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Concurrent Sessions, Period 2

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Use the "More in this Section" tool above for information about other Conference sessions.

Friday, October 17, 2014 - 1:30 to 3:00 PM

Sessions vary in length from 20-90 minutes.

Click here for PDF of Period 2 Concurrent Sessions with objectives.

Period 2 Sessions - grid version

A2a: Self-Management for Persons with Serious Mental Illness in a Patient-Centered Behavioral Health Home

Patient-centered behavioral health homes provide integrated behavioral and physical healthcare by addressing risk factors that lead to premature mortality in persons with serious mental illnesses. The presentation describes a peer or case manager-led model for self-management for key wellness areas, namely, healthy weight, smoking cessation, increasing physical activity, improving sleep, stress reduction, taking medications effectively, and keeping up with behavioral and physical healthcare.

Jaspreet S. Brar, MD, PhD, Senior Fellow, Western Psychiatric Institute & Clinic and Community Care Behavioral Health, Pittsburgh, PA; Melissa Rufo, CPRP, Training Coordinator, Community Care Behavioral Health, Exton, PA; Suzanne Daub, LCSW, Senior Consultant, National Council for Behavioral Health, Washington, DC;

Key Track: 1.  Content Level: All audiences  (25 minutes)

A2b: Primary Care Services for Persons With Serious Mental Illness: Moving Towards Clinical Systems Integration and Financial Sustainability

It is well known that individuals with serious mental illness (SMI) experience significant medical comorbidity and early mortality, dying on average 10-25 years earlier than the general population due to often treatable or preventable medical illnesses. The SMI population often lacks access to quality primary care and relies on emergency department services as their main source of primary care, resulting in avoidable health care costs and poor continuity of care for management of chronic medical conditions. Consistent with the Triple Aim, there have been increasing efforts to integrate primary care and behavioral health care safety net services for this population in order to: 1) increase patient access to primary care services that are tailored to their unique psychiatric and medical needs, 2) decrease reliance of emergency room services as the main source of primary care and reduce inappropriate, often  more expensive medical care, and 3) increase patient psychiatric and medical outcomes including patient engagement. This presentation will briefly describe the evolution of primary care services embedded with a large urban community mental health center, lessons learned in the integration process, as well as clinical and economic outcomes. Presenters will engage the audience in a discussion regarding the necessary clinical, operations, systems, and financial steps needed in creating "healthcare neighborhood" for this vulnerable population and working within an Accountable Care framework.

Jeanette Waxmonsky, PhD Director, Community Mental Health Integration Colorado Access;

Key Track: 4.  Content Level: Advanced  (25 minutes)

A2c: Integrating Behavioral Health Services into the Public Health Centers of Philadelphia

Lacondria Simmons serves as BHC at four Ambulatory Health Centers operated by the Philadelphia Department of Public Health, attending different clinics on different days of the week. She discusses BHC work with HIV+ patients in settings very different from the academic medical centers where our other BHCs work.  The clinic environment can be especially difficult for HIV positive patients who often require added support to manage psychosocial aspects of the disease. When large healthcare systems lack a strong behavioral health presence, patients may fail to get the support needed. This has major implications for treatment adherence and cost management as poor treatment outcomes contribute to higher long term costs. Integrating mental health services into PHCs presents unique challenges that are different from other medical organizations.

Lacondria Simmons, PhD. Drexel University College of Medicine and Behavioral Health Consultant at the Ambulatory Health Centers - Philadelphia Department of Health;

Key Track: 5.  Content Level: All audiences  (25 minutes)

B2a: Quality Control and Fidelity to Primary Care Behavioral Health Model of Service Delivery: Programmatic Behavioral Health Consultant Training in a Large Federal Healthcare System

This presentation will provide an overview of the systematic training program for behavioral health consultants in a healthcare system providing care for over 3 million individuals. We will discuss the development and use of expert trainers and review the benchmarks for training behavioral health consultants to work as a fully integrated primary care team member. This presentation is relevant to practice managers, supervisors, administrators and behavioral health providers. Ensuring fidelity to evidence-based service delivery has implications for patient and provider experience of care, population health impact and healthcare cost.

Christopher L. Hunter DoD Program Mangager for Behavioral Healthin Primary Care Defense Health Agency; Kent A. Corso Program Manager, Behavioral Health in Patient Centered Medical Home National Capital Region Medical Directorate;

Key Track: 6.  Content Level: Basic  (25 minutes)

B2b: Mapping New Territory: Implementing the Primary Care Behavioral Health (PCBH) Model in Homeless Shelter Clinics

This presentation will discuss the implementation of the Primary Care Behavioral Health (PCBH) model within a homeless clinic (HHH-Healthcare for the Homeless of Houston). Demographics, outcome data (e.g., patient factors associated with behavioral health consultation), challenges to implementation in a homeless population, and implications for clinical practice will be discussed.

Stacy Ogbeide, PsyD, MS, Healthcare for the Homeless-Houston, Instructor, Dept. of Family & Community Medicine, Baylor College of Medicine; David S Buck, MD, MPH Professor, Department of Family & Community Medicine Baylor College of Medicine President & Founder, Healthcare for the Homeless Houston; Jeff Reiter, PhD, ABPP HealthPoint Community Health Centers, Seattle, WA

Key Track: 2.  Content Level: Basic  (25 minutes)

B2c: The Use of Standardized Patients To Assess Behavioral Health Consultant Core Competencies

To promote fidelity to Behavioral Health Consultation practice in the incumbent workforce, Health Federation of Philadelphia developed a novel methodology to assess Behavioral Health Consultant performance. The HFP team created a typical primary care case and Philadelphia College of Osteopathic Medicine trained Standardized Patients to simulate the intervention. The HFP team observed and rated BHC competencies using assessment tools developed for this project. Ratings were used to inform individual professional development recommendations and training priorities for the network of behavioral health practitioners. Findings also serve as an evaluation tool to assess the impact of the network learning community on the development of fidelity to and mastery of BHC competencies.

Natalie Levkovich, CEO Health Federation of Philadelphia; Suzanne Daub, LCSW Clinical Director, Primary Care Behavioral Health Network Health Federation of Philadelphia Senior Consultant The National Council for Behavioral Health; Neftali Serrano, PsyD Chief Behavioral Health Officer Access Community Health Centers;

Key Track: 6.  Content Level: Advanced  (25 minutes)

C2a: Integrating Positive Psychology Interventions into HIV Care

Positive Psychology is a field of psychological study and treatment that focuses on wellbeing and self-enhancement, rather than the treatment of ailments. HIV patients, especially those in underserved populations, are in need of interventions that create resiliency, are easily integrated into existing lifestyles, and promote self-efficacy. Positive Psychology interventions work well within the Behavioral Consultation Model as they provide empirically supported interventions that empower both patients and providers alike to manage their own health and focus on wellbeing.

Jennifer Walker, LSW, MAPP Drexel University College of Medicine and Behavioral Health Consultant at Temple University Medical Center; Bryce Carter, PhD Clinical Director, Drexel University Medical Center and Behavioral Health Consultant at the Hospital of the University of Pennsylvania

Key Track: 3.  Content Level: All audiences  (40 minutes)

C2b: Integrating Behavioral Health Consultation into HIV Care Clinics

Beginning in the fall of 2011 Drexel University College of Medicine hired and trained 6 Behavioral Health Consultants to be placed at 6 HIV clinics in the city of Philadelphia.  The project was supported byt the AIDS Activities Coordinating Office of the Philadelphia Department of Health with grant funds from SAMSHA as part of the federal inter-agency 12 cities program to concentrate resources for HIV/AIDS prevention and treatment services in the cities with the largest numbers of HIV+ individuals.  The project represents the first time (to our knowledge) that BHC services have been made available in HIV clinics.  Our overview looks at rationale, policy, planning, hiring, training, and lessons learned from 2 + years in the field.

Bryce Carter, PhD., Clinical Director of the Project and Behavioral Health Consultant at the Hospital of the University of Pennsylvania; Victor Lidz, PhD., Professor, Department of Psychiatry Drexel University Medical Center and Project Director; Ed Carlos, MSW, LCSW Behavioral Health Consultant, Partnership Comprehensive Care Practice, Drexel University College of Medicine;

Key Track: 1.  Content Level: All audiences  (40 minutes)

D2a: Integrated Treatment of Child Obesity and Overweight in the Primary Care Pediatric Setting

The Healthy Kids Program at Evans Army Community Hospital is a fully integrated, evidence based, collaborative approach to treating childhood obesity and overweight that includes pediatrician, psychologist, patient, family members, and dietician. The team works together to identify, assess, educate, and motivate children and families to develop healthy lifestyle behaviors that lead to improved health outcomes, currently tracked and measured in our clinic through an ongoing Performance Improvement Research Project. The program combines current American Academy of Pediatrics recommendations for medical treatment of obesity, as well as several evidence-based behavioral interventions (including motivational interviewing) eventually leading to improved patient outcome.

Timothy Marean, M.D., Pediatrician, Department of Medicine, Pediatrics, Evans Army Community Hospital; Jennifer Fontaine, Psy.D., Psychologist, Department of Medicine, Pediatrics, Evans Army Community Hospital;

Key Track: 3.  Content Level: All audiences  (40 minutes)

D2b: Well-Child Visits: A Platform for Prevention and Early Intervention

In an effort to improve early identification and intervention of mental health (i.e. anxiety, depression) and physical health (i.e., tobacco and substance use, obesity) conditions in adolescents,  Cabin Creek Health Systems (CCHS), an FQHC in rural WV, created a Well-Child Visit "standing order" for behavioral health providers. This presentation will describe the screening tool used, lessons learned from implementation, and data from these screenings. It will also include a discussion of evidence-based interventions for common health-related and mental health conditions.

Alicia L. Smith, PsyD Behavior Health Consultant Cabin Creek Health Systems; Jennifer J. Hancock, PsyD Behavior Health Consultant Cabin Creek Health Systems;

Key Track: 3.  Content Level: All audiences  (40 minutes)

E2: Super-Utillizer, Team-Based, Cross-Setting Care: The Future of Healthcare Cost Reduction

The Super-Utilizer approach of intensive team-based care and care coordination, created by Jeffrey Brenner, MD, has been embraced by healthcare providers and systems around the country as an effective means for reducing unnecessary hospital and ER admissions of our most medically and psychosocially complex patients. This workshop will describe two Super-Utilizer programs--for middle-aged and frail elderly patients--launched by the Crozer-Keystone Health System in suburban Philadelphia--in order to illustrate data analysis, patient selection, team processes, and outcome evaluation techniques. Examples of patient cases and program designs will be offered.

Barry J. Jacobs, Psy.D. Director of Behavioral Sciences Crozer-Keystone Family Medicine Residency Program Springfield, PA;

Key Track: 2.  Content Level: All audiences  (90 minutes)

F2a: Promoting Mindful Clinical Interaction while using Electronic Technologies: A group training to improve patient experience.

This workshop was developed with funding from the Arnold P. Gold Foundation to address the fast-paced training and increasingly technical environment in healthcare that seems to encourage more interface with computers and monitors than with patients and families. The stressors and time demands of primary care provide additional incentives to become data-focused to the potential or actual exclusion of relationship-focused activity.  This focus on technology and data can interfere with patients' and clinicians' experience of relationship-centered care. Using techniques from the literature on patient-centered EHR use combined with mindfulness techniques and self-reflection, the presenter developed a workshop broadly applicable across discipline of origin to assist us in improving patient-centered clinical skills while using electronic health records.

Colleen T. Fogarty, MD, MSc., Associate Professor University of Rochester Department of Family Medicine;

Key Track: 6.  Content Level: All audiences  (40 minutes)

F2b: Turning Fragmented Comments into Integrated Conversations: Addressing Sexuality & Spirituality in Clinical Care

The topics of sexuality and spirituality often elicit strong reactions from patients, families and providers.  This workshop will provide a framework in which to understand and respond to these reactions so that patients can have a better experience and professionals can facilitate more effective care.  Exploration of the provider's own reactions as well as evidenced-based patient care will be presented.

Claudia Grauf-Grounds, Ph.D., LMFT, Professor, Marriage and Family Therapy, Director of Clinical Training & Research, Seattle Pacific University; Tina Schermer Sellers, Ph.D., LMFT, Clinical Professor Marriage & Family Therapy, Director of Medical Family Therapy, Seattle Pacific University; Clinical Faculty University of Washington Family Medicine;

Key Track: 1.  Content Level: All audiences  (40 minutes)

G2a: Implementing a Primary Care Behavioral Health Model of Care: How Do You Evaluate It?

In our current financial climate, the most common request administrators or clinicians have to deal with after implementing a new model of care or program is: SHOW ME THE EVIDENCE/DATA. This information is often then used to decide various fates of the entire program and/or staff. This is significant and sometimes daunting task when employing a new model of integrated healthcare, such as the Primary Care Behavioral Health model of care since it impacts multiple levels within the healthcare system. Most frontline providers/supervisors also rarely come to their positions with extensive knowledge in program evaluation. This workshop is designed to help convince you that YOU CAN DO IT and that it does not need to cause any anxiety or pain in the process.

Gregory Beehler, Ph.D. Research Psychologist VA Center for Integrated Healthcare; Robyn Fielder, Ph.D. Postdoctoral Fellow VA Center for Integrated Healthcare; Zephon Lister, Ph.D. Assistant Clinical Professor; Director of Collaborative Care Program Department of Family & Preventive Medicine University of California San Diego; William Sieber, Ph.D. Director of Research, Associate Director Collaborative Care UCSD Division of Family Medicine; Gene Kallenberg Executive Director Division of Family and Preventive Medicine Department of Family & Preventive Medicine University of California San Diego

Key Track: 7.  Content Level: Basic  (40 minutes)

G2b: Evidence Based? Prove It!  Real World Strategies for Showing Your Work.. Works!

Do you want to demonstrate the significance or vaIue of your integrated program? In this presentation, four researchers will tell their stories about how they collected good data in "real world" clinic settings.  Practical recommendations will be provided for getting started in program evaluation in a way that will impact not only your developing program but also the field of integrated care.  The audience will have the opportunity to frame their own questions and begin developing methods with feedback.

Jodi Polaha, Ph.D.; Associate Professor, Psychology; East Tennessee State University; Jennifer Funderburk, Ph.D.; Clinical Research Psychologist; VA Center for Integrated Care; Andrea Auxier, Ph.D.; National Director of Integration; ValueOptions; Jeff Goodie, Ph.D., Associate Professor, Department of Family Medicine; Uniformed Services University;

Key Track: 7.  Content Level: Basic  (40 minutes)

H2a: CFHA Policy Agenda

Key Track: 8.  Content Level:   (40 minutes)

H2b: Selling Integration: How We Convinced our Community to Invest in the Future

The truth about integration is that it is not one thing. Any organization thinking about creating an "integrated" care system needs to understand what are the philosophies of the organization or agency you work for, what can you afford and who are your patients. Reflecting back, our integration preparation was completely lacking these factors. Learn from the team in Central Oregon who set on a mission to integrate behavioral health in 2010, and successful integrated primary care, pediatrics, internal medicine and obstetrics along with inpatient units such as the neonatal intensive care unit. They were able to convince hospital and clinic leaders, payers and a community to adopt integrated care as the standard of practice throughout the region and a key component of the Coordinated Care strategy within the region.

Kristin Powers, LCSW, Manager, Health Integration Projects, St Charles Health System; Robin Henderson, PsyD, Chief Behavioral Health Officer, St Charles Health System;

Key Track: 5.  Content Level: All audiences  (40 minutes)

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