Session # D3A Friday, October 11, 2013 – 3:30- 4:10 (40 minutes)

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Presentation transcript:

Session # D3A Friday, October 11, 2013 – 3:30- 4:10 (40 minutes) The Four Box Approach to Resolving Ethical Dilemmas in Primary Care Behavioral Health Practice Christine Nicole Runyan, Ph.D., ABPP, University of Massachusetts Medical School Jeffrey T. Reiter, Ph.D., ABPP, Health Point Clinics, Seattle, WA Patricia Robinson, Ph.D. Mountainview Consulting Group, Inc., Zillah, WA Collaborative Family Healthcare Association 15th Annual Conference October 10-12, 2013 Broomfield, Colorado U.S.A. Collaborative Family Healthcare Association 12th Annual Conference

Faculty Disclosure I/We currently have or have had the following relevant financial relationships (in any amount) during the past 12 months: Book royalties: New Harbinger Book royalties: Gilford Book royalties: Springer CFHA requires that your presentation be FREE FROM COMMERCIAL BIAS. Educational materials that are a part of a continuing education activity such as slides, abstracts and handouts CANNOT contain any advertising or product‐group message. The content or format of a continuing education activity or its related materials must promote improvements or quality in health care and not a specific propriety business interest of a commercial interest. Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this impartiality. If the educational material or content includes trade names, where available trade names for products of multiple commercial entities should be used, not just trade names from a single commercial entity. Faculty must be responsible for the scientific integrity of their presentations. Any information regarding commercial products/services must be based on scientific (evidence‐based) methods generally accepted by the medical community. Collaborative Family Healthcare Association 12th Annual Conference

Objectives Participants will be able to Name ethical dilemmas that occur somewhat often in delivery of PCBH services Describe and apply the four box method as a model for considering ethical dilemmas using case studies Practice using the four box model in small groups with their own ethical scenarios Include the behavioral learning objectives for this session Collaborative Family Healthcare Association 12th Annual Conference

Common Ethical Dilemmas in Delivery of Primary Care Behavioral Health Services The Context makes a difference: Specialty vs PC The Model makes a difference: Specialty Psychotherapy vs PCBH See Handout: Table 1

Ethical Guidance AMA APA, AASW Family Systems and Health Special Issue, March 2013 Jonsen, Siegler, & Winslade (2002). Clinical Ethics, Fifth Edition

The Four Boxes or Four Topics Method: Case Analysis / Four Topics I. Medical Indications II. Patient Preference III. Quality of Life IV. Contextual Features See Handout: Table 2

Skill Practice Review Case Use Four Boxes / Topics to assess for ethical issues and identify a course of action Report to large group in 10 minutes: Case description Key Box / Topic Ethical Issue(s) Recommended Course of Action

Learning Assessment What is the name of a practical tool that members of the PCMH may use in making ethical decisions arising in the course of delivery of PBCH services? The Four Box Tool (or Four Topics Method) (Jonsen, Siegler, & Winslade) Name one common ethical quandary in primary care behavioral health practice. Multiple relationships, patient autonomy, confidentiality Attention Presenters: Please incorporate 3-5-minutes of audience interaction through a brief Question & Answer period during or at the conclusion of your presentation. This component MUST be done in lieu of a written pre- or post-test based on your learning objectives to satisfy accreditation requirements. Collaborative Family Healthcare Association 12th Annual Conference

Session Evaluation Thank you! Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you! This should be the last slide of your presentation Collaborative Family Healthcare Association 12th Annual Conference