1. Building A Team Over Time & Space: Strategies for Enhancing BHC Collaboration Across Clinics in a Large Geographic Area Brian E. Sandoval, Psy.D., Juliette Cutts, Psy.D., and Brian Chao, Psy.D. Yakima Valley Farm Workers Clinic Collaborative Family Healthcare Association 16 th Annual Conference October 16-18, 2014 Washington, DC U.S.A. Session # C3b October 17, 2014

2. Faculty Disclosure Brian Sandoval currently has or has had the following relevant financial relationships during the last 12 months: –Consultant, primarycareshrink.com Juliette Cutts and Brian Chao have not had any relevant financial relationships during the past 12 months.

3. Learning Objectives At the conclusion of this session, the participant will be able to: Describe a process for rapidly on-boarding new BHC’s Identify at least 3 strategies for fostering teamwork and collaboration Discuss strategies for utilizing Distributed Leadership to maximize services, increase BHC engagement, and reduce burnout

4. Bibliography / Reference 1.Serrano, N. (2014), The Implementer's Guide To Primary Care Behavioral Health. 2.Bolden, R (2011), Distributed Leadership in Organizations: A Review of Theory and Research, ijmr_306 251..269. Retrieved 8/22/14 from http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2370.2011.00306.x/pdf http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2370.2011.00306.x/pdf 3.Hoge M.A., Morris J.A., Laraia M., Pomerantz A., & Farley, T. (2014). Core Competencies for Integrated Behavioral Health and Primary Care. Washington, DC: SAMHSA - HRSA Center for Integrated Health Solutions. Retrieved 8/22/14 from http://www.integration.samhsa.gov/workforce/Integration_Competencies_Final.pdf http://www.integration.samhsa.gov/workforce/Integration_Competencies_Final.pdf 4.Interorganizational Work Group on Competencies for Primary Care Psychology, (2013), Competencies for Psychology Practice in Primary Care, Retrieved 8/22/14 from http://www.apa.org/ed/resources/competencies- practice.pdfhttp://www.apa.org/ed/resources/competencies- practice.pdf 5.Mountain View Consulting Group, (2013), Primary Care Behavioral Health Toolkit, Retreived 8/22/14 from http://www.pcpci.org/sites/default/files/resources/PCBH%20Implementation%2 0Kit_FINAL.pdf http://www.pcpci.org/sites/default/files/resources/PCBH%20Implementation%2 0Kit_FINAL.pdf

5. Learning Assessment A learning assessment is required for CE credit. A question and answer period will be conducted at the end of this presentation.

6. Humble Beginnings Prior to 2012.7 - Patti.5 *NP -- Open Position -- Filled -- Co-located

7. Current State of PCBH *NP -- Open Position -- Filled -- Co-located *Psy, NP GFU

8. Future of PCBH GFU HealthPoint CWFM Pacific -- Open Position -- Filled -- Co-located x2 *NP x2 *Psy, NP

9. Future of PCBH GFU HealthPoint CWFM Pacific Lower Valley W Oregon Upper Valley

10. Rapid Expansion Prepping the Clinic – Orienting Providers/Clinic Staff – Understanding Clinic Workflows – Scheduling/Scrubbing/Screening – Finding a Central Location

11. Rapid Expansion Clarifying Expectations – Training Manual – Core Competencies

12. Rapid On-Boarding Define a clear on-boarding process – Week 1: Corporate Orientation – Week 2: Established Clinic with our Training Lead – Week 3: Home Clinic with Program Manager – Week 4: Home Clinic with Training Lead

13. Breaking It Down: Core Functions of every BHC Clinical (Serving Providers and Patients) Population management Connection with local resources Team Support and Coordination

14. Building It Out: BHC Specialty Areas Administration/Policy Clinical Training Psychopharmacology Resources Technology/Communication Special Populations Groups

15. Bringing It Together: Distributed Leadership* The Challenge: meeting a wide base of need with limited resources The Strategy: Each BHC becomes a “partner” in our program and takes on chosen activities to support the team * Bolden, R (2011)

16. Benefits of Distributed Leadership: Bringing the Team Together Benefits of distributed leadership: – Promotes shared learning/successes – Capitalizes on individual strengths of team members – Promotes team cohesion and prevents burnout – Helps foster career development

17. Panel Presentation Developing Core Competencies and Best Practices Leveraging Technology Staying Connected Across the Miles and Other Ways to Fight Isolation

18. Questions?

19. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!