Behavioral Consultation and Primary Care- A Guide To Integrating Services
2nd Edition
In this book we present readers a guide for providing health and MH care in a radically different fashion- one that begins to better meet the needs of the population. Called Primary Care Behavioral Health (PCBH) this model of care involves delivery of Behavioral Health Consultant (BHC) services in a PC clinic and differs in many respects from traditional MH care. It is also designed to change the way PC is conducted. As noted by Strosahl (1998), an early developer and proponent of the PCBH model, this model is best considered as a form of health care rather than mental health care. The goal is not to replace the specialty MH care system, but rather to improve the treatment of behavioral problems in PC. In doing so, the functioning of the PC system in general can improve, and attention to other health needs of the population can increase.
1.F.1 Figure 1.1 Distribution of Mental Health and Substance Abuse Care
3.F.1 Figure 3.1 Interview questions (and desired answers) for BHC position applicants
3.F.2 Figure 3.2 Common tasks for a Behavioral Health Assistant (BHA)
3.F.3 Figure 3.3 Questions for interviews with Behavioral Health Assistant (BHA) applicants
5.F.1 Figure 5.1 Behavioral Health Consultant Core Competency Tool
6.F.1 Figure 6.1 PCP RN Core Competency Tool
7.F.1 Figure 7.1 Core processes of psychological flexibility
7.F.2 Figure 7.2 Pillars of Psychological Flexibility and suggested therapeutic actions
9.F.1 Figure 9.1 Content for a flier introducing BHC services
9.F.2 Figure 9.2 Components of a BHC initial visit
9.F.3 Figure 9.3 A Behavioral Health Consultant’s introduction
9.F.4 Figure 9.4 A Behavioral Health Assistant’s introduction of BHC services
9.F.5 Figure 9.5 Life context questions for adults
9.F.6 Figure 9.6 Life context questions for children and teens
9.F.7 Figure 9.7 Functional analysis questions
9.F.8 Figure 9.8 Example of behavioral health prescription pad
9.F.9 Figure 9.9 Components of a BHC follow-up visit
9.F.10 Figure 9.10 Questions for assessing patient improvement
9.F.11 Figure 9.11 Questions for assessing patient experience with plan implementation
9.F.12 Figure 9.12 BHC SOAP notes for the initial visit
9.F.13 Figure 9.13 PCBH chart review tool
10.F.1 Figure 10.1 The BHC Start-up Checklist
10.F.2 Figure 10.2 Example of poster announcing BHC services
10.F.3 Figure 10.3 GATHER An example of a BHC educational handout
10.F.4 Figure 10.4 Educational handout providing information on connecting patients with the BHC
10.F.5 Figure 10.5 Example of a BHC shadowing note sheet
10.F.6 Figure 10.6 Example of a PCP_RN survey concerning patients PCPs_RNs would like BHCs to see
10.F.7 Figure 10.7 Example of BHC _Request of the Week_ communication to PCPs and RNs
10.F.10 Figure 10.10 BARRIERS to Using BHC BUB Questionaire
10.F.11 Figure 10.11 BARRIERS to Same-day Services (BUS) Questionaire
10.F.12 Figure 10.12 Example of a relapse prevention plan that BHCs can use as an educational tools
11.F.1 Figure 11.1 Dr. Gather’s schedule for Monday
11.F.2 Figure 11.2 Example of a BHC daily practice management sheet
11.F.3 Figure 11.3 Neurodevelopmental PCBH pathway statement
11.F.4 Figure 11.4. Janet’s Duke Health Profile scores at the initial and follow-up consultations
1. Patient Education Handouts LIST
C.2.1 Patient Handout Adult Stress What Is It and How to Spot It
C.2.2 Patient Handout Adult CALM Exercise
C.2.3 Patient Handout Adult Relaxing Breathing
C.2.4 Patient Handout Adult Progressive Muscle Relaxation
C.2.5 Patient Handout Adult The ABCs of Habit Change
C.2.6 Patient Handout Adult Healthy Sleeping Basic
C.2.7 Patient Handout Adult Train Your Brain for Sleep
C.2.8 Patient Handout Adult Managing Chronic Pain
C.3.1 Patient Education Handout Parent Ideas for Great Rewards
C.3.2 Patient Education Handout Parent Using Rewards With Your Child
Append A – PCBH Performance Measures Matrix
Append B1 – BHC Core Competency Tool (Kate Elliott’s conflicted copy 2013-10-09)
Append B1 – BHC Core Competency Tool
Append B2 – BHC Assistant Core Competency Tool
Append B3 – BHC Facilitator Core Competency Tool
Append B4 – BHC Core Competency Tool Short Version
Append B5 – PCC RN Core Competency Tool
Append C1 – PCP Self Assessment Tool
Append C2 – RN Self Assessment Tool
Append C3 – MA Self Assessment Tool
Append D – PCBH Pathway Examples
Append E 1 – Step Up Step Down Form
Append E 2 – Step Up Step Down Child Form
Append F 1 – Tips for the PCP & RN
Append F 2 – Referral Form Example
Append F 3 – Chart-Interview Note Form
Append F 4 – Chart-Interview Note Example
Append F 5 – Intervention Quick Guide
Append F 6 – Interventions for 7 Common Referrals
Append F 7 – PCBH Introduction Script
Append G 1 – List of Recommended Instruments and Screeners
Append G 2 – Recommended Routine Outcome Tools
Append G 3 – Recommended As Indicated Screening Tools
Append H – Patient Brochure Example
Append I 1 – Quality Management Chart Tool – Initial