http://www.cfha.net/forum_thread.php?t=86Recent posts in Randall Reitz: "Three Articles"http://www.cfha.net/forum_thread.php?t=86#post203pThinking of the challenges ahead may be not for the introductory session here are some other readingsppnbspppMullan F. amp Ficklen E. 2006. Narrative matters The power of the personal essay in health policy. John Hopkins University Press.nbspppA great collection of personal stories that inform and are informed by health policies. In puts systemic and larger systems ideas in the policy and political context. Something where patients families and health practitioners can find common grounds for collaboration and advocacy.ppnbspppAny of the texts available about Appreciative Inquiry a tool and way of thinking that busy professionals working in complex institutions could definitely use. Similarly learning about positive deviance would also be great.nbspphttp://www.cfha.net/forum_thread.php?t=86#post196pOne more to add that may provide the PCP some insight into the perspective of the BHSnbsp emBehavioral Consultation and Primary Carenbsp A Guide to Integrating Servicesem by P. Robinson and J Reiter--chapters 1 and 5.nbspphttp://www.cfha.net/forum_thread.php?t=86#post195pI would add a clinical article that has been very helpful in understanding what it BH clinicians would actually be doing while they are in the exam room. Iverson Chris. Solution-Focused brief therapyAdvances in Psychiatric Treatment 2002 8 149-156copy 2002 a hrefhttpwww.cfha.netmiscterms.shtmlThe Royal College of Psychiatristsanbspphttp://www.cfha.net/forum_thread.php?t=86#post194pThe assumption I would makeis that as Sandy for a day I would have enthralling presentationskills at my disposal.nbsp For once in my life I would be veryclear. Given that I dont think I would want to give articles thatexplain the how of collaborative family healthcare but rather thewhy.nbsp As physicians typically privilege EBM I would go withthe best publications of RCT research.nbsp Unfortunately the pickings arestill slim but do includepp stylepadding-left 30pxnbsppp stylepadding-left 30pxUnuumltzer JKaton WJ Callahan CM Williams JW Hunkeler E Harpole L Hoffing M DellaPenna RD Hitchcock-Noeumll P Lin EHB Areaacuten PA Hegel M Tang L Belin T OishiS Langston C The IMPACT Investigators. Collaborative care management oflate-life depression in the primary care setting a randomized controlledtrial. Journal of the American Medical Association 2002 2882836-2845.pp stylepadding-left 30pxnbsppp stylepadding-left 30pxSadur CN MolineN Costa M Michalik D Mendlowitz D Roller S Watson R Swain BE Selby JV JavorskiWC.nbsp Diabetes management in a healthmaintenance organization. Efficacy of care management using cluster visits. DiabetesCare 1999 222011-7.pp stylepadding-left 30pxnbsppp stylepadding-left 30pxBauer MS McBrideL Williford WO Glick H Kinosian B Altshuler nbspBeresford T Kilbourne AM Sajatovic M. CollaborativeCare for Bipolar Disorder Part II. Impact on Clinical Outcome Function andCostsstrong. strongPsychiatrServ 2006 57 937 - 945.ppnbspppNone of these articles gives a goodsense of what is commonly considered collaborative care i.e. fully integratinga licensed mental health professional into a primary care team but I dontbelieve that research has been published yet has itppnbspphttp://www.cfha.net/forum_thread.php?t=86#post193pI couldnt do just three so I added one moreppnbspppButler M. Kane R. L. McAlpin D. Kathol R. G. Fu S. S. Hagedorn H. et al. 2008. Integration of Mental HealthSubstance Abuse and Primary Care No. 173 Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009.AHRQ Publication No. 09-E003. Rockville MD Agency for Healthcare Research and Quality.ppnbspppdeGruy F. 1996. Mental health care in the primary care setting. In M. S. Donaldson K. D. Yordy K. N. Lohr amp N. A. Vanselow Eds. Primary Care Americas Health in a New Era. Washington D.C. Institute of Medicine.ppnbspppPeek C. J. 2008. Planning care in the clinical operational and financial worlds. In R. Kessler amp D. Stafford Eds. Collaborative Medicine Case Studies Evidence in Practice. New York Springer.ppnbspppInstitute of Medicine. 2001. Crossing the quality chasm A new health system for the 21st century. Washington D.C. National Academy Press.ppnbspppnbspphttp://www.cfha.net/forum_thread.php?t=86#post188pMy three picksppnbspppBlounts 2003 Integrated primary care Organzing the evidence from FSH 21 121-133ppnbsp Despite being 6 years old this is a solid summary of the evidence.nbsp Sandy would likely be too modest to select his own article... I am not constrained by this convention.ppnbspppEngels 1977 The need for a new medical model A challenge for biomedicine from Science 196 129-136ppnbsp You could make a strong argument that this is where it all began.nbsp It would be nice to believe that medicine has changed substantially in the past 30 years.nbsp Unfortunately this article is needed as much today as it was then.nbsp There have been many attempts to modify and ammend Engels biopsychosocial model but it has with stood test of time.nbsp The biopsychosocial model should be the first paragraph of any answer to the question Why should we have collaborative carenbsp There is no need to replicate this argument when we have Engles own words.ppnbspppStrosahls 1997 Building primary care behavioral health systems that work A compass and a horizon a chapter in Cummings book of that yearppnbsp This may not be the best book chapter on integrated care but it was my first.nbsp For that reason it is special to me.nbsp It also serves as anbspstarting point for trying to evaluate and compare different collaborative programs.nbspnbspIt does a very nice job of starting the conversation on how we should approach the evaluation of collaborative care.nbsp Thenbspmethods introduced here point directly to the efforts of the CCRN.ppnbsppp- Danphttp://www.cfha.net/forum_thread.php?t=86#post187pWell frankly I have no idea how to approach this seminar in the way Sandy might do so. I am a talk therapist and that would be my approach.ppnbspppMy first thought stems from my recent research that primary care physicians are more likely to prescribe psychotropic medication for patients who have mental or emotional distress rather than refer them to talk therapy. Why One of the pieces that surfaced is that the majority of physicians do not know the distinctions between the five fields of talk therapy and these fields are very different in their approaches. Choosing an inappropriate talk therapist for an identified problem is like taking your Mercedes to a Chevy dealership for repair--bound to result in frustration. So my primary focus would be to make a simplified introduction of the five different talk therapies for these physicians.ppnbspppOf written works I might pick something out of emAnatomy of an Illnessem or emThe Body Speaksem explaining the interconnectedness of all humans minds and bodies--thus the need for holistic approach in the healthcare arena. Of course I would like to mention the incredible benefit for a patients recuperationmaximized health by understanding the role that family plays and harnessing thisnbsppowerful accomplice. Theres vast data on that.ppnbspppBut my curiosity would lead me to give these attendees a questionnaire--what waysnbspcould they see themselves working collaboratively with talk therapists right now in their day-to-day practicephttp://www.cfha.net/forum_thread.php?t=86#post185pImgaining being transformed into Sandy Bount for a day.nbsp Geez.nbsp I have never flown that fast.nbsp What articles would I choosenbsp Hmm.nbsp How about Dont Blochs piece on the Dual Optic CJ Peeks on the three world view and something about team work and transdisciplinary care like the the one by Ruddy in Journ of Health Care for the Poor and Underserved in 2005.ppLarry Maukschphttp://www.cfha.net/forum_thread.php?t=86#post184pImagine if you will that you were transformed into Sandy Blount for a day.nbsp You are to teach a one-day intro to collaborative care seminar to physicians.nbsp Before the workshop you email the participating physicians 3 articles or book chapters to give them an overview of collaborative care and to build enthusiasm for the seminar.nbsp Which 3 publications would you choose and whynbsp Out of the box answers are encouraged.ppnbspppSo as not to exert undue influence on our readership Ill reveal my picks in a few days.p