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Concurrent Sessions, Period 3

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

Friday, October 17, 2014 - 3:30 to 5:00 PM

Sessions vary in length from 20-90 minutes.

Click here for PDF of Period 3 Concurrent Sessions with objectives.

Period 3 Sessions - grid version

A3a: A Six-Session Evidence-based Protocol for the Treatment of Individuals with Chronic Pain in an Integrated Primary Care Setting

This six-session, culturally flexible, individual protocol utilizes evidence-based interventions taken from the literature on the treatment of chronic pain from CBT and ACT perspectives. For the presentation, a session-by-session explanation will be reviewed with the support of practical handouts. We will also discuss how to facilitate the implementation of this protocol in a primary care setting and how to facilitate collaborative team support (physician and ancillary providers) following the intervention.

Abigail Lockhart Integrated Primary Care Psychology Fellow The Colorado Health Foundation; Laurie Ivey Director of Behavioral Health Swedish Family Medicine; Samantha Monson Psychologist Denver Health Medical Center;

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

A3b: Neurofeedback in Collaborative Primary Care

This presentation will cover the process of introducing and implementing an evidence-based complementary therapy into the collaborative primary care setting. The discussion will present the issues and aspects of facilitating such a service using Peek's Three World View ( clinical, operational, and financial). Additionally, specific barriers, such as physician attitudes will be discussed in terms of how to identify and rectify said barriers of implementation to ensure sustainability of the  service.

Lisa Black, UCSD Family Medicine; William Sieber, UCSD Family Medicine; Jenee James, UCSD Family Medicine; Zephon Lister, UCSD Family Medicine;

Key Track: 7.  Content Level: All audiences  (25 minutes)

A3c: Provider Perspectives of Medically Unexplained Illness and Medically Unexplained Symptoms

Patients who present with medically unexplained illnesses or medically unexplained symptoms (MUI/S) tend to be higher utilizers of healthcare services and have significantly greater healthcare costs than other patients, which adds stress and strain for both the patient and provider. Through a systematic review of the literature and a qualitative phenomenological study, we found that providers often experience a lack of confidence in their ability to effectively treat patients with MUI/S, as well as frustration surrounding their encounters with this group of patients. Additional resources, such as mentorship and collaboration with behavioral healthcare professionals, could assist providers in feeling confident in their ability to provide effective care and acquire confidence in their abilities to treat patients with MUI/S.

Jennifer Harsh, PhD, LMFTA Clinical Research Coordinator, Duke Cancer Patient Support Program Duke Cancer Institute; Jennifer Hodgson, PhD, LMFT Professor East Carolina University;

Key Track: 4.  Content Level: All audiences  (25 minutes)

B3a: Behavioral Health Integration  in Solo and Smaller Primary Care Practices: Findings from A Pilot Study

Integrating behavioral health and primary care is key to achieving the triple aim of improved patient experience, improved population health and reduced cost. To date, there have been few studies of integrated care in smaller primary care practices. One key to progress is to gain a better understanding of the current state of integration, especially in solo and smaller practices.  In this presentation we present findings about integrating care from a pilot survey of primary care physicians in solo and smaller practices

Vasudha Narayanan, MA, MBA, MS. Associate Director Westat; Benjamin F. Miller, PsyD Department of Family Medicine University of Colorado School of Medicine; Paul Weinfurter, MSPH Sr. Study Director Westat; Garrett Moran, PhD Vice President Westat;

Key Track: 2.  Content Level: All audiences  (40 minutes)

B3b: Engaging the Sick Patient: Using Hospitalization to Establish Care in an Outpatient Clinic

This presentation aims to address the Triple Aim of this year's conference by proposing how the health systems which participated in our project have benefited from the inpatient/outpatient coordination of both medical providers and behavioral health consultants.  Allowing the BHCs to engage with patients when they have been admitted to an inpatient unit improves patient experience through establishing care.  Doing so also provides for improved population health.  Positing that BHC engagement decreases the number of re-hospitalizations, we will suggest it will also reduce cost, considering the ACA changes concerning reimbursement for subsequent hospitalizations.

Nicholas Madsen, MSW, LCSW Drexel University College of Medicine and Behavioral Health Consultant at Presbyterian Medical Center of Philadelphia;

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

C3a: Actualizing Our Vision: An Innovative Approach to Engaging Care Team Members in PCMH Self-Management Support.

One of the challenges of Patient-Centered Medical Home implementation is to keep PCPs and care team members truly engaged in health care transformation versus just "checking the box" to acquire NCQA recognition. This presentation will explore how Yakima Valley Farm Workers Clinic was able to operationalize our organization's mission, vision, and values and integrate them into evidence-based skill training. We will describe how we adapted concepts from motivational interviewing to create a patient-centered culture in our clinics and move providers beyond a "checking the box" mentality.

Brian E. Sandoval, Psy.D. Primary Care Behavioral Health Manager Yakima Valley Farm Workers Clinic; Juliette Cutts, Psy.D.  Primary Care Behavioral Health Consultant and Training Lead Yakima Valley Farm Workers Clinic, Salud Medical Center;

Key Track: 2.  Content Level: All audiences  (40 minutes)

C3b: Building A Team Over Time and Space: Strategies for Enhancing BHC Collaboration Across Clinics in a Large Geographic Area

Establishing a network of Behavioral Health Consultants (BHCs) across two states while also developing a sense of teamwork can be daunting.  At Yakima Valley Farm Workers Clinic (YVFWC) we have developed a process for quickly on-boarding and integrating new BHCs to effectively work as a cohesive team.  By leveraging core-competencies, technology, and a model of distributed leadership, our method has helped us maintain fidelity to the PCBH model while also creating a platform for ongoing professional development and improved clinical services.

Brian E. Sandoval, Psy.D. Primary Care Behavioral Health Manager Yakima Valley Farm Workers Clinic; Brian Chao, Psy.D. Primary Care Behavioral Health Consultant Yakima Valley Farm Workers Clinic, Rosewood Family Health Center; Juliette Cutts, Psy.D. Primary Care Behavioral Health Consultant Yakima Valley Farm Workers Clinic, Salud Medical Center;

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

D3a: What Do I Do with this Family?: Healthcare Innovations Using a Relational Lens

This interactive workshop will offer a synthesis of contemporary advancements in healthcare using a relational lens through Medical Family Therapy (MedFT) training, research, policy, and financial models. Presenters will highlight and draw from their recently-published/edited text, Medical Family Therapy: Advanced Applications, wherein established and rising leaders across multiple disciplines have contributed cutting-edge knowledge about how to make the Triple Aim a reality in the ways that we prepare for, organize, practice, fund, and sustain care.  Participants – from new trainees to seasoned practitioners, educators, administrators, and policy makers – will walk away with newfound energy and resources to take part in this exciting evolution.

Tai J. Mendenhall, Ph.D., LMFT, CFT Assistant Professor, Couple & Family Therapy Program / Family Social Science Adjunct Professor, Family Medicine & Community Health University of Minnesota, Twin Cities; Jennifer L. Hodgson, Ph.D., LMFT Professor, Medical Family Therapy Program / Child Development and Family Relations Adjunct Associate Professor, Internal Medicine, Family Medicine, & Psychiatry East Carolina University;

Key Track: 1.  Content Level: Advanced  (40 minutes)

D3b: "I Think Something Might Be Wrong with Max": How Expert MedFTs Share Biomedical Information with their Physician Collaborators

Behavioral healthcare providers may acquire important biomedical information about health habits and emergent or chronic medical conditions from their patients; however, many withhold this information from collaborating physicians because of concerns about scope of practice, professional boundaries, or even the physician's response. In this presentation, you will hear exploratory research about how expert MedFTs developed their own ways of sharing medical information with physician colleagues, what processes they used (alongside factors that impacted these processes), and what patient, professional, and personal outcomes resulted. The presenters and the audience will then brainstorm next steps to using these findings to improve collaborative training and clinical care.

Mary T. Kelleher, MS, LMFT Faculty Chicago Center for Family Health; Tai J. Mendenhall, PhD, LMFT Assistant Professor Department of Family Social Science University of Minnesota, Twin Cities;

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

E3a: Promoting Health through Interdisciplinary Substance Use Consultation in Primary Care

The prevalence of substance use disorders existing in the primary care patient population has been cited up to twenty percent (Mersey, 2004), however, these estimates often largely under-represent the number of patients using substances, illicit and/or prescribed, problematically.   The detection, treatment, and management of these patients in primary care settings is influenced by multiple factors: patient's level of motivation, insurance coverage, and various other psychosocial/environmental variables.  A description of the development and evolution of a substance use interdisciplinary "health promotions" consult clinic embedded within a federally qualified health center will be provided.   This talk will also identify how this clinic specifically addresses typical treatment barriers and implementation challenges while leveraging the Primary Care Behavioral Health Model.  Additionally, we will discuss patient demographics, participation prevalence, access to treatment timelines, primary care provider satisfaction, and innovative technological applications.

Chantelle Thomas PhD  Behavioral Health Consultant  Access Community Health Care Center; Elizabeth Zeidler PsyD Behavioral Health Consultant  Access Community Health Care Center; Meghan Fondow PhD  Behavioral Health Consultant  Access Community Health Care Center;

Key Track: 3.  Content Level: All audiences  (25 minutes)

E3b: To the Rescue: Implementing Naloxone Rescue and Other Harm Reduction Strategies for Drug Abusing Patients

Drug overdose death rates in the US have tripled since 1990.  Deaths due to  prescription painkiller deaths frequently involve at least one other drug or alcohol. Primary care providers are often on the front line in caring for patients with illicit and prescription drug misuse. Teaching providers about harm reduction principles is crucial.  Implementation of harm reduction strategies, such as Naloxone rescue and controlled substance letters of concern, by the integrated health team is essential to provide appropriate care for these at risk patients in the patient-centered medical home.

Patricia M. McGuire, MD Director of Psychiatric Education Psychiatrist, Integrated Behavioral Health UPMC St. Margaret Family Medicine Residency;

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

E3c: Reducing Substance Use During Pregnancy and Neonatal Abstinence Syndrome: An Integrated Approach to OB-GYN

Rates of maternal opiate abuse and the resulting Neonatal Abstinence Syndrome (NAS) in infants have risen exponentially over the past several years, resulting in serious and deleterious consequences for both maternal and child health status, quality of life, and functioning, as well as cost of post-natal inpatient and outpatient care. Effective treatment models for this staggering public health concern will be a critical component of achievement of Triple Aim goals, particularly for this at-risk population.  This presentation will provide an overview of an integrated behavioral, OB-GYN, and primary care model of care delivery of addiction during pregnancy and early childhood development in an inner city Women's Health clinic within Cherokee Health Systems, a comprehensive community healthcare organization in east Tennessee.  Clinical and operational components of the implementation, as well as routcomes of an initial program evaluation, will be reviewed.

Eboni Winford, PhD Behavioral Health Consultant Cherokee Health Systems; Suzanne Bailey, PsyD Behavioral Health Consultant Cherokee Health Systems; Kara Johansen, PhD Pediatric Behavioral Health Consultant Cherokee Health Systems;

Key Track: 5.  Content Level: Advanced  (25 minutes)

F3a: Defragmenting clinical systems in achieving the Triple Aim: Examining how to strengthen professional identity inherent in integrated care

Professional identity drives the development of work force, commitment to goals and objectives, and the extent to which an organization like CFHA flourishes.  However, many clinicians have simply "found" their way in terms of professional identity and roles within primary care, and tend to struggle with divergences between their identified disciplines and the roles they find themselves within an integrated care model.  Behaviorists who strongly identify with their roles as a primary care provider within integrated care will inherently be a driving force in achieving the objectives of the Triple Aim Model.  The aim of the session will be to address how training programs, corporations, and national associations like CFHA can foster professional identity through a lively panel discussion representing various disciplines working in integrated care models.  The intent would be to offer up some solutions and ideas leading to improved professional identity, there by positively impacting the cost, outcomes, and effectiveness of patient care as intended by the Triple Aim Model.

Thomas W. Bishop, Psy.D. Assistant Professor of Family Medicine Director of Behavioral Medicine Quillen College of Medicine/ETSU; Jodi Polaha, Ph.D. Associate Professor of Psychology East Tennessee State University; Ajantha Jayabarrathan, M.D. Director, Central Halifax Innovative Health Clinic Family Physician, Capital District Department of Family Practice Certificate & Fellow, College of Family Physicians of Canada Assistant Professor,  Faculty of Medicine, Dalhous; Randall Reitz, Ph.D. Director of Behavioral Sciences St. Mary's Family Medicine Residency; Diana L. Heiman, M.D. Associate Professor of Family Medicine Family Medicine Resident Director Quillen College of Medicine/ETSU

Key Track: 2.  Content Level: All audiences  (40 minutes)

F3b: Getting Started in Primary Care Behavioral Health: Job Acquisition for Students and New Professionals

This presentation aims to equip students and new professionals to obtain employment in the collaborative care workforce. Attendees will gain practical information and resources on job acquisition in a Primary Care Behavioral Health (PCBH) setting. Topics include finding and interviewing for a PCBH position with a special emphasis on using program proposals and business plans to create new PCBH positions.

Danielle King, PsyD Behavioral Health Consultant Tampa Family Health Centers; Joan B. Fleishman, PsyD  Primary Care Behavioral Health Fellow  University of Massachusetts Medical School; Elana Maurin, PhD, MHS  Assistant Professor  American School of Professional Psychology at Argosy University, Washington, DC; Dr. Stacy Ogbeide  Behavioral Health Consultant  Healthcare for the Homeless of Houston  Instructor, Department of Family and Community Medicine  Baylor College of Medicine; Travis A. Cos, Ph.D. Public Health Management Corporation Care Clinic-- Behavioral Health Consultant La Salle University-- Department of Psychology, Adjunct Instructor Philadelphia, PA

Key Track: 6.  Content Level: Basic  (40 minutes)

G3a: Beyond the Exam Room: Leveraging Perinatal Data to Increase Father Involvement and Improve Maternal-Child Health Outcomes

With the proliferation of electronic medical records (EMRs), providers have increased opportunities to leverage EMR data to improve health outcomes among the populations they care for.  This presentation will describe the results of research that examined perinatal health data to identify predictors of low father involvement, which is often associated with poor maternal-child health outcomes.  Participants will learn how the perinatal data contained in an EMR can be leveraged to proactively identify and intervene with at-risk populations.

Mark D. Thomas, PhD, MPA, Manager, Health and Analytics, Battelle Memorial Institute;

Key Track: 2.  Content Level: All audiences  (40 minutes)

G3b: Engaging Latinos into Depression Treatment in Integrated Primary Care: Why the warm-handoff may not be best

The warm-handoff is widely considered a best-practice to help engage patients into care in integrated primary care settings, but does it work as an engagement strategy for Latinos with depression? Results from a mixed methods study show that this is not necessarily so, and that in fact multiple factors impact the effectiveness of the warm-handoff and subsequent treatment uptake. These factors include the quality of the physician-patient relationship, matching treatment explanation to patient's explanatory model of depression, and linguistic and environmental barriers to care. Core components of effective implementation of the warm handoff referral will be outlined and discussed in the context of reducing mental health disparities, improving the patient experience, and decreasing no-show rates and treatment drop-out.

Elizabeth Horevitz, MSW, PhD NIMH Post-Doctoral Fellow, Clinical Services Research Training Program Department of Psychiatry University of California, San Francisco;

Key Track: 7.  Content Level: All audiences  (20 minutes)

G3c: Practice Modification to Embrace Multiculturalism: Balancing the Individual and the Evidence

The fast-paced, population-based structure of predominate integrated care models can pose issues when accommodating the diverse backgrounds and presentations of patients seen in primary care.  Specific challenges and current solutions from two high volume federally qualified health center practices will be presented, focusing on the way language, culture, socioeconomic status, and wellness paradigms impact service delivery and patient experience.  Audience members will be engaged in an evidence-based discussion about their own practice's challenges and solutions to foster an environment of collective learning around practice modification and research.

Samantha Pelican Monson, PsyD, Clinical Psychologist, Denver Health; Kimberly Lomonaco, PsyD, Clinical Psychologist, Denver Health;

Key Track: 1.  Content Level: Advanced  (20 minutes)

H3: Measuring Integration:  An Empirical, Lexicon Based Approach

Peek's Lexicon of Collaborative care has an enormous impact- a consistent vocabulary to describe Collaborative Care. The Lexicon gives us a tool to observe similarity and differences at the practice level. This leaves the challenge of translating observation and discussion into validated measurement.  A tool is needed  that serves  practice improvement and research at the same time. Existing measures are generally not theory driven or psychometrically evaluated, and they are not constructed in an electronic medium for ease of administration, scoring, and aggregation. We will present a live demonstration of the web based  Vermont Integration Profile (VIP) developed by a national group of clinicians, administrators and researchers and review validation efforts and current applications

Rodger Kessler Ph.D.ABPP Assistant Professor University of Vermont College of Medicine Clinical Associate Professor Nicholas A. Cummings Doctorate in Behavioral Health, Arizona State University; Andrea Auxier Ph.D. Direcotr of Integration Value Options Health Care; C.R. Macchi  Clinical Assistant ProfessorClinical Associate Professor  Nicholas A. Cummings Doctorate in Behavioral Health,  Arizona State University; Daniel Mullin Ph.D. Assistant Professor University of Massachusetts Medical School; C. J. Peek Professor University of Minnesota School of Medicine

Key Track: 7.  Content Level: All audiences  (90 minutes)


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Rochester, New York
14692-3980 USA

What We Do

CFHA is a member-based, 501(c)(3) non-profit organization dedicated to making integrated behavioral and physical health the standard of care nationally. CFHA achieves this by organizing the integrated care community, providing expert technical assistance and producing educational content.