Integrated Behavioral Health in Primary Care: Summarizing the Lay of the Land, Marking the Best Practices, Identifying Barriers, and Mapping New Territory


Parameters

Barriers

Opportunities

Continuum and anchors

HOW: Team-based care

Boundaries

Clear roles and responsibilities

Building a culture of shared decision-­making, respect, and open communication, addressing issues of power and control
 
Practicing discipline-­specific silos

Accountability
  
Power differentials—status, salaries, practicing at the highest level of training

Protected team planning time—huddles, weekly/monthly meetings
  
Comfort with confronting differences

Shared structures (e.g., shared care plans)
  
Passivity

Patient/family as team members
  
Tied to professional identify

New vehicles for communication—learning lunches, huddles.
  
Lack of integrated behavioral health team care training for all members
  
Referral/consultation model

versus

Team-based decision-making

Silo practice
  
Separate systems of
   
Control/power
   
Population

Screening is narrowly defined (e.g., MH diagnoses)

No systematic process for screening or identification

Disease registries

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Jun 17, 2017 | Posted by in PSYCHOLOGY | Comments Off on Integrated Behavioral Health in Primary Care: Summarizing the Lay of the Land, Marking the Best Practices, Identifying Barriers, and Mapping New Territory

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