, Valerie Ross, MS., Judy Pauwels, MD • Family Care Network in Whatcom County, Wa • Berdi Safford, MD, Marcy Hipskind, MD. David Lynch, MD

26. Collaborative Complexity Care Assessment, Goals and Action Plans

27. Patient Centered Care Plan or Collaborative Care Plan

28. Patient Centered Goal Setting

29. Goal Setting Chart review

30. Continued work