Behavioral Consultation and Primary Care : A Guide to Integrating Services.

Intro -- Dedication -- Preface -- Abbreviations -- Contents -- List of Tables -- List of Figures -- Part I: The Perfect Storm of Primary Care -- Chapter 1: Behavioral Consultation and Primary Care: The "Why Now?" and "How?" -- Primary Care and the Epidemic of Behavioral Health Problems -- Primary Care: Overworked and Underpaid -- The Effects on Patients -- The Failings of the Specialty Mental Health System -- The PCBH Model -- A Consultant Approach -- Population Health and the PCBH Model -- Empirical Support for the PCBH Model -- Other Approaches to Integration -- Summary -- Web Links -- Chapter 2: A Primer on Primary Care -- The Mission of Primary Care -- New Terms in Primary Care -- The Medical Home Concept -- Triple Aim -- Affordable Care Act -- Accountable Care Organization -- Coordinated Care Organization -- Providers and Management in Primary Care -- Primary Care Providers -- Registered Nurses -- Licensed Practical Nurses, Nursing Assistants, and Medical Assistants -- Support Staff in Primary Care -- Administrators -- The Organization of Primary Care -- Summary -- Web Links -- Part II: The New Primary Care Team -- Chapter 3: Recruiting and Training a Behavioral Health Consultant -- Hiring a BHC -- Job Description -- Suggestions for Recruiting and Interviewing -- Hiring a Behavioral Health Assistant -- Suggestions for Recruiting and Interviewing a BHA -- BHC Training -- Reading -- Shadowing -- Mentoring and Core Competency Training -- Other Training Options -- Job Performance Evaluation -- Summary -- Chapter 4: Behavioral Health Consultant Services, Location, and Support -- Location, Location, Location -- Prime Real Estate in Primary Care -- No Office Space? No Problem! -- Be in the Chaos -- Please DO Disturb! -- When in Rome, Do as the Romans Do -- Common Expenses to Include in the Budget -- BHC Services -- BHC Appointment Types.

BHC Schedule Template -- Miscellaneous Scheduling Issues -- Billing -- To Bill or Not to Bill? -- CPT Codes -- Diagnostic Codes -- Problems Getting Paid? -- Summary -- Web Links -- Chapter 5: Behavioral Health Consultant Core Competencies -- Behavioral Health Consultant Core Competency Tool -- Domain 1: Clinical Practice -- Domain 2: Practice-Management Skills -- Domain 3: Consultation Skills -- Domain 4: Documentation Skills -- Domain 5: Team Performance Skills -- Domain 6: Administrative Skills -- Summary -- Chapter 6: PCP and RN Competencies -- PCP and RN Training Strategies -- Getting Administrative Support -- Make It Count -- Domain 1: Clinical Practice Skills -- Domain 2: Practice Management Skills -- Domain 3: Consultation Skills -- Domain 3: Documentation Skills -- Domain 5: Team Performance Skills -- Domain 6: Administrative Skills -- Self-Assessment and Career Development Planning -- Summary -- Part III: Making a Difference -- Chapter 7: Theory and Action -- The Nature of Health and the Limits of the Medical Model -- What the Therapy Literature Teaches Us -- An Alternative Definition of Health -- A Framework for the Primary Care Behavioral Health Model -- Therapies for the PCBH Model -- Stress-Diathesis Model -- Motivational Interviewing -- Problem-Solving Therapy -- The Role of Coping Styles in Selecting an Intervention -- Acceptance and Commitment Therapy -- Summary -- Chapter 8: PCBH Program Evaluation -- Productivity -- Think Before You Count -- Addressing Productivity Problems -- Model Fidelity -- Range of Problems and Populations -- BHC Impact on PCPs -- Ratio of New to Follow-Up Patients -- Ratio of Work-In to Scheduled Patients -- Days to Next-Available Appointment -- Average Number of Visits per Patient -- No-Show Rate -- Other Fidelity Indicators -- Patient Satisfaction -- Clinical Effectiveness in the PCBH Model.

Assessing Treatment Response -- Screening, Assessment, and PCBH Pathways -- Research to Further PCBH Model Development and Refinement -- Summary -- Web Links -- Part IV: Let the Adventure Begin -- Chapter 9: Practice Tools for the Behavioral Health Consultant -- Orienting Patients to PCBH Services -- Initial Consults -- The Initial Consult Introduction -- Introducing and Completing Behavioral Health Measures -- Life Context Questions -- Functional Analysis Questions -- Follow-Up Consults -- Follow-Up Consult Versus New Initial Consult -- Completing Behavioral Health Measures in Follow-Ups -- Assessing Improvement and Implementation of Plan -- Length and Frequency of Follow-Up Consults -- Venues for Follow-Up Contact -- Continuing Care -- Charting and Medical Records -- Chart Note Location -- The Process of Charting -- The SOAP Note -- A Chart Review Tool -- Optimal Use of Electronic Health Records -- Summary -- Chapter 10: Starting Up and Growing Up -- BHC Start-Up Checklist -- Week 1: Be Visible and Get the Lay of the Land -- Week 2: Begin Patient Care and Continue Service Planning -- Week 3: Be a Team Player and a Teacher -- Week 4 and Beyond: Expand and Evaluate -- From Nicety to Necessity -- Summary -- Chapter 11: A Day in the Life of a Behavioral Health Consultant -- Monday Morning -- Huddle Activity -- 7:45 AM, Phone Call to Patient -- 8:00 AM, May: Medically Unexplained Symptoms (MUS) (Follow-Up) -- 8:30 PM, Raymond: Developmental Delays (Warm Handoff, Initial) -- 9:00 AM, Janet: Follow-Up -- 9:25 AM, Marie: Schizophrenia (Same Day, Follow-Up) -- 9:45 AM, Pain and Quality of Life Handout Preparation -- 10:00 AM, Juan: Obese Teen (Follow-Up) -- 10:30 AM, Andrew: Medication Adherence (PCP-prep/Warm Handoff, Initial) -- 11:00 AM, Maria: Chronic Neck Pain (Initial) -- 11:30 AM, Lucille: Behavior Problem (Warm Handoff, Initial) -- Monday Afternoon.

1:00 PM, Pathway Meeting: Hypertension -- 1:30 PM, Disruption in Waiting Area (Same Day, Initial) -- 2:00 PM, Samuel: School Problems (Initial) -- 2:30 PM, Ed: Alcohol (Initial) -- 2:45 PM, Sarah: Sleep Problem (Warm Handoff, Initial) -- 3:00 PM, "In This Moment" Stress Class -- 4:00 PM, Charting and Feedback -- Summary -- Web Links -- Chapter 12: Pathway and Group Services -- Pathways -- 1. Identify a Target Population -- 2. Develop a Pathway Team -- 3. Describe Current Practices -- 4. Review Evidence for Improving Care -- 5. Cost-Out Options -- 6. Design a Pathway Statement -- 7. Define Pathway Goals and Measurement Strategies -- 8. Pilot and Revise the Pathway -- 9. Disseminate -- 10. Pathways Are Living Tools -- A Pathway Example -- Groups -- Logistics -- Identify a Target Population for a Group Service -- Identify Goals of the Group Service -- Formats -- Materials and Agendas for Groups and Classes -- Linking Groups to Pathways -- Summary -- Web Links -- Part V: Addressing the Challenges -- Chapter 13: Common Ethical Issues -- Common Quandaries in PCBH Work -- Competence: The Case of Dr. Feelgood -- Informed Consent: The Case of Ms. B. Healthy, MSW -- Confidentiality: The Case of Mr. Sufferless, MFT -- On a Final Note -- Summary -- Web Links -- Chapter 14: Prescription Drug Abuse in Primary Care -- The Case of John and Dr. Peigngone -- The Opioid Abuse Epidemic -- Controlled Substances 101 -- Terminology and Medication Basics -- Do These Medications Work? -- How to Stop These Medications -- So Should Controlled Substances EVER Be Used? -- Strategies and Solutions -- Minding the Gap -- Medication Agreements -- Patient Screenings -- Random Urine Drug Screens -- Pathway Programs and Groups -- Summary -- Web Link -- Chapter 15: Challenging Moments: Provider, Patient, and System -- Puzzling Moments with Providers -- The "Biomedical Provider".

Strategies for Bridging the Gap -- The "DIY" Provider -- Strategies for Working with the DIY Provider -- Puzzling Moments with Patients -- Handling Psychiatric Emergencies -- When a Patient Doesn't Improve -- "Can You Ask My Doctor About This?" -- Court-Ordered Care and Dealings with Bureaucracies -- When a Patient Is Aggressive with Staff -- Challenging Moments with Systems -- There's a Specialist in the House! -- Persevering with System Transformation -- Summary -- Appendix A (Chapter 16) -- PCBH-Specific Learning Resources -- Books -- Professional Organizations -- Consulting/Training Groups -- Online Continuing Education -- Videos to View -- Appendix B (Chapter 17) -- Recommended Reading for Children, Parents, Adolescents, and Adults -- Books for Children -- Books for Adolescents -- Books for Parents -- Books for Adults -- Appendix C (Chapter 18) -- Patient Education Handouts and Practice Tools -- Epilogue (Chapter 19) -- References -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.