1. www.pspbc.ca Pain Management BounceBack Learning Session 3 Presenter’s name here Location here Date here

2. 2 Faculty/Presenter Disclosure Speaker’s Name: Speaker’s Name Relationships with commercial interests: -Grants/Research Support: PharmaCorp ABC -Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd -Consulting Fees: MedX Group Inc. -Other: Employee of XYZ Hospital Group

3. 3 Disclosure of Commercial Support This program has received financial support from [organization name] in the form of [describe support here – e.g. educational grant]. This program has received in-kind support from [organization name] in the form of [describe the support here – e.g. logistical support]. Potential for conflict(s) of interest: -[Speaker/Faculty name] has received [payment/funding, etc.] from [organization supporting this program AND/OR organization whose product(s) are being discussed in this program]. -[Supporting organization name] [developed/licenses/distributes/benefits from the sale of, etc.] a product that will be discussed in this program: [enter generic and brand name here].

4. 4 Mitigating Potential Bias [Explain how potential sources of bias identified in slides 1 and 2 have been mitigated]. Refer to “Quick Tips” document

5. 5 Certification  Up to 21 Mainpro+ Certified credits for GPs awarded upon completion of: › All 3 Learning Sessions (NOTE: C redits and payment will be based on the exact number of hours in session ) › At least 1 Action Period › The Post-Activity Reflective Questionnaire (2 months after LS3)  Up to 10.5 Section 1 credits for Specialists › All 3 Learning Sessions (NOTE: C redits and payment will be based on the exact number of hours in session ) › The Post-Activity Reflective Questionnaire (2 months after LS3)

6. 6 Learning Session 1 Interactive group learning Create Action Plan (using template) Action Period 1 Planning & initial implementation in practice; review of Action Plan & improvements attempted in practice + AP1 requirements Learning Session 2 Interactive group learning Update/revise Action Plan Report of AP1 experiences & successes Payment for: PMV (optional) LS1 Action Period 1 Action Period 2 Refine implementation; embed & sustain improvements attempted in practice via Action Plan + AP2 requirements Learning Session 3 Interactive group learning Finalize Action Plan Report of AP2 experiences & successes Payment for: LS2 Action Period 2 LS3 Reflection Reinforce & validate practice improvements - GPs & Specialists complete Post- Activity Reflective Questionnaire (PARQ) 2 months after LS3 & submit to PSP Central Learning Session & Action Period Workflow Pre-Module Visit Opportunity for in-practice visit to introduce applicable EMR-enabled tools & templates prior to LS1

7. 7 Payment Stream 1 (ideal) Current Rates: GPsSpecialistsMOAs Hourly Rate$125.73$148.31$20.00 Action Period 1$880.10$1,038.16N/A Action Period 2$660.07$778.62N/A Payment made after attending LS2 GPs: PMV= $125.73 LS1= $440.05 ($125.73 x 3.5hrs max.) AP1= $880.10 TOTAL$1,445.88 Specialists LS1= $519.08 ($148.31 x 3.5hrs max.) AP1= $1,038.16 TOTAL$1,557.24 MOAs PMV= $20.00 LS1= $80.00 ($20.00 x 4hrs max.) TOTAL$100.00 Payment made after attending LS3 GPs: LS2= $440.05 ($125.73 x 3.5hrs max.) AP2= $660.08 LS3= $440.05 ($125.73 x 3.5hrs max.) TOTAL$1,540.18 Specialists LS2= $519.08 ($148.31 x 3.5hrs max.) AP2= $778.62 LS3= $519.08 ($148.31 x 3.5hrs max.) TOTAL$1,816.78 MOAs LS2= $80.00 ($20.00 x 4hrs max.) LS3= $80.00 ($20.00 x 4hrs max.) TOTAL$160.00

8. Murli Soni: Program Manager Canadian Mental Health Association, BC Division Self-help DVD, Workbooks, and Telephone Coaching for Low Mood, Stress, and Worry

9. 9 Developed in 2008 to provide easily accessible mental health support options to the primary health care sector Free program for patients with mild- to moderate-depression, anxiety or worry Funded by the BC Ministry of Health to be accessible throughout the province What? – BB Program Overview

10. 10 Bounce Back (BB) offers two levels of evidence-based cognitive- behavioural self-help: 1.Psycho-educational DVD (over 115,000 distributed since 2008) 2.Workbooks + Telephone-Coaching (over 25,000 referrals since 2008) What? – Primary Components

11. 11 Choice of workbooks to address different needs Accessible language and easily understandable concepts What? – Participant-Selected Topics ◦ Understanding why I feel as I do ◦ Worry & stress;  Physical health ◦ Extreme & unhelpful thinking ◦ Reduced activity;  Avoidance ◦ Practical problem-solving ◦ Being assertive;  Using exercise ◦ Sleep problems;  Antidepressants

12. 12 Convenient and quick access to free service Family Doctor or Nurse Practitioner can refer patient Need to complete referral form for coaching component Patient will be contacted by a coach within 5 working days Referrer informed of patient’s progress How to Access

13. Depressive & Anxious symptoms reduced by half; All significant improvements (n = 5982) Why? – Outcomes / Effectiveness

14. 14 Upon program completion, participants' understanding, knowledge, confidence, and health-related ‘patient activation’ are all substantially increased Over 90% of feedback form respondents rate their experience of BB as ‘good’ or ‘very good’, and are that likely to recommend BB to a friend or family member Participant Feedback: ◦ "Bounce Back is such a practical program, down to earth and very helpful; It has helped me to change my life for better.“ ‐ VCH Participant, March 2014 ◦ “I don’t feel lost anymore. Everything makes sense now, & the books have been incredibly helpful. I’ve been talking about them to all my friends.” ‐ FHA Participant, March 2014 Participant Feedback

15. 15 To request materials or make referrals: ◦ Call your local Bounce Back team at our toll- free phone #: 1 ‐ 866 ‐ 639 ‐ 0522 (in BC) To jump-start the Bounce Back process: ◦ Pick-up a starter-pack of program info & referral resources at our display table To find out more about Bounce Back: ◦ Visit our Website: www.bouncebackbc.ca How? – Contact Information