Putting Health back into Clinical Mental Health Counseling Presented by: Jim Messina, Ph.D., NCC, CCMHC At: Utah Mental Health Counselors Association Date:
Presentation on theme: "Putting Health back into Clinical Mental Health Counseling"— Presentation transcript:
1 Putting Health back into Clinical Mental Health Counseling Presented by:Jim Messina, Ph.D. , NCC, CCMHCAt: Utah Mental Health Counselors AssociationDate: May 10, 2013
2 From Dream to Reality in 1976 On an impulsive whim Nancy and Jim:Coined term “Mental Health Counselor”Coined Association Title: The American Mental Health Counselor’s AssociationAs the process caught fireEstablished the Profession of Mental Health CounselingSet out to create its “Hallmarks of a Profession”
3 What are the Hallmarks of a Profession? Professional Membership OrganizationCode of EthicsCertification and LicensureAccreditationResearch into Effectiveness of Service Delivery
4 History Timeline of Creation of Mental Health Counseling Profession 1976 – Coining of term Mental Health Counselor and formation of American Mental Health Counselor’s Association as Division of ACA1979 – Creation of the National Academy of Certified Clinical Mental Health Counselors1981 – First State Law to license Mental Health Counselors put into effect in Florida1985 – AMHCA had over 12,000 members2011 – AMHCA put out its newest Standards of Practice in Mental Health Counseling-Helping to put Health back into Clinical Mental Health Counseling2013 – AMHCA has over 7,000 members
5 The National Professional Association of Clinical Mental Health Counselors American Mental HealthCounselors AssociationFounded in 1976 when term Mental Health Counselor was coined
6 Initial Definition of Scope of CMHC Practice The 1979’s initial AMHCA’s Journal of Mental Health Counseling included first published definition of mental health counseling as:“an interdisciplinary, multifaceted, holistic process of:Promotion of healthy lifestylesIdentification of individual stressors & personal levels of functioningPreservation or restoration of mental health” (Seiler & Messina, 1979)
7 AMHCA’s Revised Scope of Practice in 1986 The 1986 AMHCA Board of Directors adopted:“Clinical mental health counseling is the provision of professional counseling services involving the application of principles of:PsychotherapyHuman DevelopmentLearning TheoryGroup DynamicsEtiology of mental illness & dysfunctional behaviorto individuals, couples, families and groups, for the purpose of promoting optimal mental health, dealing with normal problems of living and treating psychopathology…
8 1986 Scope of Practice (2)The practice of clinical mental health counseling includes, but is not limited to:Diagnosis & treatment of mental & emotional disordersPsycho‐educational techniques aimed at the prevention of Mental & emotional disordersConsultations to individuals, couples, families, groups, organizations & communitiesClinical research into more effective psychotherapeutic treatment modalities.”
9 Regional Chapters of State MHCA’s State Chapters of AMHCARegional Chapters of State MHCA’s
10 AMHCA Belongs to American Counseling Association Was known as APGA-American Personnel and Guidance Association in1976 and in 1983 as AACD American Association of Counseling and Development until 1992 when it changed to ACA
11 CODES OF ETHICS Governing Clinical Mental Health Counselors
13 NBCC’s National Certifications for Mental Health Counselors NCC: National Certified Counselor – Over 48,000CCMHC: Founded Certified Clinical Mental Health Counselor – Today only 1, are CCMHC’s which needs to change if we are to put Health back into the professional identity of Clinical Mental Health Counseling
14 State Licensure for Counselors and Related Fields In USA120,429 Licensed Professional Counselors54, Licensed Marriage & Family Therapists202,924 Licensed Social WorkersAll 50 States have Licensed Professional Counselors but only 15 have Mental Health Counseling in their Title (Major way of taking Health out of Clinical Mental Health Counseling!)
15 15 States with MHC’s in Title Delaware-License Professional Counselor of Mental Health (LPCMH)Florida-Licensed Mental Health Counselor (LMHC) First Licensed 1981Hawaii-Licensed Mental Health Counselor (LMHC)Indiana-Licensed Mental Health Counselor (LMHC)Iowa-Licensed Mental Health Counselor (LMHC)Massachusetts-Licensed Mental Health Counselor (LMHC)Nebraska-Licensed Independent Mental Health Practitioner (LMHP)New Hampshire- Licensed Clinical Mental Health Counselor (LCMHC)New Mexico-Licensed Mental Health Counselor (LMHC)New York-Licensed Mental Health Counselor (LMHC)Rhode Island-Licensed Clinical Mental Health Counselor (LCMHC)South Dakota-Licensed Professional Counselor-Mental Health (LP-MH)Tennessee-Licensed Professional Counselor-Mental Health Service Provider (LPC/MHSP)Utah-Licensed Clinical Mental Health Counselors (LCMHC) as of 2012Vermont-Licensed Clinical Mental Health Counselor (LCMHC)Washington-Licensed Mental Health Counselor (LMHC)
16 Major Recommendation to Promote Professional Identity of CMHC’s Given only 15 out 50 states licensed CMHC’s, it is imperative that we who have LMHC licensure encourage the LPC’s in the other 35 states to gain Certified Clinical Mental Health Counselor (CCMHC) status through the NBCC which would be a clear way of putting HEALTH into Clinical Mental Health Counseling and a way to get counselors in all 50 states enabled to call themselves Clinical Mental Health Counselor
18 Research in the field is Reported in AMHCA’s Journal
19 Accreditation: Standards for Training of CMHC CACREP (The Council for Accreditation of Counseling & Related Educational Programs) 1988 CACREP set out its first Standards for accreditation of CMHC Programs using 60 hour requirement put out in 1979 by AMHCA – But it also had Community Counseling Programs with up to 48 hours – Most went Community Counseling 2009 CACREP adopted standards for CMHC which included 60 hour requirement
20 2009 CACREP Standards for CMHC Required both core CACREP areas & specialized training in clinical mental healthCore CACREP areas include:Professional Orientation and Ethical PracticeSocial and Cultural DiversityHuman Growth and Development across the lifespanCareer DevelopmentHelping RelationshipsGroup WorkAssessmentResearch and Program Evaluation
21 2009 CACREP Standards for CMHC Specialized CMHC Training: Ethical, Legal & Practice Foundations of CMHCPrevention & Clinical InterventionClinical AssessmentDiagnosis & Treatment of Mental DisordersDiversity & Advocacy in Clinical Mental Health CounselingClinical Mental Health Counseling Research & Outcome EvaluationThese areas of CMHC preparation address clinical mental health needs across the lifespan (children, adolescents, adults and older adults) & across socially & culturally diverse populations.
22 AMHCA 2011 Standard Additional Requirement for CMHC Training The 2011 AMHCA standards also recommend these additional areas of training for CMHC Training programs:Biological Bases of Behavior (including psychopathology and psychopharmacology)Specialized Clinical AssessmentTraumaCo-Occurring Disorders (mental disorders and substance abuse)
23 Implications of AMHCA’s 2011 Expanded Clinical Standards for Training of CMHC’s Evidenced-Based PracticesDiagnosis and Treatment Planning using EBP’sDiagnosis of Co-Occurring Disorders & TraumaBiological Basis of BehaviorsKnowledge of Central Nervous SystemLifespan Plasticity of the BrainPsychopharmacologyBehavioral MedicineNeurobiology of Thinking, Emotion & MemoryNeurobiology of mental health disorders (mood, anxiety, psychosis) over life spanPromotion of optimal mental health over the lifespan
24 Accreditation-CACREP in 2009:74 Clinical Mental Health Counseling In Florida they are:Argosy SarasotaBarry UniversityFlorida Atlantic UniversityFlorida Gulf Coast UniversityFlorida International UniversityFlorida State UniversityRollins CollegeTroy University Southeast RegionUniversity of Central FloridaUniversity of FloridaUniversity of North FloridaUniversity of South FloridaOnline:Cappella UniversityWalden UniversityIn Utah: University of Phoenix-Mental Health Counseling NOTE: things will change now that Utah has in 2012 implemented the LCMHC
25 CACREP 2016 Standards for CMHC 1. FOUNDATIONS A. development of mental health counseling B. theories and models related to mental health counseling C. principles of mental health counseling, including prevention, intervention, consultation, education, and advocacy, and networks that promote mental health D. medical foundation and etiology of addiction and co-occurring disorders E. principles, models, and documentation formats of biopsychosocial case conceptualization and treatment planning
26 2. CONTEXTUAL DIMENSIONS F 2. CONTEXTUAL DIMENSIONS F. etiology, process, nomenclature, treatment, referral, and prevention of mental and emotional disorders G. mental health service delivery modalities such as inpatient, outpatient, partial treatment and aftercare and the mental health counseling services networks H. diagnostic process, including differential diagnosis, and the use of current diagnostic tools, such as the current edition of the (DSM) I. potential for substance use disorders to mimic and/or co-occur with a variety of medical and psychological disorders J. impact of crisis on individuals diagnosed with mental illness K. classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation L. public policy and government relations on local, state, and national level to enhance equity funding and promote programs that affect the practice of mental health counseling M. cultural factors relevant to mental health counseling N. professional organizations, preparation standards, and credentials relevant to the practice of mental health counseling O. legal and ethical considerations specific to mental health counseling P. record keeping, third party reimbursement, and other practice and management issues in mental health counseling
27 Let’s see if this will matter based on future trends. 3. PRACTICEQ. intake interview, mental status evaluation,biopsychosocial history, mental health history,and psychological assessment for treatment planning andcaseload managementR. strategies for interfacing with the legal system regardingcourt referred clientsS. techniques and interventions related to a broad range ofmental health issuesWhat does this tell us? Little change is being recommended for the next round of CACREP Standards & AMHCA’s 2011 Standards have had little impact on what is being proposed at the current time.Let’s see if this will matter based on future trends.
28 The Growth of Mental Health Counseling as a Profession In 2008, according to US Department of Labor: 120,000 Mental Health Counselors were employed & only 6.7% of them were self-employedBy 2018 43,000 jobs will be added (for a for a total of 163,000), representing a 36.3% growth Median annual wages in 2008 for Mental Health Counselors was $38,150. This is High when compared to other jobs.
29 Parity with the Other Mental Health Professions The median reimbursable fee for service:Clinical Mental Health Counselors is $63Psychologists is $75 for psychologistsClinical Social Workers & Marriage and Family Therapists is $60(January 2006 study by Psychotherapy Finances)
30 SO! What do Mental Health Counselors Currently Do? Mental Health Counselors offer full range of services:Assessment & diagnosisTreatment planning and utilization reviewPsychotherapyBrief and solution-focused therapyAlcoholism and substance abuse treatmentPsycho-educational & prevention programsCrisis managementTrauma Intervention
31 ACA’s 20/20 Commission’s Definition of Counseling Counseling is a professional relationship that empowers diverse individuals, families and groups to accomplish mental health, wellness, education and career goals They also established: The counseling profession shall establish uniform licensing standards with LPC as an entry-level title for counselor licensure.
32 BUT THINGS ARE GOING TO CHANGE! The emerging health needs of Americans is changing and as a result the roles and function of mental health practitioners will be changing as well
33 New AMHCA Clinical Standards Help CMHC to Get Ready for Changes in System The Affordable Care behavioral medicine interventions1. ACA calls for the coordination and integration of medical services through the primary care provider for a “whole person orientation” to medical treatment - model currently implemented at some level in VA & Federally Qualified Health Centers (FQHC’s)2. The ACA calls for creation of Affordable Care Organizations (ACO’s) to provide comprehensive services to Medicare recipients with a strong primary care basis3. The ACA model includes integration of mental & behavioral health services into the Patient-centered medical home (PCMH) which can enhance patient outcomes4. The ACA model integrates mental, behavioral and medical services under one roof with potential of controlling the costs for patients5. The ACA integrated behavioral medical approach opens a massive opportunity for clinical mental health counselors6. To be prepared to fill this evolving behavioral medicine role, it is imperative that clinical mental health counseling training programs establish training for future practitioners in these integrated medical settings.
34 The Affordable Care Act (ACA) Beginning 2014 ACA increases access to quality health care including coverage for mental health & substance use disorder servicesAll new small group & individual private market plans will be required to cover mental health & substance use disorder services as part of the health care law's “Essential Health Benefits” categories
35 The Affordable Care Act (ACA) Behavioral health benefits will be covered at parity with medical & surgical benefitsInsurers will no longer be able to deny anyone coverage because of a pre-existing behavioral health conditionACA already ensures that new health plans cover recommended preventive benefits without cost sharing, including depression screening for adults & adolescents as well as behavioral assessments for children
36 Results of the Affordable Care Act Primary care providers receive 10% Medicare bonus payment for primary care servicesA new Medicaid state option is created to permit certain Medicaid enrollees to designate a provider as a health home & states taking up the option receive 90% federal matching payments for two years for health home-related services.Small employers receive grants for up to five years to establish wellness programs
37 Results of the ACA continued: The Center for Medicare & Medicaid Innovation launches the Accountable Care Organization (ACO) Model & Advance Payment ACO Model, which offers shared savings & other payment incentives for selected organizations that provide efficient, coordinated, patient-centered careSome States established American Health Benefit Exchanges & Small Business Health Options Program Exchanges to facilitate purchase of insurance by individuals & small employersTeaching Health Centers are established to provide payments for primary care residency programs in community-based ambulatory patient care centers
38 Two Healthcare Organizational Models which are Driving Change Two New Medicare/Medicaid models are driving a change in healthcare delivery:Patient Centered Medical HomesAccountable Care Organizations (ACO’s)
39 Medical HomesPatient Centered - Empowers them with Information and UnderstandingComprehensive - Co-location of care providers in physical and behavioral healthCoordinated Care - Through Health Information Technology all providers are kept in touchAccessible – same day appointment & 24/7 availability through technology onlineCommitted to Quality & Safety – Quality Improvement Goals which are tracked
40 Benefits of Medical Homes Patients seek out the right care which is needed- which is often behavioral vs. physicalLess use of ER’s or delays in seeking careLess duplication of tests, labs & proceduresBetter control of chronic diseases & other illnesses improving health outcomesFocus on wellness & prevention – reduce incidence & severity of chronic disease or illnessesCost savings less use of ER’s & Hospitals
41 What is moving the Patient Centered Home Health Model In April 2013 the Patient-Centered Primary Care Collaborative Pointed out on it website these factors driving the Home Health ModelUnsustainable cost increases in health care deliveryGrowing availability of dataVast change in the way we communicateExample: In Denmark, more than 80 percent of health-care encounters & transactions are electronically based & vastly different method of communicating is coming online and it's coming fast, driven by younger generations of patients and physicians.
43 Potential Role of Mental Health Counselors in Medical Homes Address the stressors which lead folks to seek out medical attention in the first placeAssist in increasing compliance of patients with the medical directives given them by primary care staffWellness educational programming to help ward off chronic or severe illnessesAssisting clients to cope with the medical conditions for which they are receiving medical attention
44 Primary and Behavioral Health Integration Grants based on Medical Home Model in ACA In Utah:Weber Human Services-Ogden, UtahIn Florida:Apalachee Center–TallahasseeCommunity Rehabilitation Center-JacksonvilleLifeStream Behavioral Center-LeesburgLakeside Behavioral Center–OrlandoCoastal Behavioral Health Care-SarasotaMiami Behavioral Health Center-Miami
45 Accountable Care Organizations Have a look at the CMS video which overviews the ACO model:Now let’s look at the announcement of the Role Out of the ACO rules in 2011 to see what is hoped for in this model:/2011/03/accountablecare a.html
46 Goal of ACO’sThe goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
47 So what are ACO’sACO assumes financial risk rather than 3rd party payers (government, business or insurance companies) for group of patients assigned to itConsists of more than one hospital & number of primary care clinics with full array of medical & health specialists- who self-refer to their own specialistsControl costs by being responsible for full care of patientsIntegration of mental & behavioral health services into Patient-centered medical homesEnhance patient outcomes through emphasis on prevention, compliance, and immediate 24/7 attentionUtilize an integrated behavioral medical approach
48 How will ACO’s Work?The Affordable Care Organizations (ACO’s) is a large local health systemIt usually includes more than one hospital and a number of primary care clinics.It is this whole system which is in charge of the care of its patientsThe providers refer to other specialists inside of their own systemThese ACO’s have their own group of providers (which could include Clinical Mental Health Counselors) & by referring within the system controls costsACO’s are then responsible not only for their costs but also for the quality of their services to their patientsProviders are paid a flat fee that is risk adjusted for the severity of the issues facing the patientsThe ACO organization assumes the financial risk rather than the government, business or insurance companiesWhere Clinical Mental Health Counselors work and how they will be paid may change greatly in the future as these ACO’s become reality after full implementation of the ACA in 2014
49 Utah’s Efforts under ACA Utah is one of 16 states which proposes to design an innovative statewide initiative to facilitate improved physician/patient communication & care coordinationGoal of improving health care quality & lowering costsThe state will convene a multi-stakeholder group that will address strategies for healthcare transformation in five key areas:Expanded health information technologyAdequate healthcare workforceWellness & healthy lifestyle promotionPayment reformMedical malpractice & dispute resolution.
50 Key Players in Utah working on ACA innovations OrganizationsIHC Health Services (Intermountain Health Care)Trustees Of Dartmouth CollegeState of UtahHospital working on ACA innovationSalt Lake Regional Medical CenterUtah’s Innovation AdvisorsNancy Murphy MDVictoria Wilkins MPH, MDSarah Woolsey MD,
51 Accountable Care Organizations Current Utah ACO’sHealth Choice atHealthy U at University of Utah atMolina at /pages/home.aspxSelectHealth atCentral Utah Clinic, P.C. (Provo, Utah)IASIS Health Care Org at very open to creation of ACO’s in their hospital localities:IASIS Utah Hospitals Davis Hospital and Medical Center, Layton, UT Jordan Valley Medical Center, West Jordan, UT Pioneer Valley Hospital, West Valley City, UT Salt Lake Regional Medical Center, Salt Lake City, UT Health Choice Utah Accountable Care LLC
52 Prevention Services Mandated by ACA After September 23, 2010, the following preventive services must be covered without policy holder having to pay copayment or co-insurance or meet deductible but only applies when these services are delivered by a network provider:Alcohol Misuse: screening & counselingAlcohol and Drug Use: assessment for adolescentsBehavioral Assessment for children of all agesDepression: screening for adults & adolescentsDevelopmental screening: for children under age 3 & surveillance throughout childhoodDiet: counseling for adults at higher risk for chronic diseaseObesity: Screening & counseling for adults & childrenSexually Transmitted Infection (STI): prevention counseling for adults & adolescents at higher risk who are sexually activeTobacco Use: screening for all male & female adults & cessation interventions for tobacco users & expanded counseling for pregnant tobacco usersDomestic & interpersonal violence: screening & counseling for all womenWell-woman visits: to obtain recommended preventive services for women under 65
53 Potential Clinical Setting Openings for CMHC’s with ACA Implementation Clinical Mental Health Counselors will be ideally situated to provide Behavioral Medical Interventions based on their expanded training and implementation of AMHCA’s Clinical Standards. They will then need to promote themselves in the following settings:General Practice: Family Practice & Internal Medicine ClinicsRehabilitation In-patient and out-patient CentersGeneral and Specialized HospitalsSenior Citizen’s Independent housing, Assisted Living & Nursing Homes
54 What are the future prospects for the profession? Recognized for VA Positions in VA Hospitals and Field Agencies which is good given the OIF and OEF veterans complex health issuesAMHCA hopes to soon be recognized for Medicare ServicesIncreased work in Behavioral Medicine in Hospitals, Rehab Centers & Primary Care Physicians’ OfficesIncreased work in Substance Abuse & Alcohol Treatment Facilities
55 Mental Health Needs of OEF & OIF Vets The invisible wounds which our OIF and OEF vets return with are staggeringPTSD and TBI along with Combat Depression are staggering disorders which are impacting from 1/3 to 2/3’s of these vets. The Mental Health system over the next 5 to 10 years will become overwhelmed in meeting their individual as well as marital and family needs.CMHC’s need to be ready to serve this population
56 Baby Boomer Generation are Aging The increase in Boomers aging and their impact on the medical and mental health field cannot be ignored or underestimatedIt is imperative that CMHC’s be armed with Behavioral Medicine techniques to address the needs of this geriatric population to address their chronic health issues, disabilities and cognitive decline needs
57 What Skills Do Mental Health Counselors Need? Ability to understand dynamics of Human Development to capture good psychosocial history of clientsDiagnosis of and treatment for behavioral pathologyEvidenced based practices in psychotherapy to provide credible treatment to clientsUnderstanding of basic neuroscience of brain and nervous system to understand roots of emotional responses to life’s stressorsUnderstanding of psychopharmacological treatment of psychopathology
58 SO what’s Up in Utah? Related to all these Changes? State of Utah, UT (DCFS,DJJS) Diagnostic and/or Rehabilitative Mental HealthThis multi-step procurement is issued on behalf of the State of Utah, Department of Human Services for the purpose of identifying and contracting with all qualified Offerors interested in providing Diagnostic and/or Rehabilitative Mental Health Services for clients in the custody of DHS, DHS/DCFS, or DHS/DJJS (Outpatient Mental Health)The initial submission date for Responses is: Monday, May 13, 2013 on or before 3:00pmSubmissions end: September 30, :00 pm
59 Some Requirements for Contractors Use of Evidenced Based Practices with targeted youthUse of SMART Goals: Specific, Measurable, Attainable, Realistic and TimelyResponsivity Principle: varying treatment according to the relevant characteristics of Client such as gender, culture, developmental stages, trauma, IQ, motivation, mental disorders, & psychopathy“Telehealth” practice of mental health care delivery through interactive video communications when distance or other hardships create difficulty with consistent access to services. Telehealth occurs in real-time or near real-time.Trauma Informed Care: providers must assess childhood maltreatment & may need to modify treatment based on understanding of neurological, biological, psychological & social effects of trauma.
60 Evidence Based or Evidence-Informed Treatment – Utah Model 1. The treatment regimen shall be individualized based on the Client’s age, diagnosis & circumstances. This includes, but is not limited to, addressing grief, loss, trauma, and criminogenic factors affecting Client. 2. Maintain fidelity of the approved evidence-based or evidence informed treatment program through monitoring effectiveness of program. 3. Maintain documentation of staff training received and/or skills in t evidence based treatment for which Client will be engaged to restore the highest possible level of function.
61 CMHC Tools Needed to Put Health Back into Clinical Mental Health Evidenced Based PracticesApps that WorkNeurosciencePsychopharmacologyBehavioral MedicineMilitary Focus MaterialsMulticultural Perspective as a Mental Health CounselorsFocus on the Military
62 Evidenced-Base Practices Overview of Evidenced Based PracticesAnxiety DisorderObsessive-Compulsive Disorder (OCD)PTSDPhobiasDepressive DisordersBipolar DisorderAlcohol DependenceSubstance AbuseAnorexiaBulimiaAutismADHDGuidebooks for EBPsResources on Evidenced Based Practices
63 Apps that Work For Clients For Practitioners Moving the concept of Telehealth to new levelsappsthatwork.html
64 Neuroscience http://coping.us/introtoneuroscience.html Basics of NeuroscienceStress Response of HumansLectures on Neuroscience
65 Psychopharmacology http://coping.us/psychopharmacology.html Psychopharmacology ChartDrug Classifications to treat the following conditions:ADHDAlcohol DisorderSchizophrenia and other Psychotic DisordersDepressive DisordersBipolar DisorderAnxiety DisordersEating DisordersDementiaGeneric names of each drugCommercial names of each drugTime to reach clinical level for each drugBenefits of each drugSide effects of each drug
66 Behavioral Medicine http://coping.us/introbehavioralmedici ne.html Background on Behavioral MedicineLectures on Behavioral MedicineBehavioral Medicine Introductory BibliographyInternet Resources on Behavioral Medicine
67 Multicultural Competency htmlWhy the Need for Multicultural Competency?Cultural ImmersionMulticultural Self-AssessmentChallenging Your Cultural BiasesResources for Multicultural Competencies
68 Focus on the Military &Their Families Virtual Boot Camp for Civilian Mental Health PractitionersImpact of Deployment on the Military and their FamiliesPsychological First Aid for Returning Military and their FamiliesBuilding Resilience in Tough TimesAddressing Compassion Fatigue in the Family and WorkplaceBackground Resources on the Deployment's ImpactResources for Active and Veteran Military Service Members and their Families
69 So far so Good. So what else does COPING So far so Good! So what else does COPING.US have which will help CMHC’s put health into CMHC which are Evidence Based Practice oriented so that they can be trusted to meet the needs of both the counselors and their clients?
70 EBP Tools on www.Coping.us Tools for Coping: CBT based Client WorkbooksSEA’s: 12 Step Program in Self-Esteem RecoveryLaying the Foundation: Tools for overcoming Patterns of Low Self-EsteemTools for Handling Loss and GriefTools for Personal GrowthTools for RelationshipsTools for CommunicationsTools for Anger Work-OutTools for Handling Control IssuesGrowing Down: Tools for Healing the Inner ChildTools for a Balanced Lifestyle: weight management program
71 How can CMHC use Tools for Coping Series Clinical mental health counselors can utilize these workbooks with their clients to:Expedite their treatmentEncourage their recoverySustain their well-beingIdentify triggers for & steps to prevent relapseTools for Coping Handbooks enable CMHC’s to challenge clients to:Maintain personal growth in between sessions by use of:ExercisesTools for changing behaviorsJournal writingThese workbooks are cost effective interventions based in clinically sound principles which have an evidenced based support in Cognitive Behavior Therapy for their efficacy & positive results
72 In SummaryToday we looked at How to put Health back into Clinical Mental Health by reviewing:The implications of the new Affordable Care Act (ACA) and how available tools can help clinical mental health counselors prepare themselves to be better able to present themselves to the medical community as legitimate partners in the prevention and treatment of mental illness in the next centuryThe new 2011 AMHCA CMHC Clinical Standards and how they put Health into CMHCThe need for Counselors to become Behavioral Medicine Specialists armed with understanding of Neuroscience, Psychopharmacology, Evidenced Based Practices and the needs of people who have experienced severe trauma such as the Vets from OIF and OEF.
73 THANK YOU ALL!Any further questions or clarifications you would like at this time?
75 ACO’s Announced in 2013 in FL 1. Accountable Care Coalition of North Central 2. American Health Alliance 3. BAROMA Health Partners 4. Central Florida Physicians Trust 5. Collaborative Care of Florida 6. Diagnostic Clinic Walgreens Well Network 7. Integral Healthcare 8. MCM Accountable Care Org 9. Nature Coast ACO 10. Northeast Florida Accountable Care 11. Paradigm 12. Physicians Collaborative Trust ACO 13. Primary Care Alliance 14. ProCare Med 15. South Florida ACO 16. Primary Partners 17. ProCare Med
76 Accountable Care Organizations in Florida First announced 2012 Accountable Care Coalition of Northwest Florida-NW FloridaAccountable Care Partners – JacksonvilleAllcare Options – All FloridaFlorida Medical Clinics-Hillsborough & Pasco CountiesFPG Healthcare – All FloridaHealthNet-Dade, Broward & Palm Beach CountiesIntegrated Care Alliance-North Central FloridaMedical Practitioners for Affordable Care-Broward CountyMeridian Holdings – FloridaPalm Beach ACO–Palm Beach/Broward CountyProHEALTH Accountable Care Medical Group - FloridaReliance Healthcare Management Solutions-N & C FloridaTP-ACO - Florida