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