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

Only gold members can continue reading. Log In or Register to continue

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
Premium Wordpress Themes by UFO Themes