Next Steps for Your Practice
Copyright © The REACH Institute. All rights reserved.
Learning Objectives
• Identify specific goals and create a plan
to put your new skills into practice
• Describe obstacles to taking your next
steps
• Develop workarounds for your obstacles
• Commit and get started!
Copyright © The REACH Institute. All rights reserved.
Agenda
• Identify resources and “Virtual Team Members”
you will enlist to help you put new practices and
procedures into place
• Discuss available resources for PCP’s and
Families:
–
–
–
–
Books (“Lending Library), hand-outs
Websites
Community resources
Support groups (live and internet)
• Table Activity: Forming goals, making plans
Copyright © The REACH Institute. All rights reserved.
Three Models for Accomplishing
“Primary Care Mental/Behavioral Health”
Guidelines &
Best Practices
PCP
implements
Alone (or tries)
VIRTUALTEAM
TEAM!
VIRTUAL
Copyright © The REACH Institute. All rights reserved.
PCP
refers all to
Subspecialist(s)
Forming Effective Virtual Teams for PC
Child Mental Health: Questions to Ask
• Who are the Virtual Team members (office & community)?
– PARENTS!! (the most important TEAM member)
– Internal: Partners, Practice Manager, Nurses, MAs, Office staff
– External: parent groups, schools, MH providers, coaches, youth groups
• What will each Team Member do? What will they need?
• How will we meet families' needs for:
– Info, education, support (websites, Lending Library, parent hand-outs)
– New Skills (e.g., “required readings”, “parent homework”, etc.
• What tools will we use (paper- or computer-rating scales,
hand-outs)?
• How will we handle refills? My partners?
• How do we access treatments not provided in our office?
Copyright © The REACH Institute. All rights reserved.
Care Model for Child Health
Community
Resources and Policies
FamilyManagement
Support
Health System
Health Care Organization
SelfManagement
Support
Delivery
System
Design
Clinical
Decision Information
Support Systems
Productive Interactions
Supportive,
Integrated
Community
Informed,
Activated Patient
Prepared,
Proactive
Practice Team
Outcomes
Adapted from the Institute for Healthcare Improvement’s Breakthrough Series Collaborative: Improving Care for People With Chronic
Conditions III - by Dr. Ed Wagner, Group Health Cooperative of Puget Sound
Copyright © The REACH Institute. All rights reserved.
Work Flow Roadmap – Fill in 1 Row of Boxes for Your
Chosen Change Area: Who are your Team Members?
STEPS IN MANAGEMENT OF
PATIENTS
Clinician’s Role
Parent’s Role
Role of Partners,
Clinical Staff
Role of Practice
Manager, Admin
Office Staff
Role of OTHER
VIRTUAL TEAM
MEMBERS
Initial Screening and
assessment
Identification and collection
of additional required
information and assessment
instruments
Identification of Diagnoses
and/or Symptoms and/ or
Problem list
Selection of Medications to
address specific Diagnosis
/symptoms/ problems
Selection of psychosocial
interventions to address
specific Diagnosis /
symptoms/ problems
Initiation of treatment plan,
including medications,
titration
Follow up , monitoring and
modification of Treatment
plan & Meds
Copyright © The REACH Institute. All rights reserved.
Q 1.1
Table Activity
• At each table:
1. Discuss together possible changes each might put into place
2. Identify specific, easily observable, tangible new behavior or
practice you want to put into place in your practice
3. Identify which members of the VIRTUAL TEAM will be
needed (Don’t forget PARENTS!! -- your most important
TEAM member). What will you ask them to do?
4. Identify the most likely obstacle(s) that might deter/stop you!
5. Develop a specific PLAN how you will circumvent this
obstacle
• SCRIBES: Write on your flipchart:
1. Each person’s name, and then, next to it:
2. What specific, observable & feasible new behavior/practice he/she
will put into place
Copyright © The REACH Institute. All rights reserved.
A Promise to
Keep…
Copyright © The REACH Institute. All rights reserved.
REMINDER:
Please fill out Unit Q
evaluation
Copyright © The REACH Institute. All rights reserved.