1. Workforce Engagement & Sustaining Systems Changes Presented by: Yolanda Dunbar-Johnson, LCSW-BACS-EXCELth, Inc. Jennifer Buras-Noveh, LCSW-BACS- EXCELth, Inc. Jessica Davis, LMSW- Daughters of Charity Services of New Orleans Collaborative to Improve Behavioral Healthcare Access (C-IBHA) February 3 rd -4 th, 2011

2. Local Barriers to Integrated Primary Care-Behavioral Health O Clinical/Provider Resources (staffing, training, time) O Patients/Consumers (i.e symptoms, complexity of presenting symptoms/issues) O Financial (uninsured/underinsured) O Cultural (my space/your space, my way/your way, my problem/your problem)

3. EXCELth’s Primary Care- Behavioral Health Specific Barriers O Interest ( keeping disciplines interested and in the moment) O Professional and Personal Demands O Staff Turnover O Acknowledging the Importance of the Disciplines (primary care, behavioral health, IT, financing, nursing, front desk, etc)

4. EXCELth’s Strategies to Integration O Interest - Series of ongoing training (s), consistent communication, learning the language/presentation O Professional/Personal Demands- identify the “win- win” opportunities early, creating a mind-set that reflects patient care as a shared responsibility O Staff Turnover – educational trainings to capture new staff; communication must be consistent and ongoing O Importance of Disciplines – mutual respect of the person and discipline (internal customer service/team building)

5. EXCELth’s Implementation O Buy in from CEO, Medical Director O Research various models of Primary Care/Behavioral Health Integration O Minnesota Psychiatric Society Integrated Care Task Force O Behavioral Health/Primary Care Integration-The Four Quadrant Model and Evidenced Based Practices O The Vermont Community Depression Project O BH/PC Integration: Models and Environmental Assessment (Barbara Mauer, 2004)

6. EXCELth’s Implementation O Needs assessment within Network Community Health Centers O Community assessment within communities serviced by Community Health Centers O Respecting the diversity of each community being serviced

7. Daughters of Charity Workforce Engagement O Getting the Providers on board O Visibility and Accessibility O Being present in the Team Room and on the floor O Enthusiastic and pro-active approach with the providers O Educating the providers on health issues BH can help with (smoking cessation, weight management, etc.) O Looking over providers’ schedules for the day and seeing if there are any cases you can assist with.

8. Daughters of Charity Workforce Engagement O Working with the MA’s O Educating the MA’s on your services and how YOU can help them during the day O Reinforcing the importance of their skills to the team and to your job O Enthusiastic and friendly attitude with the team O Positive feedback for their help. A thank you goes a long way!

9. Daughters of Charity Workforce Engagement O Working with the front desk staff O Educating the front desk staff on the need to get SW’s for urgent cases O Education on how to handle emotional patients that may present at the front desk O Importance of relaying urgent messages in a timely fashion O Acknowledgement of how busy they are. O Positive reinforcement for their help.