The Primary Care Behavioral Health Model (PCBH) of ….ppt

* * * HANDOUT: SAMPLE JOB POSTING * HANDOUT: RESOURCES FOR TRAINING A NEW BHC * HANDOUT: CHART REVIEW TOOL * Robinson (1996) PCPs learn beh’l strategies * IMPACT is an example of a “TOP DOWN” approach * * Collaborative Family Healthcare Association 12th Annual Conference * * * All you need for BH office: computer, phone, kleenex, chairs. Cheap! * 14 exam rooms plus a procedure room * * * So visits can occur before, during or after PCP Visits can have varying purposes, just like PCP visits Team-based care, fluidity * * Bottom line is it’s not hard to improve outcomes in PC * JOE EVANS STUDY RE THE $$$ FINANCIAL: 20% HEALTHCARE SAVINGS @ CHEROKEE AND $860/YR SAVED IN THE YR AFTER STARTING PCBH * Visit length: “too short”, “too long,” “just right” Ability to get appt: “very”= 62% or “somewhat”=14% Understood: “a lot”= 73%, “somewhat”= 13% Helpful: “a lot”= 68%, “somewhat”= 21% Phys health= “a lot” or “somewhat” (among those with 2 or more visits) Mental health= “a lot” or “somewhat” (among those with 2 or more visits) * Decreased PTSD Symptoms In a pilot study of 19 active duty airmen, combat writing (i.e., impact statement from CPT), and imaginal exposure yielded positive outcomes Patients receiving TAU showed no clinical improvement Exposure patients became slightly worse Corso KA, Bryan CJ, Morrow CE, Appolonio KK, Dodendorf DM, Baker MT. Managing post traumatic stress disorder (PTSD) symptoms in active duty military personnel in primary care settings. Journal of Mental Health Counseling. 2009; 31(2): 119-137. 2014 Annual Conference Primary Care Behavioral Health Model Complex Patients Among patients with suicidal symptoms, depression, and PTSD BHCs provided treatment No direct relationship found between PTSD and suicide Suicidal symptoms explained exclusively by depression Applicability for PCBH: if patients with trauma, depression, and suicide present in primary care, do NOT begin treating PTSD – depression symptoms should be treated first providing s