Nelly Burdette, Psyd Director, Integrated Behavioral Health, PCHC Integrated Behavioral Health Practice Facilitator, CTC MHI Faculty Advisor, HMS Center for Primary Care Faculty, Alpert Brown Medical School Faculty, University Of MA Medical School Center For Integrated Primary Care Integrated Behavioral Health Education and Training

Historical Perspective National data suggests underestimate of training and onboarding needed to integrate behavioral health in primary care Needs assessment conducted Summer 2014 Identified several key areas of need among PCMH Educational and Training Program Proposal funded by Tufts 11 pilot sites selected based on selection criteria

Who are the pilot sites? Women’s Medicine Collaborative Tri-town Health Center University Medicine Thundermist Health Center  Woonsocket  Wakefield  West Warwick South County Family Medicine CCAP Wood River Health Services East Bay Community Action  Newport  East Providence

Goals of pilot initiative Monthly 1 hour face to face meeting with integrated implementation team over one year Quarterly lunch and learn meetings Optional clinical shadowing Outcomes measured from 2 perspectives  Baseline Assessment/Outcome Assessment via Maine Foundation Needs Assessment  Goal Attainment Scaling

Maine Foundation Needs Assessment Domains Co-location of treatment for primary care and mental/behavioral health care Emotional/behavioral health needs assessed (e.g., stress, depression, anxiety, substance abuse) Treatment plan(s) for primary care and behavioral/mental health care Patient care that is based on (or informed by) best practice evidence for BH/MH and primary care Patient/family involvement in care plan

Maine Foundation Needs Assessment Domains Communication with patients about integrated care Follow-up of assessments, tests, treatment, referrals and other services Social support (for patients to implement recommended treatment) Linking to Community Resources Organizational leadership for integrated care Patient care team for implementing integrated care Provider's engagement with integrated care "buy-in"

Maine Foundation Needs Assessment Domains Continuity of care between primary care and behavioral/mental health Coordination of referrals and specialists Data systems/patient records Patient/family input to integration management Physician, team and staff education and training for integrated care Funding sources/resources

Average scores baseline assessment Team Education Pt Care Team Communicat ion with pt Evidence- based care Treatment plans Funding sources Follow-up assessments Pt/Fam Input Referral coordinate Provider buy- in Community Links Continuity of care ColocationShared data Organization leadership Screening

Goal Attainment Scaling Concern Goal

Timeline January 15, 2015: Completion of all sites Baseline Assessment and Scheduling of initial face-to-face meetings January 2015: 4 initial face-to-face meetings completed February 2015: 3 initial face-to face meetings completed with 4 sites in process of scheduling and 4 follow-up visits scheduled

Questions? Nelly Burdette, PsyD