CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1290058 Submitted on 2/3/2012 7:15:58 PM http://www.cfha.net/?page=CFPReview Proposal Details "Reassessing the Evidence: Why the warm-handoff may not be best" Primary Contact: Elizabeth Horevitz (ehorevitz@berkeley.edu; 847-636-1603) Despite high lifetime risk for experiencing depressive disorder, Latinos disproportionately under-utilize mental health services as compared to non-Latino Whites, and are more likely to seek treatment for depression in primary care medical settings. Integrated behavioral health (IBH) in primary care is considered a promising service model for facilitating access to mental health care among Latinos. In particular, the "warm-handoff" referral wherein the medical provider introduces the patient to the behavioral health consultant at the time of referral has been touted as a culturally competent and effective way to improve Latinos utilization rates of behavioral health in IBH settings. Yet, while IBH and the medical home are explicit mandates of the Affordable Care Act (ACA), research has not addressed whether IBH and the warm-handoff facilitate entry into needed behavioral health services for Latinos. The specific aims of this mixed methods study are: (1) To identify specific sociodemographic and contextual factors in the referral processes that predict psychotherapy initiation (treatment "œuptake"•) for depressed Latinos within an existing IBH setting; (2) To qualitatively explore why Latino patients decide to follow-up or not with behavioral health treatment upon referral. To achieve Aim 1, predictor analysis was performed from medical records data to identify psychosocial and contextual factors contributing to follow-up to behavioral health within the context of IBH. To achieve Aim 2, qualitative semi-structured interviews examining subjective reasons behind the decision of whether to follow-up were conducted with a sub-sample of depressed Latino patients referred for IBH services. Results will be presented and discussion will follow on implications for how findings can help guide best-practices for improving behavioral health utilization rates for depressed Latinos in the context of the IBH service model, and in the wake of ACA and health care reform. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify psychosocial and contextual predictors of follow-up to behavioral health services among depressed Latinos.; 2) Discuss subjective pathways and barriers to follow up or not with behavioral health services for depressed Latinos in an integrated behavioral health setting; 3) Discuss the implications of study-findings for evidence-based practice with Latino populations.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Elizabeth Horevitz, ASW, PhD Candidate, University of California at Berkeley Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1292222 Submitted on 2/6/2012 10:52:40 AM "Our journey into integrated health care: How one social service agency opened a door to new possibilities" Primary Contact: Robert Marrs (robert.marrs@aurora.org; 414-345-4940) In 2001, a local community social service agency with over 120 years experience providing home and family-based services affiliated with one of the largest healthcare systems in the mid-west. During that time, Family Service developed and launched a number of different collaborative healthcare projects all with varying success. This includes medical family therapy and family coaching throughout the system. This presentation is designed to reflect back on the successes and failures of this journey, and to share the differences that really made the difference. The presenter will address system dynamics and politics, opportunities, project management strategies, and the models chosen for implementation. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will learn how to select appropriate partners for collaboration and how to develop those collaborations over time.; 2) Participants will learn how to identify opportunities within the healthcare system that can lead the way for meaningful integration.; 3) Participants will learn how to recognize potential barriers to successful collaboration.; 4) Participants will learn about two specific models of integration, one which is clinic-based and the other hopsital-based. Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Robert W. Marrs, MS, LMFT. AAMFT Approved Supervisor. Manager of Clinical Services for Aurora Family Service / Aurora Health Care System. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1301978 "Behavioral Health Assessment in Integrated Primary Care: Conventions, Alternatives, and the Mini International Neuropsychiatric Interview (MINI)" Primary Contact: Kevin McKay (kevin_mckay@brown.edu; 273-7100 x2199) Submitted on 2/9/2012 1:45:54 PM It is becoming increasingly common for primary care providers to integrate Behavioral Health Clinicians (BHCs) into their practices. In order to thrive in primary care settings, it is recommended that BHCs adapt their style of practice to the culture and operations of these settings. Various authors have offered clinical practice and practice management recommendations to BHCs working in these settings. However, there is much room for innovation and adaptation of these clinical practice and practice management recommendations. The overarching purpose of the current paper is to enhance the practice of integrated primary care by introducing an alternative approach to behavioral health assessment in these settings. In order to realize this goal we will first provide an overview of the current approach to assessment in integrated primary care and continue by examining the strengths and potential limitations to this approach. We then describe an alternative approach to assessment, introduce an existing assessment tool, examine the strengths and limitations thereof, and advocate for its use in integrated primary care settings. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to describe current approaches to behavioral health assessment in primary care as well as the associated strengths and limitations.; 2) At the conclusion of this presentation, the participant will be able to discuss the potential advantages and disadvantages associated with utilizing brief semi-structured clinical interviews in integrated primary care.; 3) At the conclusion of this presentation, the participant will understand the basics of administration/interpretation of the Mini International Neuropsychiatric Interview (MINI) and be able to cite the psychometric properties thereof.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Kevin M. McKay, Ph.D. Primary Care Behavioral Health Psychologist / Clinical Assistant Professor Providence VA Medical Center / Brown University, Alpert Medical School David R.M. Trotter, M.A. Brown University, Alpert Medical School Texas Tech University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1303207 Submitted on 2/9/2012 7:05:34 PM "The Screening for Depression in an Obstetrical Population in a Family Practice Setting" Primary Contact: Brita Reed (britareed@gmail.com; 8026493800) In the primary care setting, the role of care managers in the screening for depression in the population of individuals living with chronic physical illness has been described in the literature. In our practice, we applied these concepts to the obstetrical population and screened pregnant women during each trimester and postpartum for depression using the PHQ-9 administered by a graduate clinical psychology practicum students in the role of care manager. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the role of the care manager in the screening of an obstetrical population for depression.; 2) Understand the time demand and resources needed for the care manager to screen an obstetrical population for depression in a primary care setting.; 3) Understand the advantages of utilizing graduate clinical psychology practicum students in the role of care managers; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Brita Reed, MD, MTS Care Manager Barre Family Practice Barre, MA CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Names of Additional Presenters (if more than 5) No Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1305653 Submitted on 2/10/2012 6:26:27 PM "Encouraging Positive Outcomes with Difficult Clients: Using the Needs ABC Model" Primary Contact: Tom Caplan (tcaplan@sympatico.ca; 514-737-7208) This interactive workshop will address the application of the presenter's flexible and adaptive model's emotion-focussed, needsbased, approach for challenging clients. This model, known as Needs ABC (Needs Acquisition and Behavior Change), is distinguished by its emphasis on the unmet relational needs behind maladaptive behaviours and the emotions they predict, rather than the behaviours themselves. By virtue of this interpretive process the model helps to improve the therapeutic alliance and encourages client motivation. The Needs ABC integrated approach combines therapeutic approaches also described in cognitive-behavioral and motivational work, narrative therapies, and solution focused and emotion-focused treatments. At base, this approach rests on the belief that, once relational needs have been ascertained, as well as the emotions they predict, a collaborative plan for meeting them through effective relational problem-solving can be readily established, utilizing the most applicable aspects of the various above-named approaches in combination with a strictly client-focused agenda. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand how to promote a positive therapeutic relationship through the illumination of client relational needs.; 2) Understand how to help clients to access emotional states that are more functional for problem resolution.; 3) Understand intervention strategies that will support clients in the realization of their treatment goals.; 4) Understand treatment planning based on client relational needs and how to measure client progress. Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Tom Caplan Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1316696 Submitted on 2/16/2012 11:13:03 AM "Helping Children Sleep: A Behavioral Approach" Primary Contact: Melisa Moore (mooremel@email.chop.edu; 202-330-2793) It is estimated that sleep problems occur in about 30% of children, and research demonstrates that such problems do not typically go away on their own. Solid evidence shows that inadequate sleep relates to emotional, cognitive, behavioral, academic and family functioning, as well as public health concerns such as obesity. The proposed presentation would review normal sleep in children and the negative effects of poor sleep as well as discuss common behavioral sleep problems and their empirically supported behavioral treatments. Barriers to such treatments would also be addressed. The format, though primarily didactic, would include videos and case material. Objectives: At the conclusion of this presentation, the participant will be able to: 1) 1) Gain knowledge of normal sleep duration and patterns in children; 2) 2) Understand the importance of adequate sleep quantity and quality to child and family functioning; 3) 3) Recognize common behavioral sleep problems and related empirically supported treatments; 4) 4) Discuss frequent parent concerns about behavioral treatments Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Melisa Moore, PhD Psychologist, Sleep Center The Children's Hospital of Philadelphia Names of Additional Presenters (if more than 5) Comments: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1323859 Submitted on 2/20/2012 2:46:25 PM "A Vision of Hope: Using Patient Voices to Train Interdisciplinary Clinicians" Primary Contact: Jackie Williams Reade (jackwalyn@hotmail.com; 206-406-8683) There is growing interest among healthcare professionals in integrating palliative care principles and practices into the management of pediatric and adult chronic diseases. Palliative care is a collaborative model of care that integrates biopsychosocial-spiritual dimensions into the care of patients and family members living with life-threatening diseases including: management of physical, psychological, and spiritual pain and suffering; communication; decision making; and ethical issues. Unfortunately, the integration and implementation of this expansive view of palliative care is limited. In response to this, we conducted a research study designed to enhance the palliative care training of interdisciplinary professionals who care for adolescents with Duchenne Muscular Dystrophy (DMD). We developed several documentary videos based on interviews with patients, families, and clinicians. In this experiential, interactive workshop we will explore key elements of palliative care and its relevance to pediatric chronic diseases through two of the short films. We will also provide a review of the impact of our training using documentary films on the attitudes of interdisciplinary clinicians. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Explore the lived experiences and unmet needs of adolescents with Duchenne Muscular Dystrophy and their family members,; 2) Describe the impact of caring for these patients on family members and interdisciplinary team members, and; 3) Discuss opportunities for collaboration among patients, family members, clinicians and institutions to transform attitudes, practice paradigms, and educational curricula by integrating pediatric palliative principles from the time of diagnosis into routine care; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 Presenters: Jackie Williams Reade, PhD, LMFT Postdoctoral Fellow Johns Hopkins University Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: I could also shorten the presentation to 20 minutes by just showing one film. Thank you! Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1326447 "Promoting Integrated Care Sustainability in Colorado: The Pursuit of Policy Change to Support Behavioral Health Services in Primary Care" Primary Contact: Laurie Ivey (laurie.ivey@healthonecares.com; 3037883170) Submitted on 2/21/2012 1:53:15 PM This presentation will describe a project that focused on solving barriers to financial sustainability of the provision of behavioral health services in primary care. A team of behavioral health providers, two policy gurus, an actuary, and a project manager assembled an advisory board of stakeholders, gathered statewide data, and drafted a final set of recommendations for next steps toward sustainability. This presentation will teach attendees about conducting a similar project in their state. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Learn how to blueprint your own process for moving the financial sustainability of behavioral health in primary care forward in your own state.; 2) Learn how to assemble a working team and an advisory board that represents individuals who can impact policy in your state.; 3) Identify the process of data compilation and disseminating it to identified individuals and organizations who can make policy change at a state-wide level.; 4) Topic Areas: Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 7 Presenters: Randall Reitz, Ph.D. Director of Behavioral Science, St. Mary's Family Medicine Residency Cassidy Smith, MPH Public Policy Officer, The Colorado Health Foundation Benjamin Miller, Ph.D. Assistant Professor, Department of Family Medicine and Associate Director of Primary Care Outreach and Research, University of Colorado Depression Center , University of Colorado School of Medicine Marilyn Gaipa, LCSW, CACIII, MAC Care Solutions, LLC Steve Melek, FSA, MAAA Principal and Consulting Actuary, Milliman CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Names of Additional Presenters (if more than 5) Samantha Monson, Psy.D. Psychologist, Lowry Family Health Center Laurie C. Ivey, Psy.D. Director of Behavior Health, The Colorado Health Foundation & Swedish Family Medicine Residency Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1331258 Submitted on 2/23/2012 10:16:22 AM "Citizen Health Care: An Evolution in Engaging Families and Communities in Health" Primary Contact: Tai Mendenhall (mend0009@umn.edu; 612-624-3138) The Citizen Health Care Project has tackled a variety of health care concerns over the last 12 years, ranging from specific diseases like diabetes to broader community health. Core tenets driving these efforts engage families and communities as coproducers of health (vs. passive recipients of professional services). In this workshop, presenters will describe the evolution and key lessons learned within this work, alongside several examples of implementation in community settings. They will highlight projects both well-established (e.g., an initiative in a local American Indian community focused on diabetes and obesity) and recently mobilized (e.g., a new initiative facilitating patients to take responsibility for their own health care in relationship with a professional team). Key differences between the Citizen Health Care approach and other models of collaborative and community-based work will be described. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the core tenets and principles of the Citizen Health Care Model.; 2) Describe core action strategies for Citizen Health Care projects.; 3) Describe how Citizen Health Care has been applied across diverse community settings and mental health / physical health-related foci.; 4) Outline key differences between Citizen Health Care and other models of collaborative and community-based work. Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Tai J. Mendenhall, Ph.D., LMFT, CFT Assistant Professor and Coordinator of Behavioral Medicine Department of Family Medicine and Community Health University of Minnesota Medical School 717 Delaware St. SE, Suite 422 Minneapolis, MN 55414 William J. Doherty, Ph.D., LMFT, LP Professor & Director of UMN Citizen Professional Center Department of Family Social Science University of Minnesota 290 McNeal Hall; 1985 Buford Ave. St. Paul, MN 55108 Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1334835 Submitted on 2/24/2012 3:22:57 PM "White Coat, Blue Doctor: Taking a Look at Over Activated Clinicians" Primary Contact: Katherine Buck (buckk05@students.ecu.edu; (252)714-4949) Professional burnout is prevalent in both medical and behavioral healthcare providers, including trainees (Goebert, et al, 2009; Shanafelt, et al 2009; Rupert & Morgan, 2005). The signs and symptoms of burnout may cover many areas of a provider's life, including the inability to enjoy life, feeling as if routine activities are a chore, and general malaise. The presentation will address the three main components of burnout: emotional exhaustion, depersonalization, and low personal accomplishment (Maslaach, Jackson, & Leiter, 1996). Suggestions for understanding, measuring, and preventing burnout in physicians, nurses, behavioral health clinicians and the integrated care team (including trainees) will be presented and discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe burnout, including its signs and symptoms in medical and behavioral health trainees; 2) List the differences between stress and burnout, and how both impact providers; 3) Identify methods for assessing and treating burnout in one's own practice; 4) Describe ways in which medical providers and behavioral health providers can work together to reduce/prevent burnout in providers and trainees Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Dennis Russo, Ph.D., ABPP Head of Behavioral Medicine Department of Family Medicine, East Carolina University Clinical Professor, Departments of Family Medicine and Psychology, East Carolina University Katherine Buck, M.S., LMFT Doctoral Candidate, Clinical Health Psychology East Carolina University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1336890 "Factors Influencing the Implementation of Integrated Management of Childhood Ilness Strategy at Primary Health Care Facilities in District of Sindh, Pakistan" Primary Contact: Nousheen Pradhan (nousheen.pradhan@aku.edu; 0345-2849438) Submitted on 2/27/2012 12:45:30 AM To date more than 100 countries around the world have introduced Integrated Management of Childhood Illness (IMCI) strategy in their health system for reducing under five morbidities and mortalities. This study involved mix method design to explore factors influencing (supporting and constraining) the implementation of IMCI strategy at Matiari district in Pakistan. Findings evidenced negligent health system support towards the implementation of IMCI strategy. Background: Integrated Management of Childhood Illness (IMCI) is a comprehensive strategy launched by WHO and UNICEF for managing under five year old illness. IMCI implementation in countries evidenced more emphasis on trainings without adequately strengthening health system towards the implementation. Pakistan infant and under five mortality rates are higher in comparison with its neighboring countries, this aggravates the need for strategy implementation to reduce infant and under five mortalities in order to achieve millennium development goal four. However successful implementation can only be achieved if factors at health system level are explored and analyzed. Therefore this study aims to determine the factors influencing (constraining and supporting) implementation of IMCI strategy at public sector primary health care (PHC) facilities in Matiari district, Sindh, Pakistan. Methodology: The study involved concurrent mix method design. Qualitative part included in-depth interviews with provincial and district level stakeholders involved in IMCI implementation process and IMCI trained doctors posted at PHC facilities. Quantitative part involved PHC health facility survey, utilizing health facility survey checklist of WHO. Duration of the study was July 2009-Sep 2009. Findings: Study involved 16 interviews (8 stakeholders and 8 IMCI trained doctors) and surveyed 16 PHC facilities in the district (during survey, doctors were interviewed to fill health facility checklist). Findings from qualitative data evidenced that major factor supporting IMCI implementation was belief in the strategy by majority of the participants to treat under five illnesses and motivation of trained doctors to implement the strategy. Constrain factors included, lack of policy and planning initiatives for strategy implementation. Majority of trained doctors perceived increase time consultation of child due to IMCI and inadequate logistics and supplies. Findings obtained from survey also evidenced negligent health system support. For instance, only 4 (20%) out of 20 essential supplies were available in all PHC. Moreover, 12 (75%) out of 16 doctors viewed lack of transportation as a major factor concerning inefficient referral system. Conclusion: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Matiari being the first district in implementing IMCI strategy in Sindh Province lacked adequate health system support. Health department Sindh needs to streamline IMCI implementation in the district by assisting provincial and district health management in strategic direction in developing policy initiatives for IMCI implementation and strengthening the health system support to implement the strategy. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the factors supporting and constraining the implementation of IMCI strategy at public sector primary health care facilities in Matiari district, Pakistan; 2) Comprehend the desired health system support needed to implement the strategy; 3) Understand the role of provincial and district health government towards the implementation of the strategy; 4) List proposed health policy recommendations towards IMCI implementation at district level Topic Areas: Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Ms. Nousheen Akber Pradhan, Msc Health Policy and Management. Working as Instructor at Department of Community Health Sciences, Aga Khan University, Pakistan Names of Additional Presenters (if more than 5) no Comments: KIindly acknowledge the receipt of this proposal. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1346080 Submitted on 2/29/2012 11:02:42 PM "A Mindful Heart: Skills-Based Stress Management for Primary Care" Primary Contact: Stacy Ogbeide (stacy.ogbeide@gmail.com; stacy.ogbeide@gmail.) Hypertension is a common and reversible condition that is a risk factor for cardiovascular disease (CVD) and affects approximately 30% of the general U.S. population (National Health Statistics Reports [NHSR], 2011). Hypertension can also CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details lead to myocardial infarctions (MIs) and ultimately the development of CVD, which is the number one cause of mortality of men and women in the United States (NHSR, 2011). Because of the significant prevalence of this disease, it is important to treat this condition in primary care, also because other medical conditions are related to CVD (e.g., diabetes, obesity; Haas, 2004). There are numerous causes of CVD (e.g., biological) and many of the causes are related to psychological and lifestyle factors. This presentation will provide the following: an overview of coronary heart disease, psychosocial and lifestyle (behavioral) risk factors that can be modified, evidenced-based group treatment approaches, and a proposed group intervention for the primary care setting. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will gain knowledge regarding the impact of CVD on the U.S. healthcare system; 2) Participants will gain an understanding of evidenced-based group approaches for the management of hypertension in medical settings.; 3) Participants will be introduced to a proposed group intervention for the management of hypertension in a primary care setting.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Stacy A. Ogbeide, MS Doctoral Candidate Forest Institute Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1348430 "Reducing high-frequency use of emergency rooms for non-emergent purposes: A case study in a collaborative, community based model" Primary Contact: Robin Henderson (2500 NE Neff Rd; 541-706-2791) Submitted on 3/1/2012 6:51:16 PM St Charles Health System, in cooperation with the local Medicaid funder, community mental health programs and federally qualified health clinics, designed and implemented a very successful emergency department diversion project that focused on CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details building community wide plans of care to reconnect vulnerable, disenfranchised individuals with primary care homes throughout Central Oregon. This ongoing project grounded in three-part aim (better health, better care, lower cost) principles involved significant participation from primary care, emergency department personnel and behavioral health consultants to design care plans that consumers of services agreed would reduce non-emergent utilization of regional emergency departments. This successful project resulted in a 47% reduction in utilization within the first six months of intervention in the target population, and is now being replicated in other communities. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the essential components of successful community collaborators needed to implement emergency department diversion in a community.; 2) List the clinical, behavioral and socio-economic indicators common in populations that frequent emergency departments for non-emergent use.; 3) Discuss the importance of behavioral health personnel and interventions in the care of people with chronic physical health conditions, and how to improve primary medical home compliance through behavioral interventions.; 4) Describe the importance of addressing the social determinants of health and identify key mechanisms to do so in order to achieve the outcomes of the three-part aim: better health, better care and lower cost. Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Robin Henderson, PsyD, Acting Director, Central Oregon Health Council and Director, Behavioral Health Services, St Charles Health System Kristin Powers, LCSW, Manager, Health Integration Projects and Psychiatric Emergency Services, St Charles Health System Names of Additional Presenters (if more than 5) No Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1353176 Submitted on 3/5/2012 9:00:21 AM http://www.cfha.net/?page=CFPReview Proposal Details "Integrating Palliative Care into the 15 Minute Office Visit" Primary Contact: Reetu Grewal (reetu.grewal@jax.ufl.edu; 908 391 6562) Palliative medicine is an emerging field devoted to the care of patients suffering from life-threatening or life-limiting illness, with a focus on alleviating distressing symptoms and providing comfort. Primary care clinicians are uniquely suited to provide palliative care due to the lifelong relationships they have built with their patients. However, numerous challenges exist for primary care clinicians, including a lack of training, reimbursement, and the current model of delivering healthcare (i.e. the standard 15 minute office visit) does not lend itself to providing palliative care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand fundamental palliative care principles, and the role of primary care clinicians in providing this care.; 2) Identify appropriate palliative care patients.; 3) Learn how to overcome barriers to providing palliative care in a primary care setting; including utilizing effective patient centered communication, scheduling issues, identification of common medical/pharmacological issues, and reimbursement methods.; 4) Identify palliative medicine resources available to primary care clinicians. Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Reetu Grewal, MD, Assistant Professor Community Health and Family Medicine; University of Florida College of Medicine Jacksonville Anna Wright, MD, Associate Professor Community Health and Family Medicine; University of Florida College of Medicne Jacksonville Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. "Bringing Women's Health into Primary Care: Integrating OB-GYN into a Behaviorally Enhanced CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Proposal Details 1361385 Healthcare Home" http://www.cfha.net/?page=CFPReview Primary Contact: Parinda Khatri (parinda.khatri@cherokeehealth.com; 865-765-0304) Submitted on 3/7/2012 2:32:41 PM Access to specialized women's health services is a significant community and healthcare problem for the safety net population. Thousands of women die each year from cervical cancer, a preventable health problem, and thousands more go without needed preventive care. The complexity of behavioral health, social, and relational factors prominent in many women's health concerns have resulted in fragmented and diminished quality of care for many women, particularly for those who are uninsured and underserved. These factors prompted Cherokee Health Systems, an integrated community healthcare organization in which behavioral health is blended into primary care, to embed OB-GYN services within our integrated primary care clinic. The intent of this workshop is to provide an overview of implementation of OB-GYN services in primary care clinics in the Cherokee Health System. Specifically, the workshop will outline an integrated model of care for prevention and wellness, at-risk intervention, and treating behavioral health and substance abuse within women's health, including training of behavioral health and primary care providers, specialty care for alcohol and drug abuse during pregnancy, postpartum depression, and chronic pain. Lessons learned, operational issues, and financing options will also be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Provide a description of a model of behaviorally enhanced primary care home.; 2) Describe the rationale for embedding women's health into a behaviorally integrated primary care clinic.; 3) Provide an outline of a model of integrated women's healthcare in a safety net setting.; 4) Provide an overview for implementation, including training, operations, and financing strategies, of the model. Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Parinda Khatri, Ph.D. Director of Integrated Care Cherokee Health Systems Suzanne Bailey, PsyD Behavioral Health Consultant Cherokee Health Systems Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 http://www.cfha.net/?page=CFPReview Submission # Proposal Details 1365785 "Transitioning Gynecologic Surgery Department to Minimally Invasive Center of Excellence without Robotics" Primary Contact: Christopher Stanley (halifaxfellowship@mac.com; 386-453-3226) Submitted on 3/9/2012 9:52:57 AM Healthcare administrators are under significant pressure to reduce costs, increase revenue, and maximize patient satisfaction. Providing Minimally Invasive Gynecologic Surgery (MIGS) is one approach to these issues. Industry has focused on Robotics to foster this shift, but our department has achieved this trasformation to 90% MIGS and increased surgical volume by 50% with a surgical mentor/coach program at a fraction of the cost of a robot. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe benefits of Minimally Invasive Gynecologic Surgery (MIGS); 2) Discuss challenges of implementation of MIGS; 3) Discuss rationale for adoption of advanced laparoscopy rather than Robotics; 4) List steps to implement successful mentor/coach program Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Christopher J. Stanley, MD FACOG Medical Director Division of Minimally Invasive Gynecologic Surgery Florida Hospital Waterman Tavares, FL Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1374008 "Responding to Disaster and Trauma: Bridging Mental Health and Emergency Medicine" Primary Contact: Tai Mendenhall (mend0009@umn.edu; 612-624-3138) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/13/2012 2:41:29 PM http://www.cfha.net/?page=CFPReview Proposal Details This interactive workshop will highlight how mental health professionals work collaboratively with medical providers in the contexts of interdisciplinary disaster/trauma-response teams. The nature and conduct of this work will be described, along with common ethical challenges associated with inter-professional and interpersonal boundaries. Examples from fieldwork across small-scale (e.g., fatal accidents, murders) and large-scale incidents (e.g., natural and man-made disasters) will be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe with the nature, content, and conduct critical incident / trauma response fieldwork.; 2) Articulate key strategies for successful collaboration between mental health professionals and medical providers in critical incident / trauma response teams.; 3) Navigate common ethical challenges in trauma response teams associated with inter-professional boundaries (e.g., scope of practice, role flexibility and clarity).; 4) Navigate common ethical challenges associated with interpersonal boundaries and self care (e.g., compassion fatigue, supervisor-supervisee relationships). Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Tai J. Mendenhall, Ph.D., LMFT, CFT Co-coordinator of Behavioral Medicine Education University of Minnesota Medical School Family Medicine & Community Health Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1376135 "Post-Traumatic Stress Disorder and Medical Comorbidities: Screening and Intervention in Collaborative Care Settings" Primary Contact: Andrea Auxier (aauxier@alignedprogress.com; 720-255-8105) Submitted on 3/14/2012 9:47:50 AM Post-traumatic stress disorder (PTSD) has been linked to deleterious health outcomes, chronic medical conditions, chronic pain, increased health risk behaviors, higher rates of medical utilization, and excessive health care costs. Despite its prevalence and CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details impact, detection of PTSD in primary care is poor, leading to misaligned and often minimally effective healthcare services. This presentation will include data from two large primary care practices to underscore the association between PTSD and multiple medical comorbidities, support the case for PTSD screening in primary care, and describe feasible intervention strategies within a collaborative care treatment model. Protocols for and barriers to implementation of PTSD screening and primary care based intervention will be addressed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) a) List reasons for PTSD screening in primary care; 2) b) Describe various ways a PTSD screening procedure could be implemented; 3) c) Discuss how health information technology can be utilized to conduct practice-based assessment; 4) d) Describe what and how interventions for PTSD can be implemented in collaborative care settings Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Andrea Auxier, PhD Christine Runyan, PhD, ABPP Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1383816 Submitted on 3/16/2012 3:58:16 PM "Strategies for the New BHC: Growing Pains and Lessons Learned" Primary Contact: Sara Propst (sara.propst@cherokeehealth.com; 865-573-0698) Being a new behavioral provider in the midst of the medical primary care team can be simultaneously exhilarating and overwhelming. This presentation will focus on practical strategies for a smooth integration of a behavioral provider into a primary care medical clinic. Two recently placed Behavioral Health Consultants from Cherokee Health Systems, a comprehensive primary and behavioral healthcare safety net organization in east Tennessee, will present on their experiences CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details the first year as embedded behaviorists in newly integrated primary care settings, including pediatric, women's health, and family practice clinics. Specifically, this presentation will focus on the key elements of blending behavioral health into medical services in a range of settings and collaborative roles. The presentation will provide an opportunity to take advantage of learning vicariously through a discussion about the successes and setbacks of new BHC's in both rural and inner-city settings. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List key steps for integrating BHC services into the medical culture.; 2) Discuss the importance of building relationships with medical providers and ways to facilitate this process.; 3) List strategies for increasing BHC utilization by medical providers.; 4) Identify efficient practice management strategies for a BHC working in various types of medical clinics. Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Sara Loudermilk Propst, PhD Behavioral Health Consultant Cherokee Health Systems Jean Cobb, PhD Behavioral Health Consultant Cherokee Health Systems Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1384939 Submitted on 3/17/2012 7:57:39 PM "Acceptance and Commitment Therapy Training for Providers in Primary Care" Primary Contact: Jodi Polaha (polaha@etsu.edu; 423-946-0444) ACT has an evolving evidence base, and has been demonstrated to have utility in primary care for both medical and behavioral health providers (Robinson, Gould, & Strosahl, 2010); however there is little training in this model for this use. This presentation will provide a brief overview of ACT, followed by a short description of a course designed to teach master's level therapists to use ACT in brief (20-30 min) primary care based treatment. The focus of the presentation will be to describe the CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details essential tasks in learning ACT for use in primary care with examples (video clips of therapists with standard patients). The talk will maintain an eye toward a broad audience (medical and mental health) interested in 1) getting a sense of what ACT is and how it is relevant to the wide range of concerns in primary care, 2) learning how to train themselves or others in this model. Next-step resources for further learning/training in this area will be provided. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will be able to describe the essential elements of Acceptance and Commitment Therapy.; 2) Participants will be able to discuss how ACT has utility in a primary care setting.; 3) Participants will be able to describe the primary factors in training others/getting training to conduct ACT in primary care.; 4) Participants will be knowledgeable about resources for getting training in ACT. Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Jodi Polaha, Ph.D.; Associate Professor, East Tennessee State University Names of Additional Presenters (if more than 5) Comments: If 20 min, I will not incorporate illustrative video footage of trainees demonstrating ACT consistent treatment with a standardized primary care patient. I will also have less time to explain how primary care providers might engage this material and stic Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1384956 Submitted on 3/17/2012 8:28:37 PM "Stigma as a Barrier to Mental Health Care for Parents in Rural Appalachia: Can Integrated Care Help?" Primary Contact: Jodi Polaha (polaha@etsu.edu; 423-946-0444) This presentation will present results from an empirical study examining: 1) rural parents' perceived stigma about mental health services for their children, and 2) the relationship between stigma and willingness to access traditional versus "œinnovative"• services including integrated care. Over 2,500 parents were screened in primary care waiting rooms around rural Appalachia to yield a sample of 347 parents who had concerns regarding their child's behavior, development, or emotional well-being. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Results showed participants slightly disagreed that accessing services for their child would be stigmatizing; however, for more rural parents, greater stigma was associated with less willingness to get services in a private practice mental health setting or community mental health. Parents expressed the most willingness to get services in primary care, and identified these physicians as the most often-sought professional for help with psychosocial concerns for their child. More complex models of stigma and service-seeking will be discussed, taking other barriers to care into account. As well, future directions for evaluating the translation of evidence based treatments to primary care settings will be described. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will be able to describe what is known about stigma as a barrier to getting mental health service in rural populations.; 2) Participants will be able to discuss recent findings regarding rural parents' perceptions of stigma around getting mental health services for their children.; 3) Participants will be able to discuss future directions for examining how various service delivery mechanisms function to facilitate dissemination and implementation of evidence based treatments in "real world" settings such as primary care.; 4) Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 Presenters: Jodi Polaha, Ph.D.; Associate Professor, East Tennessee State University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1385512 Submitted on 3/18/2012 5:26:06 PM "Advanced Ethics Case Conference: A Family Systems Perspective" Primary Contact: Kenneth Phelps (kenneth.phelps@uscmed.sc.edu; (803) 434-4221) As systems of care progress from co-located to integrated, ethical issues are expected (especially when involving multiple family members). Presenters will use engaging case examples derived from real life practice(s) to highlight and discuss common ethical scenarios. Topics covered will include safety concerns, confidentiality, and documentation. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify ethical challenges when working with systemic issues in primary care; 2) Critically examine issues of documentation and confidentiality when collaborating; 3) Consider custody and protective issues when working with children and families; 4) Explore ways to provide integrated care in our treatment of the whole family, while maintaining ethical patient to staff and provider relationships. Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 5 Presenters: Kenneth Phelps, Ph.D., Assistant Clinical Professor, Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine Tai Mendenhall, Ph.D., Assistant Professor and Coordinator of Behavioral Health, Department of Family Medicine and Community Health, University of Minnesota Medical School Keeley Pratt, Ph.D., Post-doctoral Fellow in Personalized Medicine: Obesity Signature Program, RTI International Jennifer Hodgson, Ph.D., Associate Professor in the Department of Child Development and Family Relations and Department of Family Medicine, East Carolina University Angela Lamson, Ph.D., Associate Professor in the Department of Child Development and Family Relations, East Carolina University Names of Additional Presenters (if more than 5) No Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1388086 "Accountable Care versus Treatment of Mental Disorders: Can Healthcare Reform Provide a Solution to the Problem of the DSM?" Primary Contact: Robert McGrath (mcgrath@fdu.edu; 2016922445) Submitted on CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 3/19/2012 4:25:23 PM http://www.cfha.net/?page=CFPReview Proposal Details This is a conceptual piece intended to consider the implications of health care reform for rethinking the domain of mental and behavioral interventions. Criticisms of the DSM-5 highlight concerns about the limitations of a diagnostic system for mental disorders as a basis for psychosocial interventions. For example, DSM-5 has been simultaneously criticized for potentially pathologizing normal suffering when criteria are made more liberal, and for potentially resulting in loss of valuable services when criteria are made more stringent. In this presentation, the argument will be made that the goals for an accountable care organization"”cost containment through improved quality of care"”can provide the context for an alternative model of treatment in which service is provided when there is a demonstrable cost-benefit advantage resulting from the intervention. The implications of this alternative approach for conceptualizing psychosocial interventions, the structure of integrated care environments, and other issues will be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will develop a better understanding of the limitations of medical diagnosis as a basis for psychosocial interventions.; 2) Participants will develop a better understanding of accountable care as a basis for psychosocial interventions.; 3) Participants will develop a better understanding of the central role of stepped care algorithms in the future of psychosocial interventions; 4) Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Robert E. McGrath, Ph.D., Professor of Psychology, Fairleigh Dickinson University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1388512 Submitted on "Training the 21st Century Psychiatrist for the Patient Centered Medical Home" Primary Contact: Alex Reed (alex.reed@fmridaho.org; 208-954-8717) The University of Washington Psychiatry Residency integrates psychiatry training into primary care and other medical specialty CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 3/19/2012 6:59:46 PM http://www.cfha.net/?page=CFPReview Proposal Details clinics. The Idaho/UW Advanced Clinician Track, a regional track of UW, trains PGY-3 and PGY-4 psychiatry residents to provide care, teach and collaborate in a Teaching Health Center (THC), which houses a family medicine residency training program. In this workshop, we will review our program and several specific rotations, including the Psychiatric Assessment Clinic (PAC),the Wellness Behavior Clinic (WBC), and the Continuity Care Clinic. Our models emerged from behavioral health brainstorming sessions and suit our community's need for "front line" psychiatric services. These rotations are designed to strengthen the psychiatry resident's ability to collaborate with primary care clinicians in the THC environment, to provide appropriate psychiatric interventions, and to learn behavioral techniques for enhancing mental and physical health. Furthermore, these experiences integrate psychiatry and family medicine resident training. For medical specialties to collaborate in a meaningful way, they must develop mutual trust. Designated, integrated clinic time allows residents of both specialties to understand each other's viewpoint and value. We will review the rotations in detail and also provide feedback from residents who have trained in this model. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand the rationale and forces driving integrated health care.; 2) Develop experiences to help residents learn, teach and provide psychiatric care in the primary care setting.; 3) Explore the challenges and benefits of educating today's trainees for the integrated care practice of tomorrow.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Alex J. Reed, PsyD, MPH Director of Behavioral Science, Mental Health and Research Family Medicine Residency of Idaho Jeralyn Jones, MD Director, Idaho UW Advanced Clinician Track Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine MD, Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 http://www.cfha.net/?page=CFPReview Submission # Proposal Details 1388598 "Building and Sustaining the Primary Care Behavioral Health Workforce: A Practice-Based Training Model" Primary Contact: Natalie Levkvich (natlev@healthfederation.org; 215-567-8001) Submitted on 3/19/2012 8:08:02 PM This presentation will provide a full description of a unique practice-based training strategy that is fully integrated with the development and implementation of primary care behavioral health community practice. Starting at the very beginning of clinical program development, our organization began the parallel process of building its training program. Curriculum content and pace were driven by and for the practitioners who were beginning to deliver integrated care at area FQHCs using the behavioral health consultation model. Just as the patient care is delivered in a step-wise fashion, so the development of the program proceeded in stages. The presentation covers the program history, content and structure and explains its benefits for workforce preparation as well as ongoing development of professional/clinical skills, leadership, faculty skills, and professional identify; opportunities for reflection on process and practice habits; and maintenance of fidelity to the BHC model. Information will be shared about the modules, tools, technologies and faculty resources that are utilized by the training program as well as its future aspirations. An argument will be made that academic education and certificate programs are necessary but not sufficient to fully support the emerging collaborative care workforce and that ongoing practice based strategies for professional development and reinforcement are necessary. The presenters will also share data regarding BHCs' satisfaction with and reflections on the perceived value derived from participation in the training program. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the core components and strategies of the practice-based training program; 2) Distinguish between academic and practice-based training and their respective roles; 3) Identify the benefits of long-term participation in a practice-based training program; 4) Describe evaluation results based on surveys conducted with participants in the training program Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Natalie Levkovich, CEO, Health Federation of Philadelphia Suzanne Daub, LCSW, Director of Behavioral Health, Delaware Valley Community Health Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1391447 Submitted on 3/20/2012 8:43:08 PM "Let's Talk About Sex: Addressing Sexual Health using Integrated Care" Primary Contact: Kenneth Phelps (kenneth.phelps@uscmed.sc.edu; (803) 434-4221) Patients with sexual problems are likely to first seek care within primary care. Analogous to mental health, stigma often prevents patients from opening the dialogue about sexual health. Presenters will discuss how the integrated care model aids with effective screening and treatment comparable to treatment as usual. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify common sexual dysfunctions in primary care.; 2) Examine the advantages of integrated care in treating sexual problems.; 3) Consider the benefits of collaborative, biopsychosocial, and systemic assessments.; 4) Explore evidence-based treatments through a brief overview and case example. Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Kenneth Phelps, Ph.D., LMFT; Assistant Clinical Professor, Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine Tina Schermer Sellers, MS, LMFT; Director, Medical Family Therapy Program, Department Marriage and Family Therapy, Seattle Pacific University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1391538 Submitted on 3/20/2012 10:00:57 PM http://www.cfha.net/?page=CFPReview Proposal Details "Success in the IC Setting: Strategies for Team-Based Wellness" Primary Contact: Jennifer Hodgson (hodgsonj@ecu.edu; 252-258-4224) This workshop will cover the fundamentals of sustaining healthy workplace dynamics in an integrated care setting. Integrated care teams need relational leaders who not only have an integrated vision but who are acutely aware of the systemic challenges of managing complex patient panels in transdisciplinary workplace environments. Presenters will share a developing curriculum that is designed to help maintain the relational well-being between the staff and providers and reduce tensions in the workplace. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Discuss the long term challenges of providing care for a complex patient panel in a FQHC setting.; 2) Describe a theory of relational leadership and systemic dynamics; 3) Describe common workplace dynamics that can lead to a decrease in productivity and provider well-being; 4) Gain knowledge about the use of intentional relational strategies to help build sustainable integrated care teams Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Jennifer Hodgson, PhD, Professor, East Carolina University, Departments of Child Development and Family Relations and Family Medicine Angela Lamson, PhD, Professor, East Carolina University, Department of Child Development and Family Relations Doug Smith, CEO, Greene County Healthcare Inc Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1392996 "Developing a Systemic Collaborative Approach for Managing Poorly Controlled Type 1 DiabetesConversations with Teens, their Families and Providers"•" CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/21/2012 1:54:37 PM http://www.cfha.net/?page=CFPReview Proposal Details Primary Contact: Harold Starkman (harold.starkman@atlantichealth.org; 973-971-4340) Minimizing risk for acute and long term complications in adolescents with type 1 diabetes requires optimal blood sugar management. A small, but significant number of teens have chronically elevated blood sugars, and are at significant risk for hospitalizations, complications and shortened life span. Effective management of these adolescents often eludes and frustrates both families and their health care team, leading to ecscalating cycles of negative interactions. The family Focused High Risk Intervention Project was established at the Goryeb Children's Hospital in Morristown, New Jersey in 2007 to better understand the challenges and strengths of these teens, their families and health care providers. This original presentation will present the project's findings, focusing on the need for and ways to create more effective collaborative relationships among adolescents with diabetes, their families and medical and mental health providers. Application of this model for improved managment of other chronic medical illnesses will be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) To review barriers and challenges that effect management of adolescents with poorly controlled type 1 diabetes from an integrated systemic perspective.; 2) To explore how relationships between diabetic adolescents, their families and healthcare team affect home diabetes management.; 3) To present a new collaborative model for adolescent diabetes care which may have implications for improved management of other chronic medicall disorders.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Harold Starkman MD Gloria Lopez-Henriquez LCSW Nicole Pilek LCSW Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 http://www.cfha.net/?page=CFPReview Submission # Proposal Details 1398580 "Disseminating Substance Use and Depression in Primary Care through Multi-State Partnerships, Regional Training and Implementation, and Community Engagement" Primary Contact: Robert Ferguson (ferguson@jhf.org; 412-586-6713) Submitted on 3/23/2012 2:47:57 PM The AHRQ-funded consortium of PRHI, ICSI, WIPHL, WCHQ, and NRHI called Partners in Integrated Care built toolkits for practice recruitment, stakeholder engagement/public policy, HIT, and training/implementation to rapidly disseminate a combined, evidence-based model of DIAMOND/IMPACT and SBIRT for depression and substance use in primary care across multiple states. As of March 2012, 40 primary care sites are implementing the model across MN, WI, and PA, with the aim of fully implementing in 50 to 90 primary care sites. In southwestern and central Pennsylvania, PRHI convened stakeholders, including consumer groups, to advance regional public policy and provided training, coaching, and adaptive leadership support to breakthrough organizational and implementation issues. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe examples of how health plans can incentivize primary care offices to implement integrated physical and behavioral health models that have demonstrated the Triple Aim.; 2) Describe workflows and processes of the integrated models.; 3) Discuss how to efficiently support primary care centers to implement evidence-based care delivery models that require numerous organizational and implementation issues to be overcome, including leadership, workflow re-design, new team roles, and new billing and HIT processes.; 4) Explain examples of how to involve consumers in the implementation process to increase the effectiveness of the integrated model. Topic Areas: Consumer/patient engagement|Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Mark D. Valenti Project Manager Pittsburgh Regional Health Initiative Robert Ferguson Program Associate Jewish Healthcare Foundation Names of Additional Presenters (if more than 5) Comments: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1398779 Submitted on 3/23/2012 3:59:49 PM "Building Leadership Skills for Change Management in Your Practice" Primary Contact: Jeri Hepworth (jhepwort@stfranciscare.org; 8607146526) Abstract Leadership isn't about title, but is about behavior, intention, and empowering others. With enormous change in our collaborative practices, training programs, medical centers, and departments comes opportunity for Behavioral Health providers, psychotherapists, physicians, nurses, and other members of the healthcare team to increase their participation and leadership. Whether you are interested in practice transformation, educational innovations, or assuming a new formal leadership position, change management skills are necessary .This interactive workshop will elucidate the change management skills you already use, and those you want to develop as we move through this period of rapid change in healthcare delivery and professional training. Description of Session: This experiential workshop aims to take Collaborative Care Professionals of all stripes to new consciousness about the importance of leadership in advancing the mission of integrated care. The presenters will focus on the identification of change management skills to help collaborative care professionals position themselves as leaders within their professional homes. Through exercises that can be adapted in home contexts, we will build attendees' confidence as well as secure commitments by those in attendance to provide leadership for upcoming changes such as PCMH initiatives, and integrating Behavioral Health into family medicine centers or FQHCs. Learning Objectives: Participants will: Be able to identify effective leadership skills for change management and recognize how they are related to existing skills of collaborative care professionals Be able to identify a range of individual, program and departmental leadership opportunities that will benefit from their involvement as collaborative care professionals Create a Personal Action Plan to increase change management activities in their home settings Select a peer leadership coach in the workshop with whom you want to touch base at some regular times over the year re your skill development. Experience leadership exercises that can be adapted for their own settings. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will be able to identify effective leadership skills for change management and recognize how they are related to existing skills of collaborative care professionals; 2) Participants will be able to identify a range of individual, program and departmental leadership opportunities that will benefit from their involvement as collaborative care professionals; 3) Participants will create a Personal Action Plan to increase change management activities in their home settings; 4) Participants will experience leadership exercises that can be adapted for their own settings. Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Jeri Hepworth, PhD Professor and Vice-Chair, Family Medicine University of COnnecticut School of Medicinet Susan McDaniel, Ph.D., Dr Laurie Sands Distinguished Professor of Families and Health Uniersity of ROchester Medicine and Dentistry Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1398892 "The Behavioral Health Consultant: Defining the value, working conditions, training requirements and professional boundaries of the newest member of the primary care medical home" Primary Contact: Neftali Serrano (nefserrano@me.com; 608-556-1027) Submitted on 3/23/2012 4:28:23 PM The Behavioral Health Consultant role is increasingly prevalent in medical home settings necessitating definition and some standardization of how Behavioral Health Consultants are paid, what are optimal working conditions, what training is provided or expected and what role definitions are suitable. The presenters will present their vision for optimal parameters but will not seek to answer the questions definitively. Rather the session will engage the audience in facilitated discussion on the key issues involved with the hopes of moving this increasingly important policy and workforce development conversation forward. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the key issues which remain undefined in developing the role of the Behavioral Health Consultant as a member of the primary care medical home team; 2) Identify the workforce development needs which are needed to sustain a suitably trained workforce and a role which is attractive for mental health professionals; 3) Understand the historical development of the Behavioral Health Consultant role in comparison to other healthcare specialties; 4) Topic Areas: Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Neftali Serrano, PsyD, Director of Primary Care Behavioral Health, Access Community Health Centers M. Hunter Hansen, PsyD, Medical Psychologist, Southeast Community Health Systems Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1400091 Submitted on 3/25/2012 9:52:40 AM "What Family Caregiving Research Tells Us About Collaborating with Family Members" Primary Contact: Barry Jacobs (barryjacobs4@comcast.net; 610-690-4498) Description: There is no more extensive body of research extant on families and illness than that on America's 65 million family caregivers. Over the past 25 years, researchers in medicine, psychology, nursing and social work have focused on three primary areas of inquiry: They have established conclusively that family caregivers experience higher rates of morbidity and mortality due to their caregiving activities. They have identified the key components of family caregiver support programs to reduce the deleterious effects of family caregiving on family caregivers. And they have begun to demonstrate that supporting family caregivers and involving them in healthcare decision-making improves patients' clinical outcomes. What are the implications of the findings in this last focal area for collaborative healthcare? In the minds of leaders of some of the major family caregiver advocacy organizations, they believe that family caregivers should be embraced as full-fledged members of the emerging healthcare team by including family caregiver information in patient medical records, recognizing family members' crucial roles in patient care transitions, and using patient and family portals and other means to increase communication among family and healthcare team members. Many of the currently popular collaborative care models, however, make little provision for integrating family members into the treatment team. In this workshop, a long-time clinician, educator and writer in the family caregiving field will provide an overview of the family caregiver research to underscore the importance of collaborating with patients' family members and to suggest specific ways of incorporating family members into the collaborative team to improve clinical outcomes and decrease healthcare expenditures. On the basis of the research findings, he will make this case for specialized collaborative programs, including those for dementia or super-utilizer patients, but will also for collaborative patient- and family-centered primary care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) 1) Review the extensive research on family caregivers, particularly on caregiver morbidity and mortality, the efficacy of family caregiver support programs, and the impact of family caregivers on patients' clinical outcomes.; 2) 2) Identify the specific ideas being generated by leaders within the CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details family caregiving movement for incorporating family caregivers into the collaborative healthcare team.; 3) 3) Discuss the implications of caregiver research for effectively utilizing family caregivers as resources and change agents on the collaborative healthcare team.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Presenter: Barry J. Jacobs, Psy.D., Director of Behavioral Sciences, Crozer-Keystone Family Medicine Residency Program, Springfield, PA Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1400161 "Implementing Brenner's Collaborative Super-Utilizer Model: Two Case Illustrations of Cost Savings and Improved Clinical Outcomes" Primary Contact: Barry Jacobs (barryjacobs4@comcast.net; 610-690-4498) Submitted on 3/25/2012 11:41:27 AM Given the interest among politicians and policy-makers today in reducing our nation's healthcare costs, it is little wonder that the "œsuper-utililzer"• collaborative model, devised and implemented over the past 10 years by Camden-NJ-based family physician Jeffrey Brenner, MD, has attracted widespread attention, including a lengthy 2011 profile in The New Yorker magazine. Dr. Brenner's model"”as he described it during the opening plenary session at the Collaborative Family Healthcare Association conference in Philadelphia in 2011"”entails extensive analysis of medical records in a community or health system in order to identify those biomedically and psychosocially complex patients who are the highest utilizers of hospitals and emergency rooms. Dr. Brenner then assigns collaborative teams--including physicians, nurses, behavioral health specialists, social workers and health educators"”to improve the clinical status of those patients and decrease re-hospitalization and ER admission rates. His teams have produced substantial cost savings for the Medicaid system in Camden and other areas of New Jersey. His model has been disseminated through the Family Medicine Education Consortium (FMEC) to about a dozen family CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details medicine residency programs throughout the northeastern United States. As part of the FMEC dissemination of the superutilizer model, the Crozer-Keystone Family Medicine Residency Program in Springfield, PA in suburban Philadelphia has identified the 10 highest utilizers among its two patient-centered medical homes/primary care practices and has developed collaborative approaches to improving their clinical outcomes and lowering their hospital and ER re-admission rates. In this workshop, several members of the collaborative team"”including a psychologist, two family physicians (who will be the nation's first post-doctoral Super-Utilizer Fellows during 2012-2013), and a clinical pharmacist"”will illustrate the success of this implementation by describing two dramatic case studies"”one of a patient with congestive heart failure who was rehospitalized 13 times in a 12-month period; the other of a somaticizing patient with pseudo-neurological symptoms who had over 100 ER visits and 100 head CT scans during a 15-year-period. In each case, the collaborative team was able to greatly reduce utilization rates and produce significant cost-savings for the healthcare system. This workshop will discuss the specific elements of a successful super-utilizer implementation and reflect on professionals' experiences analyzing healthcare data and working on intensely-focused collaborative super-utilizer teams. It will also describe training practitioners in super-utilizer methodologies through internship, residency and fellowship experiences. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the Brenner Collaborative SuperUtilizer Model using research data to demonstrate its efficacy for improving clinical outcomes and greatly reducing healthcare costs; 2) Illustrate a successful collaborative super-utilizer model implementation through presentations of two case studies of interventions with complex, super-utilizer patients.; 3) Identify key operational and training components for creating effective collaborative super-utilizer teams.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 4 Presenters: Barry J. Jacobs, Psy.D., Director of Behavioral Sciences, Crozer-Keystone Family Medicine Residency Program, Springfield, PA Steven Sluck, DO, currently a third-year family medicine resident, Crozer-Keystone Family Medicine Residency Program, Springfield, PA; during 2012-2013, he will be a Super-Utilizer Fellow, Camden Consortium of Healthcare Providers/Cooper Health System/Cro Donna Peterson, PharmD, Clnical Pharmacist, Crozer-Keystone Family Medicine Residency Program, Springfield,, PA Stephanie Maruca Watkins, DO, currently a third-year family medicine resident, Crozer-Keystone Family Medicine CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Residency Program, Springfield, PA; during 2012-2013, she will be Super-Utilizer Fellow, Camden Consortium of Healthcare Providers/Cooper Health Names of Additional Presenters (if more than 5) Comments: We believe that the super-utilizer approach represents the high ground of collaborative care with enormous potential for cost savings for the healthcare system. We would prefer a 90-minute slot to do justice to the model and the two impressive cases we'd Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1400216 Submitted on 3/25/2012 1:22:11 PM "Developing Regional Initiatives to Promote Integrated Care, Share Knowledge, and Influence Policy" Primary Contact: Cathy Hudgins (cmhudgins@radford.edu; 540-998-2291) This presentation will introduce how regionally-organized initiatives may promote and further integrated care systems, build partnerships, increase access to care, and influence policy. Presenters will discuss current regional activities, including consultant teams, concerted lobbying efforts, collaborations and trainings through state and local agencies and organizations, grant projects, certificate programs, and academic training programs. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Introduce regional initiatives related to integrated care in which the presenters are currently involved.; 2) Discuss the benefits of organizing regional initiatives for funding, expanding, training, and promoting integrated care systems.; 3) Discuss how regional divisions may be defined.; 4) Invite participants to join further discussions on developing regional divisions across the country. Topic Areas: Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Cathy M. Hudgins, Ph.D., LPC, LMFT -- Assistant Professor/Director of the Radford University Center for Integrated Care Training and Research William Gunn, Ph.D. -- Director of Primary Care Behavioral Health, NH-Dartmouth Family Practice Residency CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Program "“ Concord Hospital, Concord, NH Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1401105 "The Next Frontier of Integrated Healthcare: Using Data and Txt4Health Technology to Improve Clients' Physical and Behavioral Health" Primary Contact: Diana McIntosh (dianam@hamilton.mhrsb.state.oh.us; 513-946-8603) Submitted on 3/26/2012 8:53:03 AM This presentation will give a brief overview of effective county-wide partnerships and integrated care models in medical and behavioral healthcare. This will be followed by a discussion of a local demonstration project that targets adults who have diabetes and severe mental illnesses and uses a technological intervention, Txt4Health. Txt4health is a mobile health information service designed to help people understand their risk for type 2 diabetes and become better informed about the steps they can take to lead healthy lives. To conclude, quality improvement strategies, consumer healthcare outcomes and consumer and provider responses to using Txt4Health will be reviewed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to: Describe effective partnerships that promote integrated medical and behavioral healthcare models; 2) Discuss Txt4Health as a viable technological intervention to improve healthcare; 3) List quality improvement strategies and consumer outcomes; 4) Identify consumer and provider responses to Txt4Health. Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 4 Presenters: Diana McIntosh PhD., APRN, BC Vice President, Clinical Services Hamilton County Mental Health and Recovery Services Board Cincinnati, OH Janice Bogner LISW Senior Program Officer - Severe Mental Illness The Health Foundation of Greater Cincinnati CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Cincinnati, OH Ronda Christopher M.Ed., OTR/L, LNHA Director of Quality Improvement and Practice Transformation The Health Collaborative Cincinnati, OH Shana Trent MSW, LSW HealthCare Connection Cincinnati, OH Names of Additional Presenters (if more than 5) none Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1401562 Submitted on 3/26/2012 10:50:40 AM "Increasing Access to Behavioral Health in Rural Areas; Creativity and Telemedicine" Primary Contact: Mary Clare Champion (maryclarechampion@comcast.net; 615-438-4567) The patients at Three Rivers Community Health Center, which is located in a rural area in between Nashville and Memphis, TN, are served by on-site medical providers as well as collaborating behavioral health providers from partnering organizations. Behavioral health providers see patients in person as well as through the telemedicine system. Presenters will describe a model of interdisciplinary and inter-organizational collaboration which has increased availability for various behavioral health consultative and treatment services to patients in this rural and underserved area in Middle Tennessee. Presenters will discuss patient care models as well as ideas for finding care partnerships in rural and underserved areas. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will learn about using telemedicine to enhance treatment available at their clinic sites.; 2) Participants will learn to stretch their understanding of building their work force for behavioral health needs.; 3) Participants will be encouraged to consider professional alliances which will expand treatment options for their patients.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Mary Clare Champion, Ph.D. Clinical Psychologist, Behavioral Health Consultant Cherokee Health Systems Jennifer Correll, MA, LPC Telemedicine Coordinator Southern Appalachian Telebehavioral Health Clinic East Tennessee State University Phillip Tatum, APRN CEO, Three Rivers Community Health Center Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1402828 Submitted on 3/26/2012 3:26:08 PM "Benefits of a Behavioral Health Chronic Pain Support Group within the Primary Care Setting" Primary Contact: Daubney Harper (daubney.harper@gmail.com; 512-923-0656) This presentation includes a rationale for having a behavioral health chronic pain support group available in primary care clinics as well as a brief overview of possible group structure and implementation based on three Chronic Pain Support Groups offered in a Primary Care clinic from the Denver Metropolitan area. Objectives: At the conclusion of this presentation, the participant will be able to: 1) The participant will be able to identify benefits of running this group in primary care clinics.; 2) Identify helpful format and core subjects to be addressed in this group.; 3) Discuss strategies for implementation.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 2 Presenters: Daubney M. Harper, M.A. (Ph.D. to be awarded 8/12) Eric Neumaier, M.A. (Ph.D. to be awarded in 8/12) Names of Additional Presenters (if more than 5) Comments: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1402861 Submitted on 3/26/2012 3:36:17 PM "Barriers and Recommendations for Integrated Care with Native American Populations" Primary Contact: Melissa Lewis (melissa.e.lewis@gmail.com; 4803297505) There are over 566 distinct tribes and 3.4 million persons who identify as American Indian/Alaskan Native (AI/AN) in the United States, yet many medical providers have little training in working with this population. There is a high prevalence of comorbidity of medical, mental, and substance abuse issues among AI/ANs, however there is a lack of collaborative care with this population despite evidence of its success in reducing negative health outcomes. In order to effectively treat indigenous clients, health providers must familiarize themselves with the historical traumas and perpetuated stereotypes that have contributed to these health issues and utilize a collaborative model to provide systemic treatment. Through collaborative learning and self-of-provider reflection, health professionals can work towards culturally humble, biopsychosocial work in AI/AN communities. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will gain knowledge about the historical and sociopolitical context of AI families and communities.; 2) Participants will learn the current state of integrated care in AI communities, including the models that have already been implemented.; 3) Participants will gain an understanding of the barriers to successful integrated care intervention in AI communities.; 4) Participants will learn how to utilize a decolonizing perspectives for treating AI families through which they can privilege Indigenous ways of knowing in integrated care settings to decrease health disparities in Native populations. Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Melissa Lewis, PhdDc, Doctoral student, East Carolina University Laurelle Myhra, PhdDc, Doctoral student, University of Minnesota Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1403388 Submitted on 3/26/2012 5:33:49 PM "Collaborative Behavioral Healthcare in Skilled Nursing Homes" Primary Contact: Ashley Powell (ashley.e.powell@asu.edu; 480-239-0049) As the American population ages, there is an increasing need to establish quality collaborative healthcare for specialty medical facilities (Gibson et al., 2011). Research has indicated that between 60-90% of residents in long-term care facilities would benefit from mental health care (Maramatsu & Goebert, 2010), however, there is a paucity of research examining the prevalence of depression and anxiety in skilled nursing facilities. This original research examines the level of depression and anxiety among individuals with comorbid chronic illness among individuals living in skilled nursing facilities in the Southwest, in order to engage patients, policy makers, and medical directors in establishing pathways for effective collaborative care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the need for collaborative behavioral healthcare for patients in skilled nursing facilities; 2) Discuss strategies for collaboration between skilled nursing facilities and patients' identified medical homes; 3) Discuss effective integrated interventions for addressing medical treatment and adherence in patients with behavioral health needs.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Ashley Elizabeth Powell, LMSW Behavioral Health Doctoral Candidate Arizona State University Colleen Clemency Cordes, Ph.D. Assistant Director Nicholas A. Cummings Behavioral Health Program Arizona State University Names of Additional Presenters (if more than 5) Comments: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1403456 "Findings and Recommendations of the Institute of Medicine Report on the Mental Health Workforce for Geriatric Populations" Primary Contact: Octavio Martinez (octavio.martinez@austin.utexas.edu; 512-471-7625) Submitted on 3/26/2012 5:58:33 PM The Institute of Medicine (IOM) of the National Academies convened a committee in response to a congressional mandate for a study on how to strengthen the mental health and substance use workforce to meet the needs of a rapidly growing and increasingly diverse older population. The report describes the needs of older adults with MH/SU conditions; assesses the capacity and competence of the workforce to meet the needs of this population; and reviews the workforce implications of evidence-based MH/SU interventions. This presentation by members of the committee will focus on the committee's key findings and policy recommendations for addressing these urgent concerns. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to describe the major findings of the committee's report.; 2) At the conclusion of this presentation, the participant will be able to discuss the major barriers to developing a mental and substance use health workforce for geriatric populations.; 3) At the conclusion of this presentation, the participant will be able to list at least three of the committee's policy recommendations that address the needs of a mental and substance use health workforce for geriatric populations.; 4) Topic Areas: Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Dan G. Blazer, M.D., M.P.H, Ph.D., J.P. Gibbons Professor of Psychiatry and Behavioral Sciences and Vice Chair for Education and Academic Affairs at Duke University Medical Center. Octavio N. Martinez Jr., M.D., M.P.H., M.B.A., Executive Director, Hogg Foundation for Mental Health at The University of Texas at Austin. Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1403462 "Charting a True Course for the Frontier of Integration: Eliminating Racial and Ethnic Disparities through Integrated Health Care" Primary Contact: Rick Ybarra (3001 Lake Austin Blvd, Suite 400; 512-471-9154) Submitted on 3/26/2012 6:00:33 PM The goal of this presentation is to enhance the audiences' knowledge base in the delivery of integrated health care to racial and ethnic minority populations based on a collaborative project led by the U.S. Department of Health and Human Services Office of Minority Health and the Hogg Foundation for Mental Health. A national report outlining guiding principles, recommendations and best practice examples related to the delivery of integrated health care services to racial and ethnic minority communities will be highlighted. A copy of the national report will be disseminated to participants. The recommendations outlined in this report will be the basis of the presentation. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to identify three barriers experienced by racial and ethnic minorities that result in health care disparities.; 2) At the conclusion of this presentation, the participant will be able to delineate three principles and components in the delivery of integrated health care to racial and ethnic minorities.; 3) At the conclusion of this presentation, the participant will be able to describe three practice-based examples in the delivery of integrated care to reduce/eliminate health disparities.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Octavio N. Martinez Jr., MD, MPH, MBA, FAPA, Executive Director, Hogg Foundation for Mental Health at The University of Texas at Austin. Rick Ybarra, MA, Program Officer, Hogg Foundation for Mental Health at The University of Texas at Austin. Katherine Sanchez, LCSW, PhD., Assistant Professor, The University of Texas at Arlington School of Social Work. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1404931 Submitted on 3/27/2012 11:43:39 AM "The Integration of Behavioral Health Notes into the EHR: Legal and Ethical Perspectives" Primary Contact: Kenneth Kushner (Kenneth.kushner@fammed.wisc.edu; 608-263-3111) In this program, we will describe the legal and ethical implications of the inclusion of behavioral health records in electronic health records. In so doing, we will explore the issue from the standpoints of federal regulations (HIPAA), an example of state statutes (Wisconsin law) and an example of a professional society's ethical code (American Psychological Association). We will also discuss the potential policy implications of restrictions on including behavioral health information in electronic health records. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe how HIPAA regulations pertain to the inclusion of behavioral health notes in electronic medical records; 2) Describe how the American Psychological Association's ethics code pertains to the inclusion of behavioral health records in electronic medical records; 3) Describe how the Wisconsin Statutes pertain to the inclusion of behavioral health notes in electronic medical records; 4) Discuss the potential policy implications regarding the inclusion of behavioral health records into electronic health records Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Kenneth Kushner, Ph.D. Professor, Department of Family Medicine, University of Wisconsin Neftali Serrano, Psy.D. Director, Primary Care Behavioral Health Access Community Health Centers Clinical Assistant Professor, Department of Family Medicine, University of Wisconsin Mark Marnocha, Ph.D. Associate Professor, Department of Family Medicine, University of Wisconsin Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: We would prefer an hour long slot for this presentation if possible. 90 minutes would be too long but 40 minutes may be a little tight. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1405108 Submitted on 3/27/2012 12:34:22 PM "Community Engagement for Health Care Professionals: Collaborating with Citizens and Stakeholders" Primary Contact: Max Zubatsky (zubat001@umn.edu; 414-704-0009) This presentation will address how mental health and medical professionals can work with citizens to address community health issues. The discussion will introduce community based participatory research (CBPR), where patients, families and professionals participate equally in the aspects of research in communities. Both presenters will offer their experience and collaboration on CBPR Projects on topics such as smoking cessation, Diabetes and trauma. Attendees will be able to offer their experiences of working with community citizens and stakeholders on various health issues, while brainstorming ideas in how to improve health issues in communities. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Introduce the basics of community based participatory research projects and how professionals can develop these projects in their own communities; 2) Discuss critical health issues that warrant collaboration between citizens, families and stakeholders; 3) Apply information and material from this presentation into communities when addressing important health care issues; 4) Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Max Zubatsky, MA, LAMFT Doctoral Student Department of Family Social Science University of Minnesota Tai Mendenhall, Ph.D., LMFT, CFT Assistant Professor and Coordinator of Behavioral Health Department of Family Medicine and Community Health University of Minnesota Names of Additional Presenters (if more than 5) No CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: We would like CFHA to consider our presentation as a roundtable discussion. The presenters feel that this format would best benefit the effectiveness and objectives of this presentation. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1405177 Submitted on 3/27/2012 12:46:35 PM "Integrating Behavioral Health for Pregnant Patients in Primary Care" Primary Contact: Camille G. Mami (camille.gonzalez@gmail.com; 512-470-4626) This session will review clinical, operational, and financial considerations regarding ongoing, integrated, primary health care for pregnant and postpartum patients. We will provide a brief overview of one agency's approach to pregnant and postpartum behavioral health care, including successes and barriers, demonstrate its usefulness using descriptive data, and provide the initial structure so that participants can implement a similar program in primary care settings. Particular attention will be paid to interdisciplinary collaboration necessary for successful patient-centered care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe one agency's approach to implementing ongoing pregnant and postpartum integrated behavioral health care.; 2) Identify clinical, operational, and financial considerations in providing this approach to patient care.; 3) Understand how to mobilize interdisciplinary support around comprehensive pregnant and postpartum health care.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Carla Pallares, Ph.D. Camille Gonzalez Mami, Ph.D. Katrin Seifert, Psy.D. Names of Additional Presenters (if more than 5) Comments: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1405588 "Transitioning from Co-located Care to Integrated Care: The role of the Behavioral Health Consultant (BHC) in designing and developing behavioral healthcare in the Medical Home" Primary Contact: Dennis Russo (russod@ecu.edu; 252-744-2810) Submitted on 3/27/2012 2:27:25 PM Presenters will discuss the process of transitioning from co-located behavioral health care and a family medicine practice in a rural academic health-care setting into an integrated medical home. The presentation will follow a chronological framework highlighting the decisions and factors that influence the development, implementation, and sustainability of an integrated family medicine practice with a special focus on the role of the BHC. Essential components of integration that will be highlighted include: developing institutional support and relationships with local stakeholders, academic departments, and team members; forming integrated health-care teams; enhancing the BHC's role as collaborator, problem-solver, and facilitator of change; and collecting and monitoring health outcomes. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Explain the beginning stages of developing an integrated health care center within an academic and residency training setting.; 2) Describe the preparation process for the initial transformation phase from co-located to integrated care and initial implementation; 3) Discuss the second phase of transformation and implementation including monitoring progress, tracking outcomes, overcoming barriers, and planning for the future; 4) Identify strategies for implementing integrated assessment strategies to document outcomes and patient demographics Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: Dennis C. Russo, Ph.D., ABPP Clinical Professor of Family Medicine and Psychology and Head. Behavioral Medicine Department of Family Medicine Brody School of Medicine East Carolina University Laura Daniels, MA Doctoral Student in Clinical Health Psychology Department of Psychology East Carolina University Kari B. Kirian, MA Clinical Instructor Department of Family Medicine Brody School of Medicine East Carolina CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details University Jennifer L. Hodgson, Ph.D., LMFT Full Professor Departments of Child Development & Family Relations and Family Medicine East Carolina University Names of Additional Presenters (if more than 5) No Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1406025 Submitted on 3/27/2012 4:05:33 PM "Multidisciplinary Approaches to Managing Chronic Pain in Primary Care" Primary Contact: Colleen Cordes (colleen.clemency@asu.edu; 602-496-1356) Given the preponderance of psychiatric and behavioral health concerns associated with chronic pain disorders, it is imperative that multidisciplinary teams work effectively to appropriately engage and treat this population. Research has indicated that behavioral health treatment (e.g. treatment of depression, anxiety, behavioral management, relaxation training) is effective in the management of chronic pain (Henschke et al., 2010). Using the 5 A's model to assessment and treatment (Hunter et al., 2009), this presentation will focus on the development of clinical skills necessary for the assessment and treatment of chronic pain by mental health and allied health professionals working in primary care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify strategies for managing chronic pain in primary care; 2) Engage a multidisciplinary group of providers in the care of chronic pain patients; 3) Identify techniques for managing patients at risk of misusing opioids.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Colleen Clemency Cordes, Ph.D. Assistant Director Nicholas A. Cummings Behavioral Health Program Arizona State CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1406150 Submitted on 3/27/2012 4:35:21 PM "Integrated Care: Where Clinical Need Intersects Sustainability" Primary Contact: Greg Jensen (gjensen@lscctx.org; 512-686-0207) Lone Star Circle of Care (LSCC), A Federally Qualified Health Center (FQHC), has been providing integrated behavioral and medical services for our patients since 2006. Our behaviorally enhanced community health provides integration by employing all medical as well as behavioral health (BH) providers. Further, all providers share a single electronic medical record with open access to all medical and BH clinical notes. Within behavioral health, LSCC utilizes "stand alone" BH clinics and embedded BH Specialists in our medical clinics for "real time" interventions and consultations. Given the health outcomes already shown from providing integrated care, the desire by providers to provide integrated care and the funders/regulatory interest, this topic is extremely relevant to conference participants. At LSCC, we have developed a model of care that not only provides integrated care but we have a business model that makes it sustainable making our program highly replicable. We intend to review/share our model with other conference participants. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Establish the vision and mission concepts necessary to create organizational commitment to integrated care; 2) Define governance, operational, financial and clinical issues to implement a Behaviorally Enhanced Community Health Center; 3) Discuss critical sustainability success factors and challenges; 4) Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Greg Jensen LCSW, ACSW Vice President for Behavioral Health Services Lone Star Circle of Care CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1408107 "Causethemovement.org: Cervical Cancer-Free Kentucky's campaign to improve cervical cancer prevention and education" Primary Contact: Baretta Casey (bcase2@email.uky.edu; 270-991-5121) Submitted on 3/28/2012 11:02:39 AM Kentucky is among the highest incidence and mortality rates of cervical cancer in the country, especially medically underserved communities who also have the distinction of a younger median age for cervical cancer development compared to other states. This presentation will describe the January 2012 "œCausetheMovement"• social media campaign. CCFKY's online campaign utilizes: extensive audience's social circles; easy to participate/make a difference; reaches audience on trusted sites; access information; build database and measure progress of the CCFKY campaign. Social media results and other measurable outcomes including behavioral change will be presented. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participate will be able to identify the uncommonly high cervical cancer rate in underserved populations, as well as the lack of understanding and access to preventive care.; 2) At the conclusion of this presentation, the participate will be able to describe an innovative approach to successful communication of knowledge to communities on health related issues.; 3) At the conclusion of this presentation, the participate will be able to discuss social media as a possible genesis for and effective metric of social change.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 20 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Baretta R. Casey, MD, MPH Professor, University of Kentucky College of Public Health Dept. of Health Behavior Paula Keyes, B.H.S., Administrative Services Assistant Senior, University of Kentucky College of Public Health, Dept. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details of Health Behavior Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1409306 Submitted on 3/28/2012 3:45:12 PM "Trainees' Perspective of Mental Health Workforce Development in Primary Care" Primary Contact: Idalia Massa, Ph.D. (Idalia.Massa@ucdenver.edu; 303-724-9765) Psychology interns and postdoctoral fellows in different medical settings across the Denver metro area will share their experiences as trainees under an integrated primary care model. Trainees will provide specific feedback about what particular experiences (i.e., clinical, didactic, and supervision) were helpful in their professional development. National experts had unanimously identified mental health workforce development as an area of need in the quest for integrating behavioral health in primary care settings. Yet, few of these conversations have incorporated the feedback of those being trained. The goal of this presentation is to provide a forum in which trainees can provide direct feedback to program directors, administrators, and primary care leaders that are thinking of incorporating a rotation and/or a workforce development component in their organization. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify what clinical experiences in primary care settings are more relevant to trainees; 2) Discuss different supervision models in primary care; 3) Describe the type of didactic that trainees most valued; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues|Public policy Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: Idalia Massa, Ph.D., Primary Care Psychology Fellow at AFW Family Medicine, University of Colorado, School of Medicine Eric Neumaier, M.A., PreDoctoral Health Psychology Intern at Denver Health, FQHC CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Daubney Harper, M.A., PreDoctoral Health Psychology Intern at Denver Health, FQHC Shandra Brown Levey, Ph.D., Primary Care Psychology Fellow at AFW Family Medicine, University of Colorado, School of Medicine Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1409500 Submitted on 3/28/2012 4:31:24 PM "Integration of tailored late-life anxiety treatment in medical and community settings" Primary Contact: Jessica Calleo Calleo (jcalleo@bcm.edu; 713-794-8521) This symposium will provide an overview of three on-going research studies for late-life anxiety that aim to integrate mental health treatment into diverse practice settings (primary care, specialty clinics, and community settings). The projects tailor traditional cognitive behavioral treatment (CBT) to meet the unique needs of older adults and improve access to mental health treatment. The first talk will discuss a study that tests the effectiveness of personalized, modular CBT delivered in primary care settings by anxiety care specialists or Bachelor-level counselors. The second presentation will provide an overview of an individually tailored treatment that integrates CBT for anxiety and depression with chronic disease self-management in older adults with Parkinson's disease, conducted in collaboration with specialty clinics. The third presenter will outline a culturally tailored treatment for late-life anxiety in low-income, underserved, mostly minority communities. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand various methods for integration of mental health treatments for anxiety and depression in diverse clinical and community settings.; 2) Learn strategies for personalizing treatment content and delivery to different settings.; 3) Understand ways to culturally tailor existing treatments by integrating religious and spiritual themes.; 4) Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Dr. Jessica Calleo, Assistant Professor, VA HSR&D Houston Center of Excellence, Michael E. DeBakey VA Medical Center, Baylor College of Medicine Dr. Srijana Shrestha, Postdoctoral Associate, Baylor College of Medicine Terri Barrera, MS. University of Houston Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1409948 Submitted on 3/28/2012 7:11:50 PM "Keep Out! Privacy, Collaboration and Behavioral Health Integration." Primary Contact: Susan Wiley (Susan.Wiley@lvhn.org; 610-402-5825) Within the context of the opportunities and challenges posed by the EMR, how can we respect the classic behavioral health privacy tenants with the need for information sharing in collaborative healthcare? We explore the legal mandates and conflicting demands of organization stake holders. We developed new procedures that include layers of restrictive access, consumer education and empowerment and staff training. We have surveyed our consumers and providers about their attitudes about the new system of patient privacy protection. We will present the complex and conflicting issues that we encountered and the responses of our patients and providers. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the differences between privacy protections in medical and behavioral health settings and how we might resolve these differences in an integrated behavioral health setting.; 2) Identify perils and possibilities of transparent behavioral health records.; 3) List key implementation strategies for utilizing a shared electronic medical record in behavioral health integration.; 4) Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Susan D. Wiley, M.D. Vice Chairman, Department of Psychiatry Co-founder, Center for Mindfulness Lehigh Valley CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Hospital and Health Network Gail Stern MSN PMHCNS-BC Administrator Dept of Psychiatry Lehigh Valley Hospital and Health Network Jamie Bongiovi LCSW Program Director, The Guidance Program Lehigh Valley Hospital and Health Network Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1410858 Submitted on 3/29/2012 10:11:59 AM "Supervision for the Integrated Care Provider" Primary Contact: Angela Lamson (lamsona@ecu.edu; 252-737-2042) Providers are trained by their respective programs and professions on the importance of communicating with other professionals around patient care, yet few are trained on how to provide supervision in collaborative care. New models, such as integrated care, punctuate the need to further develop training methods to best equip the next generation of providers to work in collaborative settings. Supervision is a tool that students, interns, and new professionals can use to help them navigate new and unfamiliar territory in health care settings. This session will provide elements that must be considered with respect to integrated care supervision, offer a template for crafting a document that will assist with assessing fidelity to one's practice and maximize consistency and productivity in the supervision process, and detail the potential supervision dynamics in different levels of clinical collaboration. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will document the elements that must be considered when developing a supervisory relationship in integrated care.; 2) Participants will receive a template for crafting a document that will assist with assessing fidelity to one's practice and maximize consistency and productivity in the supervision process.; 3) Participants will explore the potential supervision dynamics in different levels of clinical collaboration in behavioral healthcare.; 4) Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: The first presenter is a program director for a master's and doctoral program that extends integrated care to community health centers, in-patient, and out-patient contexts. She is a licensed Marriage and Family Therapist, and an AAMFT approved supervis The second presenter is a licensed Marriage and Family Therapist, and an AAMFT approved supervisor. She has over five years of experience supervising master's students in both medical and behavioral health settings. Specifically, she has supervised beha Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1411067 Submitted on 3/29/2012 11:17:18 AM "Sustaining Behavioral Health Integration: It's not only about the money" Primary Contact: Mary Jean Mork (morkm@mmc.org; 207-662-2490) While healthcare financing is in the early stages of change from a fee for service system to alternative payment strategies, we are still faced with the very real demands of day-to-day sustainability of behavioral health integration. This presentation will discuss specific reimbursement information and practices that contribute to financial success, clinical practices that must be aligned with the financial plan, and a method for bringing these elements together: the "administrative team." Participants will assess if/how these elements are in place in their own organizations, and consider what they need in order to develop their own "œadministrative team"• process. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe factors that affect the present system of billing and reimbursement in an integrated setting; 2) Identify reimbursement and programmatic elements that contribute to sustainable integrated programs; 3) Identify strategies to support financial and programmatic sustainability of integrated practice; 4) Link present sustainability efforts to future payment form Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Number of Presenters: 2 Presenters: Mary Jean Mork, LCSW, Program Manager - Mental Health Integration, MaineHealth Cynthia Cartwright, MT RN MSEd, Program Manager - Mental Health Integration, MaineHealth Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1411512 Submitted on 3/29/2012 1:22:55 PM "The Role of Psychology in Pediatric Primary Care at A.I. duPont Hospital for Children" Primary Contact: Meghan Lines (mmlines@nemours.org; 3026516721) Primary care pediatricians are typically the first resource for children with mental health problems, and nearly 50% of all pediatric visits focus on emotional, behavioral or psychosocial concerns. Pediatricians rarely have expertise or time during visits to adequately address behavioral health concerns. However, it is often challenging for pediatricians to refer patients to psychological services in the community due to a shortage of child mental health providers, long wait times for service, and inadequate communication between primary care and mental health systems. Moreover, when children are referred to a mental health provider, only 30-40% of families have been found to follow through with services, suggesting some additional problems with the accessibility and acceptability of the treatment that is offered. These barriers create a significant burden for families and pediatricians and result in approximately 70% of children with diagnosable mental health conditions going untreated. In an effort provide accessible and acceptable psychological services, Nemours/A.I. duPont Hospital for Children began developing a model for integrated behavioral health and primary care pediatric services in 2002. At present, 10 psychologists and psychology trainees are co-located across five Nemours Pediatrics primary care clinics in Delaware. The principal aim of this presentation will be to describe the key components of the Nemours integrated primary care model. Specific strategies for improved patient care, including warm handoffs and behavioral reinforcement of medical interventions will be highlighted. Benefits for increasing provider communication, such as curbside consultation and communication through the Electronic Health Record (EHR) will also be discussed. Challenges of this model and lessons learned since its inception will be addressed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the key components, benefits and challenges of the Nemours integrated primary care model.; 2) Highlight specific strategies for improved patient care.; 3) Review the role of the Electronic Health Record in improving collaborative care.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Meghan McAuliffe Lines, Ph.D. Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1411514 Submitted on 3/29/2012 1:23:15 PM "Patient Satisfaction with Integrated Care vs Typical Outpatient Settings: Quasi-Experimental Results" Primary Contact: Christopher Powers (cjpowers1@geisinger.edu; 814-441-9083) We will present data on patient satisfaction with psychological services received within three integrated care sites. Data will be compared with patient satisfaction ratings from a similar patient population receiving care in traditional outpatient settings. Additionally, we will present data on rates of patient follow-up/no shows for referrals made within an integrated care setting vs referrals made to a traditional outpatient clinic. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List the reasons why patients may experience greater satisfaction with psychological care provided within an integrated setting over a typical outpatient setting.; 2) 2. Describe data that evaluate the assertion that patients experience greater satisfaction with psychological services provided within an integrated care setting.; 3) Assess the impact of integrated care services on patient follow through to appointments relative to follow up in traditional outpatient; 4) Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details if not selected as conference session. Number of Presenters: 2 Presenters: Christopher J Powers, PhD Pediatric Psychology Fellow Geisinger Medical Center Division of Psychiatry and Behavioral Medicine Paul W. Kettlewell, PhD Chief, Pediatric Psychology Director of Training, Psychology Internship (APA Accredited) Associate, Geisinger Medical Center Division of Psychiatry and Behavioral Medicine Division of Pediatrics Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1411578 Submitted on 3/29/2012 1:36:32 PM "The Lived Experiences of Breast and Prostate Cancer Patients and their Partners" Primary Contact: Stephanie Trudeau-Hern (hernx002@umn.edu; 320-339-2622) This workshop will feature an experiential format with video case studies of young adult women in various stages of breast cancer treatment and their partners. Discussion will focus on the psychosocial issues related to breast and prostate cancer in couples, such as sexuality, body image, and intimacy. Therapeutic techniques in medical family therapy will be discussed, along with current psychosocial interventions and research in oncology. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the research rationale and clinical benefits of medical family therapy in cancer care settings.; 2) Identify and address the physical, psychosocial, and relational issues faced by breast and prostate patients.; 3) Describe the self of the therapist challenges of various therapeutic issues such as transference and counter-transference, loss of client, and self care.; 4) Identify strategies to respond to the therapeutic challenges. Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Number of Presenters: 2 Presenters: NAME: Alison G. Wong, MA JOB TITLE: Family Therapy Doctoral Intern ORGANIZATION: Asylum Hill Family Medicine, University of Connecticut EMAIL: alison.wong@uconn.edu NAME: Stephanie Trudeau-Hern, MS JOB TITLE: Family Therapy Doctoral Intern ORGANIZATION: Coborn Cancer Center, University of Minnesota EMAIL: hernx002@umn.edu Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1411583 "Embracing the ACES: Integrating trauma screening and other trauma informed practices in Collaborative Care Models" Primary Contact: Leslie Lieberman (llieberman@healthfederation.org; 215-246-5444) Submitted on 3/29/2012 1:38:02 PM This presentation will focus on the landmark Adverse Childhood Experiences (ACES) study. It will discussd why it is critical for Collaborative Care Models to know about this research and translate it into practice through such measures as routine screening for trauma, training in trauma focused interventions, workforce development and reflective/supportive supervision. In this interactive workshop, using a combination of lecture, video and discussion, participants will review the findings of the original ACES study and learn about recent replications of it. Next participants will learn how some health and human services providers are integrating knowledge from the ACES into routine practice. Strategies including screening for trauma exposure and symptoms, integrating evidence based trauma-focused treatment models, addressing secondary traumatic stress through reflective supervision, and staff training will be discussed. Lessons, including the challenges to staff and the impact of implementation on the overall program, learned by the Health Federation of Philadelphia's experience integrating trauma screening into its home visitation model will be shared. Analogies to how Collaborative Care Models can effectively prepare to integrate trauma informed practices will be explored and discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the ACES study and its relevance to collaborative care; 2) Be familiar with at least 2 trauma screening techniques; 3) Understand potential barriers to integrating trauma screening and strategies to overcome them; 4) Be familiar with the concept of trauma informed collaborative care Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Leslie Lieberman, MSW, Associate Director of Training, Health Federation of Philadelphia Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1412133 Submitted on 3/29/2012 3:56:21 PM "Collaborating to Expand Access to Integrated Care Using School Based Health Centers" Primary Contact: Francie Wolgin (fwolgin@healthfoundation.org; 5134586612) Many urban areas are challenged to deliver integrated care to a growing number of children covered by Medicaid. Faced with a reduction in city funding and the elimination of school nurses, a regional health foundation is leading a collaborative whose mission was to determine the need and identify a sustainable solution. The collaborative includes: funders, the city health department, school board, area FQHCs, hospitals, and mental and behavioral health providers. This session will address the challenges, show examples of the data mapping and business models, recommended school and community planning strategies, and progress achieved toward the goal to fund and implement 8-12 new school based health centers. The centers will provide integrated care including physical, behavioral health, dental and vision services. Objectives: At the conclusion of this presentation, the participant will be able to: 1) 1. Determine the need and build a case for support for a sustainable integrated care service model for inner city pre-K to high school children; 2) 2. Consider how a collaborative approach could acquire a broader base of funding and support to provide start"“up and implementation funding; 3) 3. Integrate data to develop a map to help identify and predict the most sustainable options for new school based health center sites; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Francie Wolgin, Senior Program Oficer Health foundation of Greater Cincinnati Marilyn Crumpton MD Medical Director, Division of School & Adolescent Health Cincinnati Health Department Names of Additional Presenters (if more than 5) possibly Comments: If we had a 40 minute segment, we could add someone from HealthLandscape to show how we mapped the needs data using their software which is available for use to any interested user.At present we will show examples of maps used to appeal to funders that sh Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1412147 "An Example of How to Conduct a Clinical Case Series Chart Review: Is a Brief Behavioral Activation Intervention Effective in Reducing Depressive Symptoms?" Primary Contact: Jennifer Funderburk (Jennifer.Funderburk@va.gov; 585-598-3386) Submitted on 3/29/2012 3:59:15 PM As an increasing number of clinicians provide interventions within integrated healthcare settings, many clinicians will be developing and modifying existing interventions to suit the primary care setting. Prior to the implementation of a randomized controlled clinical trial, it is often helpful if preliminary evidence can be gathered demonstrating support of the effectiveness of an intervention. This presentation will demonstrate the use of clinical case study/series chart review by using data from 11 patients, who were referred to the integrated behavioral health provider at an integrated university health center for depressive symptoms and received a brief behavioral activation. Data collected from the electronic medical record show that 10 patients had a reduction in depression outcomes, as measured by the Patient Health Questionnaire-9 (PHQ-9) at the second session (mean PHQ-9 score at session 1 = 12.8 +/- 3.4 ; mean PHQ-9 score at session 2= 7.3 +/- 5.4). In addition, 86% of the patients who had reported suicidal ideation at the first session no longer reported experiencing suicidal ideation at the second session. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand the fundamental components of a clinical case study/series research design; 2) Describe an example of how to use chart review to begin to provide preliminary evidence for the effectiveness of a brief behavioral activation intervention for depressive symptoms in primary care; 3) Discuss how this approach can be used to provide preliminary data on interventions providers are using regularly within CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details primary care; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 Presenters: Jennifer S. Funderburk, Ph.D. Clinical Research Psychologist VA Center for Integrated Healthcare Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1412879 "Initiating the Integrative Process Locally and Globally: Training Afghan Residents to Address Behavioral Health Concerns in the Context of Primary Care" Primary Contact: Preston Visser (prestonvisser@gmail.com; 423 512 1585) Submitted on 3/29/2012 11:47:57 PM Professionals trained in models of integrative healthcare may be requested to provide consultation to clinics attempting to better address health holistically; however, various cultural and pragmatic factors may challenge and limit the applicability of traditional models of integration. The current presentation will describe a model of consultation used with a residency training program in Afghanistan that sought assistance in meeting the behavioral health needs of their indigent population. The steps to be described include building relationships, assessing needs, targeting issues and populations, providing training, creating a feasible intervention system, and providing ongoing consultation. A team of behavioral health consultants is scheduled to provide training to the Afghan residents in late May and will be reporting their experiences based on the model described above. Special emphasis will be given to implications for other behavioral health consultants wishing to expand the reach of collaborative care by providing consultation to clinics with significant limitations yet great need. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe practical steps for consulting with clinics and organizations that want to better address behavioral health needs; 2) Identify feasible goals for initiating integration of behavioral health into primary care for clinics with significant cultural and pragmatic limitations; 3) Describe CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details ways to help increase the reach of collaborative care into countries with developing health care systems; 4) Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Karla Annette Torres, Psy.D., LCP Director of Behavioral Health, Lawndale Christian Health Center Kathryn E. McLean, M.A. Psy.D. Candidate in Clinical Psychology, Wheaton College Preston Visser, M.A. Predoctoral Psychology Intern, Lawndale Christian Health Center Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413443 "Rationale for Integrating Behavioral Care Providers into Community Pharmacies to Collaboratively Deliver Medication Adherence Counseling to HIV Patients" Primary Contact: Colleen Cordes (colleen.clemency@asu.edu; 602-496-1356) Submitted on 3/30/2012 10:29:10 AM The unique accessibility of community pharmacies to local populations offers an enormous opportunity for behavioral care providers (BCPs) and community pharmacists to work collaboratively to influence population-based health behaviors, such as the delivery of pharmacist-BCP integrated medication adherence counseling to HIV patients. This presentation will review the findings of a research project that examined (1) whether community pharmacists are identifying non-adherent HIV patients; (2) whether identified non-adherent HIV patients are receiving adherence counseling from community pharmacists; and (3) whether the introduction of a BCP to the pharmacy would be welcomed by community pharmacists as a means to help improve patient adherence. In addition, the presenters would introduce the model used in the development and delivery of an integrated behavioral healthcare program at a community pharmacy in Edison, NJ and suggest ways by which this model of care could be adapted for implementation at community pharmacies elsewhere in the country. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the rationale for integrating BCPs into community pharmacy settings; 2) Identify the components of a BCP-pharmacist integrated disease management program; 3) Discuss strategies to coordinate BCP-pharmacist integrated programs with primary care facilities; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: David Rosen, DBH, LCSW, C-ASWCM Director of Clinical Services The Institute for Family and Adolescent Services Raritan, NJ George J Rusuloj, PharmD Pharmacist-in-Charge/Owner Bell Pharmacy Edison, NJ Colleen Clemency Cordes, Ph.D. Assistant Director Nicholas A. Cummings Behavioral Health Program Arizona State University Phoenix, AZ Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413527 "Strategic Community Collaboration: Using Data Mapping to Build a Case for Support, Plan and Expand Access to Integrated Care with School Based Health Centers" Primary Contact: Francie Wolgin (fwolgin@healthfoundation.org; 5134586612) Submitted on 3/30/2012 10:58:21 AM Many urban areas are challenged to deliver integrated care to a growing number of children covered by Medicaid. Faced with a reduction in city funding and the elimination of school nurses, a regional health foundation is leading a collaborative whose mission was to determine the need and identify a sustainable solution. The collaborative includes: funders, the city health department, school board, area FQHCs, hospitals, mental and behavioral health and dental providers. This session will address the challenges, demonstrate how to use data mapping to build a case for support, describe business models, recommend school and community planning strategies, and discuss progress achieved toward the goal to fund and implement 8-12 new school CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details based health centers. The School based health centers will provide integrated care including physical, behavioral health, with access to dental and vision services. Objectives: At the conclusion of this presentation, the participant will be able to: 1) 1. Determine the need and build a case for support for a sustainable integrated care service model for inner city pre-K to high school children; 2) 2. Consider how a collaborative approach could acquire a broader base of funding and support to provide start"“up and implementation funding; 3) 3. Integrate data to develop a map to help identify and predict the most sustainable options for new school based health center sites; 4) 4. Access software to input data and develop a map for other collaborative efforts Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Francie Wolgin, MSN Senior Program Officer Health Foundation of Greater Cincinnati Marilyn Crumpton, MD,MPH Cincinnati Health Department Jené M. Grandmont, MA Health Informatics Specialist Names of Additional Presenters (if more than 5) Comments: internet access would be helpful for mapping data presentation Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413606 Submitted on 3/30/2012 11:20:47 AM "Training and Supervision of Behavioral Health Interns and Staff: Best Practices in Integrated Care" Primary Contact: Jackie Williams Reade (jackwalyn@hotmail.com; 2064068683) Clinical supervision is a vital element of successful and efficient integrated care, however few supervisors receive the specialized training required to prepare them for this critical role. Behavioral health interns and staff in integrated care sites often have various levels of clinical experience, education, and exposure to medical conditions which can be challenging for supervisors to assess and facilitate. Supervision of behavioral health interns and staff requires a skill-set and knowledge base that includes strategies to competently and effectively address furthering the clinical development of supervisees, ensuring CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details appropriate patient care, and attending to multiple clinical, operational, and financial issues that may be affecting the supervisees clinical work and patient care. This workshop will offer guidance to enhance supervision skills through review of fundamentals of clinical supervision as applied to typical cases and themes experienced by supervisors and trainees in multiple integrated care settings. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe typical challenges experienced by trainees and supervisors; 2) Explore best practices of clinical supervision in an integrated care setting; 3) Outline methods of supervision to help facilitate the management of the physician, patient, and supervisee relationship; 4) Discuss how to identify and improve medical cultural competencies and relationship-building skills that are critical for supervisees in integrated care Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Jackie Williams Reade, PhD, LMFTA | Postdoctoral Fellow, Johns Hopkins University Claudia Grauf-Grounds, PhD, LMFT | Chair and Professor, Marriage and Family Therapy, Seattle Pacific University Tina Schermer Sellers, MS, LMFT | Director, Medical Family Therapy, Seattle Pacific University Names of Additional Presenters (if more than 5) Comments: This proposal was born out of the first presenter's experience at last year's conference. When attending a supervision presentation, it seemed clear that many supervisors in the room were looking for additional information regarding both supervision basic Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413669 Submitted on 3/30/2012 11:37:56 AM "Succeeding not seceding: The work of the Texas legislative workgroup on integrated healthcare" Primary Contact: Mary Held (marylheld@gmail.com; 210-326-2294) Recent changes in health care policy at the federal level represent an initial effort to address the need for comprehensive, coordinated health care. The Patient Protection and Affordable Care Act (PPACA) of 2010 encourages the development of CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details integrated approaches to health care as a means of both improving quality and lowering overall costs, while ascribing a central role to primary care and medical homes. This presentation will describe the recent passage of integrated health care legislation in Texas (H.B. 2196), the subsequent workgroup that was created by the legislation, and the policy recommendations that emerged. Special emphasis will be given to those recommendations that represent the greatest opportunity for success in the context of the PPACA of 2010. Imminent challenges that states may face and potential next steps in the implementation of integrated health care will be examined. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the efforts in Texas to establish a legislative workgroup and issue recommendations for the implementation of integrated health care.; 2) Identify integrated health care opportunities within the Patient Protection and Affordable Care Act of 2010.; 3) Identify opportunities for similar legislative action in their home states.; 4) Topic Areas: Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Mary Lehman Held, L.C.S.W Doctoral Candidate, School of Social Work, The University of Texas at Austin Lynda E. Frost, J.D., Ph.D. Director of Planning and Programs, Hogg Foundation for Mental Health, The University of Texas at Austin Katherine Sanchez, L.C.S.W., Ph.D. Assistant Professor, School of Social Work, The University of Texas at Arlington Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413795 "The Next Generation of Youth Mental Health and Wellness: Activating School- and Community-Based Mental Health Care Professionals to Engage in Collaborative Efforts" Primary Contact: Audra Walsh (audrawalsh@gmail.com; 727-599-3624) Submitted on CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 3/30/2012 12:16:57 PM http://www.cfha.net/?page=CFPReview Proposal Details The primary purpose of this presentation is to highlight the importance of integrating efforts of school- and community-based mental health care professionals in order to promote optimal mental health and wellness for youth with mental health problems. Another aim of this presentation is to disseminate findings of a national survey of school psychologists expanding upon the pilot data presented at the 2011 CFHA convention, investigating their current practices and experiences relative to collaborating with community-based mental health professionals on behalf of students with mental illness. These research findings will be used to inform public policy, training programs for mental health professionals, and ongoing professional development initiatives. Finally, strategies intended to facilitate interdisciplinary collaboration will be presented and discussed in relation to the future of integrating community- and school-based mental health and wellness efforts. Objectives: At the conclusion of this presentation, the participant will be able to: 1) describe the importance of integrating school- and community-based efforts in order to optimize mental health of youth.; 2) list the benefits and barriers to collaboration between school- and community-based mental health professionals.; 3) critically evaluate strategies aimed at facilitating collaborative efforts between school and community mental health professionals.; 4) identify practical steps that participants can take to promote interdisciplinary collaboration on behalf of youth with mental health problems. Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 6 Presenters: Audra St. John Walsh, M.S., Doctoral Student, University of South Florida Kathy L. Bradley-Klug, Ph.D., Associate Professor, University of South Florida Derek J. Powers, M.A., Doctoral Student, University of South Florida Kendall L. Jeffries, M.A., Doctoral Student, University of South Florida Sim Yin Tan, Ed.S, NCSP, Doctoral Student, University of South Florida Names of Additional Presenters (if more than 5) Lisa P. Bateman, M.A., Doctoral Student, University of South Florida Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1413846 Submitted on 3/30/2012 12:31:53 PM http://www.cfha.net/?page=CFPReview Proposal Details "The Good, Bad and Surprising: Organizing the Landscape of Collaborative Care Initiatives" Primary Contact: Mary R. Talen (r, 2750 W. North Ave., Chicago, IL 6; 7083342233) Collaborative care has struggled with a cacophony of voices and initiatives. In this presentation, participants will learn about organizing the language and principles of collaborative care to compare and contrast a range of initiatives . An expert panel will review how they have used the lexicon and parameters in five key areas if collaborative care: policy, research, complexity care, and the team partnerships. These experts will describe how they have used these unifying principles to review the best practices, essential elements, and future directions of behavioral health in primary care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will become familiar with the organizing language and key parameters of collaborative care.; 2) Participants will be able to identify the 3 "œgood"• --the promising data gleaned "“in five key areas of collaborative care.; 3) Participants will be exposed to the range of "œbad"• --the lack of evidence to support some of the basic tenets of integrated health care and challenges to systematic processes to implement and evaluate current collaborative practices.; 4) Participants will explore the "œsurprises"• "“how using the lexicon and parameters provides new connections and ideas for future directions for organizing and unraveling this complex and intricate dimension of healthcare. Topic Areas: Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 7 Presenters: Mary R. Talen, Ph.D. Director, Primary Care Behavioral Health Northwestern Family Medicine Residency Program Erie Family Health Center Aimee Burke Valeras, Ph.D., LCSW Director, Integrated Health Management Dartmouth Family Medicine Residency, Health Center CJ Peek, Ph.D. Associate Professor, Department of Family Medicine and Community Health University of Minnesota Medical School Christine Runyan, Psy.D. Associate Clinical Professor Associate Director of Behavioral Science Department of Family Medicine and Community Health University of Massachusetts Medical School, Worcester, MA CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Andrew Valeras, MD DARTMOUTH-HITCHCOCK LEADERSHIP AND PREVENTIVE MEDICINE RESIDENCY "“ DHMC LEBANON, NEW HAMPSHIRE Names of Additional Presenters (if more than 5) Bethany Kwan, Ph.D. Salud Health Center, CO, Jamie Banker, Ph.D. SanDiego Family Medicine Residency Program Comments: We can submit Bethany Kwan and Jamie Banker's CV's if needed. We are will have this panel of experts address different aspects of collaborative care initiatives. CJ Peek will provide the organizing principles and lexicon and the other panel members Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413964 Submitted on 3/30/2012 1:11:14 PM "Psychosis and safety management in integrated primary care" Primary Contact: Verena Roberts (Verena.Roberts@dhha.org; 303-436-4799) The focus of this presentation is to discuss how to successfully manage patients presenting with psychosis and safety issues in an integrated primary care setting within a federally qualified health center. The presentation will provide innovative approaches to patient health, specifically focusing on the integration of behavioral health and psychiatry. Attendees will learn to increase their knowledge and awareness about potential legal issues and the lack of standards of care in treating severely mentally ill patients in a medical setting. Case discussion will be included. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Learn how to successfully integrate behavioral health and psychiatry into primary care; 2) Learn innovative approaches to management of patients with psychosis and high risk behaviors, such as safety issues; 3) Discuss key differences and challenges in management of psychosis and safety concerns within an integrated primary care setting as compared to traditional mental health management; 4) Identify and learn to pay attention to the fact that no existing standards and accepted norms of practice exist to date. Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Verena Roberts, PhD Psychologist Denver Health Medical Center Eastside Family Health Center, Denver, CO Department of Internal Medicine Elizabeth Lowdermilk, MD Staff Psychiatrist Behavioral Health Service Denver Health Medical Center Eastside Family Health Center, Denver, CO Department of Psychiatry Names of Additional Presenters (if more than 5) Comments: We would prefer to give our presentation on Saturday if at all possible. However, if that is not possible, we would be happy to present at any given day but would really appreciate if we could get a Saturday spot. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1413997 Submitted on 3/30/2012 1:23:43 PM "Team-Based Patient Care: Community Mentors as Role Models for Medical Students" Primary Contact: Kathy Bradley-Klug (kbradley@usf.edu; 813-974-9486) A new community-based mentoring curriculum at the University of South Florida Morsani College of Medicine exposes a subset of medical students to integrated, patient-centered health care at the system, practice, and interpersonal levels. In a leadership track known as the SELECT program, pairs of students are assigned to clinical mentors in interdisciplinary care teams within Florida communities. A visit to a patient's home or workplace helps students to appreciate how quality of life is affected by health status. An overview of the curriculum will be shared, as well as preliminary outcome data, based upon completed rating scales obtained from SELECT students and their patients. Additionally, student identified strategies to improve patient care at the system, practice, or interpersonal level will be reviewed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the critical components of a community-based mentoring curriculum designed to improve patient care.; 2) Describe the importance of interdisciplinary collaboration in the development of this training curriculum; 3) Discuss the importance of action research skills in training medical students for community based, collaborative healthcare practice; 4) Understand the outcomes of this curriculum to date and engage in a discussion of "œlessons learned"• for future development of training in integrated care Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 4 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Kathy L. Bradley-Klug, Ph.D. Associate Chair, Department of Psychological & Social Foundations Associate Professor, Graduate Programs in School Psychology University of South Florida Lisa P. Bateman, M.A. Doctoral Student in School Psychology University of South Florida Emily J. Shaffer-Hudkins, Ph.D. Post Doctoral Fellow, USF Pediatrics- Division of Child Development University of South Florida Morsani College of Medicine Kira Zwygart, MD, FAAFP Associate Professor and Interim Chair Department of Family Medicine University of South Florida Morsani College of Medicine Names of Additional Presenters (if more than 5) No Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414255 Submitted on 3/30/2012 2:49:09 PM "Psychology and Family Medicine Training Study" Primary Contact: Mark Vogel (vogel1@msu.edu; 810-715-4320) Psychology training programs within Family Medicine residency have existed for some time. Even so, there is no literature that documents the number of coexisting training program in the U.S. The purpose of this study was to conduct a survey of Family Medicine residency training programs and determine the presence of psychology training programs that take place in this setting. We document the nature of these training programs, how they are supervised and funded, and directions for their future development. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will have an increased understanding of role of psychology training in Family Medicine residency programs.; 2) At the conclusion of this presentation, the participant will be able to appreciate the nature and type of psychology training provided within these settings and how these positions are supervised and funded.; 3) At the conclusion of this presentation, the participant will be able to understand the opportunities and barriers related to increasing psychology training programs in Family Medicine residencies.; 4) Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 2 Presenters: Mark E. Vogel, Ph.D., ABPP Linda Garcia-Shelton, PhD, MHSA, ABPP Names of Additional Presenters (if more than 5) Comments: The abstract includes preliminary results. More results will be collected by the time of presentation. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414299 "When you have a hammer, how everything can look like a nail: Nuts and Bolts of Embedding Behavioral Health Consultants within a Federally Qualified Health Center" Primary Contact: Nelly Burdette (nburdette@provctr.org; 401-415-8820) Submitted on 3/30/2012 3:01:38 PM Implementing an integrated care practice between a Community Mental Health Center and Federally Qualified Health Center requires creative solutions that involve the leadership and the direct care staff at both organizations to buy-into the changes needed to make this occur successfully. Walk through the process from planning stages to implementation to outcome evaluation from the mental health and primary care perspectives. Sustainability addressed not only by changing by the culture, but also by looking at the bottom line financially. Leave what you know about what works in textbooks behind and see what really happens when LICSWs trained as Behavioral Health Consultants enter the FQHCs. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand the cultural, operational and financial differences between FQHCs and CMHCs; 2) Identify the key planning initiatives that were successful in embedding LICSWs trained as Behavioral Health Consultants to work within FQHC; 3) Describe how integrated care implementation occurs as a continuum; 4) Discuss outcome evaluation of program and how data informs continual change Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details if not selected as conference session. Number of Presenters: 2 Presenters: Dr. Nelly Burdette - Dr. Nelly Burdette combines her experience training primary care physicians and mental health clinicians in integrated care with her experience working in model integration sites to develop innovative approaches to addressing clients' Chris Camillo is the Director of Allen Berry Health Center, a site of the Providence Community Health Centers (PCHC). PCHC provides care primary health care to 37,000 patients in Providence's inner city neighborhoods. It patient population and staff a Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414312 "Learning Together: Sharing Knowledge and Building Skills to Advance Integrated Health Care Practice Through a Learning Community" Primary Contact: Alejandra Posada (aposada@mhahouston.org; 713-523-8963 x473) Submitted on 3/30/2012 3:04:06 PM The Texas Learning Community on Integrated Health Care (TLC) facilitated shared learning among behavioral health and primary care clinics pursuing integrated care practices across the state during 2010 and 2011. Using the experience of the TLC as an example, this presentation will discuss the value of a learning community on integrated care, suggestions for launching and running a learning community, ideas for successful learning experiences, and other "œlessons learned"• from the TLC experience; audience input and discussion regarding successful shared learning experiences will be encouraged. The perspective of the primary TLC funder, the Hogg Foundation for Mental Health, will also be included in the presentation. Information on successful practices for various aspects of integration as implemented by sites participating in the TLC will also be shared, and a practical, written description of these practices will be made available to attendees. These practices relate to aspects of integrated care such as building and leveraging collaborations, various strategies for coordinating care among providers, different methods for providing behavioral health services, client/patient engagement, and financial strategies. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the value of a learning community on integrated health care.; 2) Describe processes for launching and facilitating a learning community on integrated care.; 3) Identify and describe useful learning experiences for participants in a learning community.; 4) Identify and describe successful practices for various aspects of integration as implemented by sites participating in the Texas Learning Community CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details on Integrated Health Care. Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Alejandra Posada, M.Ed. Director of Education and Training Mental Health America of Greater Houston Katherine Sanchez, LCSW, Ph.D. Assistant Professor "“ Social Work University of Texas at Arlington Meagan Longley, LMSW Mental Health Fellow Hogg Foundation for Mental Health Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414330 "Who do I work for again?: Embedding a mental health outpatient center within a Federally Qualified Health Center" Primary Contact: Nelly Burdette (nburdette@provctr.org; 401-415-8820) Submitted on 3/30/2012 3:07:16 PM When a medical center is being built by a FQHC, it is a prime time for CMHCs to consider the creation of a one-stop shopping experience for consumers with comorbid chronic disease and mental illness. Should be simple? Think again. Starting from the needs assessment and ending with the implementation, walk through the process with both the perspective of the FQHC and CMHC. And don't be surprised if you find yourself wondering... "œWho do I work for again?"• Objectives: At the conclusion of this presentation, the participant will be able to: 1) Evaluate the importance of collecting needs assessment data and how this informed the first steps of integration between FQHC and CMHC; 2) Describe the layout, staffing, financing, documentation through electronic health records and work flow between the FQHC and CMHC; 3) Identify how cultural competition between traditional medical and mental health facilitates or impedes progress; 4) Answer the question of "œWho do I work for?"• and why it's important to ask when leading an integration effort between two organizations CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Dr. Nelly Burdette- Dr. Nelly Burdette combines her experience training primary care physicians and mental health clinicians in integrated care with her experience working in model integration sites to develop innovative approaches to addressing clients' Chris Camillo is the Director of Allen Berry Health Center, a site of the Providence Community Health Centers (PCHC). PCHC provides care primary health care to 37,000 patients in Providence's inner city neighborhoods. It patient population and staff a Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414346 Submitted on 3/30/2012 3:10:06 PM "Empowering Youth through Assessing Knowledge of their Chronic Health Conditions" Primary Contact: Lisa Bateman (lpbate@gmail.com; (757) 567-1003) Health Literacy is defined as "œthe capacity to make sound health decisions in the context of everyday life"• (Kickbusch, 2008, p. 102). Individuals who have higher levels of health literacy are able to advocate for their health needs rather than be passive recipients of the treatment decisions made by health professionals. Health literacy contributes to an individual's knowledge and understanding of their health condition, and their ability to adapt to an illness, adhere to specific treatment regimens, and maintain a positive quality of life despite health concerns. In addition to understanding one's health condition, it is important to identify factors that will help promote resilience, including social supports, health-related behavior changes, optimism, locus of control, and connectedness. The primary purpose of this presentation is to identify the importance of assessing youths' understanding of their chronic illness and to discuss the development of a semi-structured interview tool specifically designed to measure this understanding. In addition, this presentation will provide information related to the unique CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details academic, behavioral, and social-emotional concerns encountered by youth with chronic health conditions, as well as the role of health professionals in assessing and promoting health literacy. Pilot data for the semi-structured interview tool will be presented, and plans for further development of this tool will be discussed. Objectives/Learning Outcomes: Participants will leave this presentation with a deeper understanding of the importance of health literacy in youth academic, behavioral, socialemotional, and physical health outcomes. In addition, participants will gain a clear understanding of the role they can play in promoting health literacy in youth, as well as practical skills in assessing health literacy. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Provide information related to the unique academic, behavioral, and social-emotional concerns encountered by youth with chronic health conditions.; 2) Identify the importance of assessing and promoting youths' understanding of their chronic illness and its impact on their well-being.; 3) Discuss the role of health professionals in assessing and promoting youth health literacy.; 4) Describe the development, piloting, and usefulness of a semi-structured interview tool to assess youth's understanding of their chronic health conditions. Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 6 Presenters: Lisa P. Bateman, M.A., Doctoral Student, University of South Florida Kathy L. Bradley-Klug, Ph.D., Associate Professor, University of South Florida Emily J. Shaffer-Hudkins, Ph.D., Post Doctoral Fellow, Kendall Jeffries, M.A., Doctoral Student, University of South Florida Derek Powers, M.A., Doctoral Student, University of South Florida Names of Additional Presenters (if more than 5) Sim Yin Tan, Ed.S., Doctoral Student, University of South Florida Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1414371 Submitted on 3/30/2012 3:15:38 PM http://www.cfha.net/?page=CFPReview Proposal Details "The Value of Peer Support in Promoting Health and Wellness" Primary Contact: Bill Gilstrap (bill.gilstrap@bbtrails.org; 512-321-7620) Uniquely qualified to help persons with mental health challenges, this panel of peer support specialist will discuss competencies peers bring to the workforce, highlighting key roles in mentoring members of the recovery community, supporting them in achieving their goals, and enhancing their ability to advocate for themselves. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify three peer roles useful for helping individuals to engage in services; 2) Describe the principles of three peer support delivery models which enable members of the recovery community to make positive changes in their lives; 3) Express the value of peer support in promoting and sustaining health and wellness of persons with mental health challenges; 4) Identify the return on the investment in peer support specialists on staff with healthcare agencies Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Bill Gilstrap, Certified Peer Specialist (CPS) Lead Peer Support Specialist Bluebonnet Trails Community Services Barry Cunningham, CPS Peer Support Specialist Bluebonnet Trails Community Services Mark Thompson, CPS Peer Support Specialist Bluebonnet Trails Community Services Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414500 Submitted on "Family Interventions for the Primary Prevention of Cardiovascular Disease" Primary Contact: Diego Garcia-Huidobro (garci506@umn.edu; 412-608-5765) This presentation will critically review the literature on family interventions for the prevention of cardiovascular disease and CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 3/30/2012 4:03:52 PM http://www.cfha.net/?page=CFPReview Proposal Details traditional risk factors. Interprofessional collaboration interventions will be highlighted. Recommendations for clinicians, researchers, managers and policy makers will be provided. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the research areas where family interventions have been studied for the primary prevention of cardiovascular disease.; 2) Identify gaps of research where family interventions need to be studied for the prevention of cardiovascular disease.; 3) Identify evidence-based recommendations for clinicians, researchers, managers and policy makers regarding family interventions for cardiovascular disease prevention.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues|Public policy Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Diego Garcia-Huidobro, MD Family Physician, Ph.D. student in Family Science, Department of Family Social Science, University of Minnesota Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1414563 Submitted on 3/30/2012 4:26:05 PM "Uniting the field: The AHRQ Academy for Integrating Behavioral Health and Primary Care" Primary Contact: Neil Korsen (korsen@mainehealth.org; 207-662-6881) The Agency for Healthcare Research and Quality (AHRQ) created the Academy for Integrating Behavioral Health and Primary Care and convened the National Integration Academy Council (NIAC) in 2010 to develop an online repository and web portal related to behavioral health integration. In this workshop we introduce CFHA attendees to the work of the NIAC, including the Academy website project, a Lexicon Definition of behavioral health-primary care integration, a measures atlas to assist those implementing and evaluating integrated care services, a study of integration among small and solo primary care practice, and an effort to define workforce competencies that support integration in primary care. This will be an interactive town hall style CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details meeting where we briefly present each project, with the goal of informing the audience of the latest federal efforts to address integration, and facilitate a discussion around each endeavor. Objectives: At the conclusion of this presentation, the participant will be able to: 1) ➢ List three ways the Academy website can be a resource for the integration community; 2) ➢ Describe three projects funded by the federal government addressing integration; 3) ➢ Explain two ways the larger integration community can become involved in these national efforts; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues|Public policy Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 5 Presenters: Neil Korsen, MD, MSc, Medical Director, Program for the Integration of Medical and Behavioral Health, MaineHealth, Portland, ME Deborah J. Cohen, PhD, Associate Professor, Department of Family Medicine, Oregon Health Sciences University, Portland, OR F. Alexander Blount, Ed.D, Director, Center for Integrated Primary Care, University of Massachusetts Medical School, Worcester, MA Benjamin Miller, PsyD, Assistant Professor, Department of Family Medicine, University of Colorado Denver School of Medicine, Aurora, CO C.J. Peek, PhD, Associate Professor, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN Names of Additional Presenters (if more than 5) No Comments: This presentation will be as appropriate for an experienced audience as for a Basic audience (but it was not possible to indicate 'both' as an answer. Thanks Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1414608 Submitted on 3/30/2012 4:41:19 PM http://www.cfha.net/?page=CFPReview Proposal Details "Rising Star Project" Primary Contact: Catherine Blackwell-Gore (catherine.blackwell-gore@amerigroup.com; 713-218-5114) Despite interventions and provisions of the Intensive Case Management Program at Amerigroup, some consumers continue to resist treatment efforts. They destabilize quickly and returned to an inpatient setting within a very short time frame. For these individuals, Amerigroup initiated a program called Rising Star, in which the consumer selects a psychiatrist and a "œhome" hospital to which he or she is expected to revisit when that particular level of care is needed. Coordination among hospitals is imperative so that consumers are transferred to the appropriate "œhome" hospital when admission is indicated and the consumer presents at a facility other than the one assigned. This program provides the continuity of care so badly needed for this population and fosters stabilization of symptoms and improvement toward increasing independence and self-determination. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Upon completion of this presentation, participants should be able to discuss the need for intensive case management of the Medicaid behavioral health population.; 2) Upon completion of this presentation, participants should be able to describe Amerigroup's Rising Star Program.; 3) Upon completion of this presentation, participants should be able to recognize methods that could be used in other populations.; 4) Upon completion of this presentation, participants should be able to report outcomes of individuals enrolled in the program that include utilization levels and overall cost of care. Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Catherine Blackwell-Gore Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. "Staffing Models for Integrated Healthcare in Community Based Outpatient Clinics: Back to the Future" CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1414714 Submitted on 3/30/2012 5:15:50 PM http://www.cfha.net/?page=CFPReview Proposal Details Primary Contact: Katherine Dollar (katherine.dollar@va.gov; (716)862-8901) The unique characteristics of community based outpatient clinics (e.g., rural setting, limited medical staff, and lack of police presence) present service delivery and program implementation challenges. As part of a collaborative care program implementation initiative, distinct staffing needs emerged that necessitated the adaption of integrated care models developed within hospital-based settings. The objectives of this workshop are to describe, within the context of integrated care, the unique challenges within community based outpatient clinics and to describe staffing and practice management models that address these challenges. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to describe variations in staffing needs between hospital-based and community-based collaborative care programs; 2) At the conclusion of this presentation, the participant will be able to identify unique program implementation challenges within rural community based outpatient clinics; 3) 2. At the conclusion of this presentation, the participant will be able to describe staffing models and practice management patterns that can address these challenges; 4) 3. At the conclusion of this presentation, the participant will be able to discuss staffing implications for clinicians, consumers, researches, and policy makers for future collaborative care program implementation. Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Katherine M. Dollar, PhD; Clinical Coordinator, Center for Integrated Healthcare, Buffalo VA Medical Center Larry J. Lantinga, PhD CENTER FOR INTEGRATED HEALTHCARE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1414898 Submitted on 3/30/2012 6:32:28 PM http://www.cfha.net/?page=CFPReview Proposal Details "Strategies for Integrating Mental Health Into Rural Medical Clinics" Primary Contact: Paul Springer (pspringer3@unl.edu; 402-472-1656) Access to mental health care in rural communities goes beyond the availability of providers and the perception of care. It requires that providers recognize the unique culture of rural communities and to develop skills that address both the accessibility and acceptability of care. This presentation will describe strategies to overcome the unique challenges to collaboration and patient care, when integrating mental health in rural medical clinics; including the innovative use of distance technologies when delivering mental health services Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will understand how providers can overcome the challenges to both accessibility and acceptability of providing care in rural communities.; 2) Participants will understand the role that cultural competence and sensitivity has when working in rural medical clinics.; 3) Participants will learn strategies to facilitate collaboration in rural medical clinics, as well as the innovative use of delivering mental health services using distance technologies.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: Paul Springer, Ph.D. Assistant Professor University of Nebraska-Lincoln Richard J. Bischoff, Ph.D. Full Professor, Chair University of Nebraska - Lincoln W. Dave Robinson, Ph.D. Assistant Professor Utah State University Michael M. Olson, Ph.D. Associate Professor Director of Behavioral Medicine Names of Additional Presenters (if more than 5) Comments: CV's for Presenter 3 and 4 will be sent as soon as possible. Sorry about this inconvenience. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1415058 Submitted on 3/30/2012 9:23:54 PM http://www.cfha.net/?page=CFPReview Proposal Details "Using Multidisciplinary Conjoint Visits to ImproveProvider Competency and Patient Care" Primary Contact: James B. Anderson (James.Anderson2@UmassMemorial.Org; 8579198098) The presentation will discuss an evaluation of the capacity of joint visits with a primary care physician and a behavioral health provider to add value to patient care and trainee education. We will review data from a two-phase study. The first phase will use focus groups to form Likert scale items, which will then be evaluated through a card study. We will discuss implications of findings for improving collaborative care and training providers competent in delivering collaborative care in a manner consistent with objectives of the PCMH movement. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe essential components of a dual interview for training providers competent in providing collaborative care.; 2) Discuss how dual interviews are consistent with the PCMH movement.; 3) Discuss strategies for further dissemination of effective techniques for teaching providers to deliver collaborative.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: James B. Anderson, PhD Behavioral Health Fellow University of Massachusetts Medical School Caitlin Burditt, PhD Behavioral Health Fellow University of Massachusetts Medical School Alexa Connell, PhD Assistant Director Center for Integrated Primary Care University of Massachusetts Medical School Juan Carlos Ramos-Ayes, PsyD Behavioral Health Fellow University of Massachusetts Medical School Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. "Interdisciplinary Telehealth Interventions: Lessons Learned and a Guide to Successful Implementation in CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Proposal Details 1415143 Safety Net Medical Systems" http://www.cfha.net/?page=CFPReview Primary Contact: Natalie Ritchie (nataliedawn@gmail.com; 8583616493) Submitted on 3/30/2012 10:57:28 PM Telehealth is an important emerging modality for healthcare interventions, including mental health treatments, with potential to remove access barriers that disparately affect underserved populations. To improve access to behavioral health clinicians among low-income patients, we implemented a telephonic depression intervention within a safety net hospital, designed to enhance treatment as usual by primary care providers. Although successful in many areas, we encountered implementation challenges that demonstrate a need to systematically improve telehealth methodology for use in underserved populations. We propose a preliminary guide for implementing telehealth interventions within safety net medical systems. We will present evidence to support our recommended telehealth practices and highlight where further research is needed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe barriers to implementing telehealth interventions for underserved populations.; 2) Identify solutions to implementing telehealth interventions more effectively for underserved populations.; 3) Identify strategies to provide integrated, interdisciplinary care using telehealth interventions.; 4) Discuss future research needed to develop effective telehealth practices for use in interdisciplinary settings. Topic Areas: Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Natalie Dawn Ritchie, PhD, Health Coach, Denver Health Rachael Meir, PsyD, Clinical Director of Health and Wellness Services, Denver Health Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. "Integrating Behavioral Health and Family Medicine in an Independent Practice Setting" CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1415155 Submitted on 3/30/2012 11:16:06 PM http://www.cfha.net/?page=CFPReview Proposal Details Primary Contact: Carol Ellstein (cgellstein@gmail.com; 231-238-0356) The integration of behavioral health and primary care has become increasingly commonplace in university, hospital, and community clinic settings. However, independent medical and mental health providers have not typically seen fit to collaborate within a private-sector professional practice setting. This presentation will explore the successful creation and implementation of an integrated primary care model involving a contractual psychologist and a group of medical providers working together in a physician-owned Patient Centered Medical Home in northern Michigan. Particular emphasis will be placed on steps taken by the practice to ensure seamless delivery of patient services. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List guiding principles involved in creating an integrated primary care model within an independent medical practice.; 2) Describe the process of developing an integrated primary care model from scratch.; 3) Discuss potential pitfalls that may thwart the successful implementation of an integrated primary care practice; 4) Discuss optimal skills for medical and behavioral health specialists collaborating in a primary care practice Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Carol Ellstein, Ph.D., Licensed Psychologist; Owner, Family Support Systems PLLC KayLynn DeCarli, DO, Staff Physician, Little Traverse Primary Care Names of Additional Presenters (if more than 5) Comments: Due to a recent computer crash, Dr. DeCarli's resume will be submitted at a later date (waited almost to last minute to submit; however, computer still not fixed). Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415190 "Interprofessional teams in primary care settings: Innovative strategies to build competencies, communication, and effectiveness." CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/31/2012 12:21:23 AM http://www.cfha.net/?page=CFPReview Proposal Details Primary Contact: Helen Coons (255 S. 17th Street, Suite 2701, Philadelphia, PA 19103; 215-732-5590) This symposium will address strategies to build interprofessional team competencies, communication and effectiveness in integrated primary care settings. Presenters from academic family medicine, community based primary care, and a team development expert who consults in health care and corporations will offer concrete approaches to facilitate team development and maintain effective integrated work. Systems, clinical, cultural, and operational strategies to build and sustain effective interprofessional practice will be discussed. Participants attending the session will also be invited to provide examples of techniques to build interprofessional team competencies in primary care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List interprofessional team competencies in academic and community based primary care settings.; 2) Identify system, clinical, cultural and operational strategies to build and sustain effective interprofessional primary care teams.; 3) Describe techniques to evaluate interprofessional team effectiveness in primary care settings.; 4) Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 4 Presenters: Susan H McDaniel PhD, ABPP Dr Laurie Sands Distinguished Professor of Families & Health Director, Institute for the Family, Department of Psychiatry Associate Chair, Department of Family Medicine University of Rochester Medical Center Parinda Khatri, PhD Director of Integrated Care Cherokee Health Systems Vicki V. Vandaveer, Ph.D. Chief Executive Officer The Vandaveer Group, Inc Frank Verloin deGruy, III, MD, MSFM Woodward-Chisholm Professor and Chair Department of Family Medicine University of Colorado School of Medicine Helen L. Coons, Ph.D., ABPP President Women's Mental Health Associates Philadelphia Names of Additional Presenters (if more than 5) Comments: If this symposium is accepted, please do not schedule on Sunday. At least two presenters need to leave early Sunday am. Dr. Coons will serve as the chair, and Dr. deGruy will serve as the discussant. Thank you. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415195 "Everyday Strategies for Child Behavior: Empowering Providers and Families and Facilitating Change with a Realistic Approach" Primary Contact: Matt Orr (matt.orr@uscmed.sc.edu; 803-434-2453) Submitted on 3/31/2012 12:35:03 AM Participants will learn a collaborative, user-friendly framework for the psychosocial intervention of disruptive child behavior that allows providers to tailor intervention to the culture and context of families with a special focus on what they "can" (vs. "should") do. Examples of ADHD, chronic oppositionality and anxiety will be given. Included in this presentation will be usable handouts of behavior management strategies and parenting "œsurvival skills"• that are actually being used in a major clinical and academic detailing project in pediatric and family medicine offices across the state of South Carolina. This presentation will provide participants with a cogent framework and intervention strategies for treating disruptive child behavior and will explain the ways in which it can strengthen the collaborative relationship between medical and behavioral health providers and parents/caregivers. The framework incorporates basic behavior management principles with intervention strategies that are founded upon empirically-based principles of normative child development and family processing. Particular emphasis is placed on drawing on the internal resources of a family to create opportunities for success for the child and family based on what they "œcan"• do instead of assuming what they "œshould"• do according to conventional wisdom. The crux of the approach consists of two parts: 1) time-efficient and rich psycho- and health education which gives way to 2) practical solutions and adaptive strategies tailored to the culture and context of the child, family, even school environments. While much of this may sound overly ambitious in description, it is not in practice. Parent complaints of disruptive behavior in children account for the majority of psychosocially-oriented visits to primary care in the pediatric population. Yet, the extant assessment and treatment models are not only based in out-dated paradigms of psychopathology, but they also promote sequential (medsfirst, therapy-last) modes of care that segment medical and mental health, whereby behavioral interventions take a back seat to long trials of medical intervention. In the case of child behavior it is both desirable and essential that patients and families receive an integrative approach marked by collaboration between medical and behavioral providers as well as the parents themselves. However, even the best of collaborative efforts often fail because providers are without a common, user-friendly framework for conceptualizing the nature and treatment of problem behavior across family contexts and cultures. This presentation will provide participants with a cogent framework and intervention strategies for treating disruptive child behavior and will explain the ways in which it can strengthen the collaborative relationship between medical and behavioral health providers and parents/caregivers. The framework incorporates basic behavior management principles with intervention strategies that are founded upon empirically-based principles of normative child development and family processing. Particular emphasis is placed on drawing on the internal resources of a family to create opportunities for success for the child and family based on what they "œcan"• do instead of assuming what they "œshould"• do according to conventional wisdom. The crux of the approach consists of two parts: 1) time-efficient and rich psycho- and health education which gives way to 2) practical solutions and adaptive strategies tailored to the culture and context of the child, family, even school environments. While much CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details of this may sound overly ambitious in description, it is not in practice. Included in this presentation will be usable handouts of behavior management strategies and parenting "œsurvival skills"• that are actually being used in a major clinical and academic detailing project in pediatric and family medicine offices across the state of South Carolina. Often in typical collegial relationships "“ those that are defined more by mutual referral practices than anything else "“ the providers are operating out of different frameworks that may not match up with what the other provider is doing, whether due to differences in orientation or to the role that they play (medical vs. behavioral). The framework that will be presented is not only practical and user-friendly enough for medical and behavioral providers and parents alike, it also establishes a common platform upon which both medical and behavior providers can work in concert with each other. That is, the information they offer to educate families about the nature of the problem behavior and the rationale for the interventions that may be recommended will be more consistent among providers because it can fit with the more therapy-minded behaviorist and the more medically-minded physician, as well as the more practically-minded and often exhausted caregiver. The intended result is that parents and other caregivers are empowered to think flexibly about and problem-solve for their children's behavior with as much independence as possible, which may decrease care utilization over time. The major areas about which participants will learn are: Teaching adaptive skills and survival strategies for problems with self-regulation across childhood and adolescence (such as with ADHD, chronic oppositionality, and anxiety) The utility of ordinary play and physical activity as a clinical intervention Anxiety as the wizard behind the curtain of many child behavior issues The role of culture in tailoring education and intervention strategies Collaborating with schools and teachers to maximize opportunities for success Temperament and the importance of fit in relationships and interventions Focus on what families can (vs. should) do Importance of modulating stress and arousal for individuals within families for overall health It is not assumed that this is a one-size-fits-all approach. Examples of treating ADHD, chronic oppositional behavior, anxiety, and parent-child relational issues will be discussed to give the framework focus and a context to interact with participants about their experiences working with these issues in collaborative environments. However, a comprehensive examination of each will not be provided due to time constraints. Therefore, the focus will be on establishing the critical ingredients to necessary to successfully work with these problems in an actual integrative approach and it is expected that participants will be able to integrate these strategies into their existing practices. Participants will be encouraged to interact with the presenter through case discussion, video review, and an experiential exercise that illustrates one of the primary principles of the framework; the exercise is individual in nature and can be completed no matter the size of the audience. The presentation will integrate a PowerPoint presentation, handouts with complete slides, and audience participation in case examples. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will be able to provide brief, yet rich, education on child development and behavior that engages and empowers parents in change process; 2) Participants will be able to integrate practical behavioral intervention strategies that are conducive to primary care-based office visits; 3) Participants will be able to identify and tailor brief interventions that fit the needs and abilities of the family and the child with disruptive behavior; 4) Topic Areas: Clinical care/direct practice CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Matt Orr, PhD Director of Behavioral Medicine Associate Professor of Clinical Family and Preventive Medicine University of South Carolina School of Medicine Names of Additional Presenters (if more than 5) Comments: My updated CV is on another computer/drive. If the system lets me I will upload it or send it Monday. Thanks! Also, I presented similar material in 2009 and in subsequent settings as well participants usually ask for the 90 minute slot to give them adequ Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415253 "Consumer satisfaction with a co-located model of service delivery: Evaluating mental health services provided in pediatric primary care" Primary Contact: Barbara Gueldner (bgueldner@gmail.com; 970-761-0041) Submitted on 3/31/2012 5:11:54 AM Three years ago, a psychologist joined an established pediatric primary care clinic. A quality improvement project was conducted to evaluate parents' of pediatric patients opinion about the inclusion of a psychologist in primary care. Specifically, of those parents who obtained mental health care services for their children with the psychologist in this clinic, we were interested in: 1) the extent to which it was important to them to receive mental health care in the same location as their primary medical care, 2) how satisfied they were with aspects of these mental health services, and 3) whether they had general comments on this model of service delivery. Most strikingly, 80% of a total of 50 respondents indicated it was very important or important that their child receive mental health services within their primary care clinic. Implications for future service delivery will be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List the primary areas and level of satisfaction indicated by the respondents.; 2) Describe how this information affects service delivery in this clinic.; 3) Discuss a future evaluation of parents' satisfaction with the perceived collaboration between psychologist and medical provider.; 4) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Barbara Gueldner, PhD, MSE, NCSP Names of Additional Presenters (if more than 5) Comments: The information presented in from a quality improvement project. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415255 "Initiating post-partum depression screening in pediatric primary care: Understanding a clinic's population and facilitating follow up care" Primary Contact: Barbara Gueldner (bgueldner@gmail.com; 970-761-0041) Submitted on 3/31/2012 5:15:52 AM Screening mothers of infants for post-partum depression (PPD) is recommended by the AAP and can increase the likelihood of obtaining early intervention services if necessary. An established pediatric primary care clinic recently initiated a screening procedure for mothers of two-month old infants. A quality improvement project was completed to: 1) generate a general understanding of the occurrence of PPD in this clinic, 2) inform providers of this occurrence, 3) explore ways in which the clinic could provide follow up care to mothers with a positive screen, and 4) guide the clinic's decisions to continue screening and consider ways to optimize efficiency and quality of care. Considerations for implementing a new screening procedure will be discussed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) List steps taken to initiate a new screening procedure for post-partum depression in a pediatric primary care clinic; 2) Describe information given to medical providers that assisted them in understanding the clinic population; 3) Discuss follow up options for mothers who had a positive screen; 4) Discuss future directions for PPD screening in this clinic Topic Areas: Clinical care/direct practice CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Barbara Gueldner, PhD, MSE, NCSP Names of Additional Presenters (if more than 5) Comments: The information presented is a quality improvement project. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415258 "Patient follow up with recommended medication consultation: Implications for enhancing collaborative service delivery" Primary Contact: Barbara Gueldner (bgueldner@gmail.com; 970-761-0041) Submitted on 3/31/2012 5:20:59 AM Inclusion of a psychologist into pediatric primary care increases the opportunity for collaboration with providers and continuity of care for patients. When a psychologist recommends a medication consultation (e.g., after an evaluation for ADHD), it can be challenging to know whether the patient followed through with this recommendation, especially if the family chooses not to pursue recommended non-pharmacological therapy at the clinic or seeks interventions elsewhere. The goals of this quality improvement project were to determine the rate at which patients: 1) saw a medical provider for a recommended medication consultation and 2) reported improvement after starting a medication, if deemed appropriate and prescribed. We anticipated that tracking this information would assist both the psychologist and medical providers to monitor patient follow through, responses to medication, and provide overall enhanced collaboration in this clinic. Considerations for following up with patients who did not obtain a medication consultation will be reviewed. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the steps taken to obtain the information in a paper medical record system; 2) Identify the rates at which patients saw a medical provider for a recommended medication consultation and reported benefit from prescribed medication; 3) Discuss ways in which our patient care and provider collaboration were perceived to be impacted by calculating these rates; 4) Discuss ways in which clinic providers can follow up with patients who were reported to have not returned for a medication consultation CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Barbara Gueldner, PhD, MSE, NCSP Names of Additional Presenters (if more than 5) Comments: The information presented is from a quality improvement project. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415263 Submitted on 3/31/2012 6:03:13 AM "A moving target: patient-centered health outcomes in today's health care delivery system" Primary Contact: Aliea Herbert (aliea@gwmail.gwu.edu; 720-837-5620) What does current literature support as a health outcomes accounting for patient-centered targets? How does research, literature and current implementation within health delivery systems reflect the goal of optimizing patient outcomes on a spectrum? Investing our resources in research to clearly define a matrix for health outcomes has potentially profound implications within structured healthcare delivery systems. Outcome measures can be isolated as incentive tools to maximize provider behavior and shifting consumer expectations. Though targeted policy-level interventions, impact on practice-level provider behavior is feasible. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify health outcome indicators suitable for measurement in the health care delivery system as supported by literature.; 2) Describe how a provider incentive structure works to change provider behavior.; 3) Discuss why the implementation of wellness indicators as health outcome measurements in health care delivery systems is important for patient optimization.; 4) Discuss the level of health policy where implementation of recommendations for wellness outcome measurement could be feasible. Topic Areas: Clinical care/direct practice|Public policy CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Aliea Herbert Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415305 Submitted on 3/31/2012 8:51:08 AM "Is HIPAA Enough? Protecting our Patients in Integrated Care" Primary Contact: Cathy Hudgins (cmhudgins@radford.edu; 540-998-2291) There is wide variation in interpretation of informed consent and privacy laws among the behavioral health community who practice in integrated settings. This study employed a survey and content analysis to identify related law and policy interpretation, recommendations, and best practices to develop a consensus among recognized experts in the field, including practitioners, advocacy groups and legal and regulatory agencies. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Discuss laws and policies related to informed consent and releaseof information relevant to Integrated Care settings.; 2) Discuss best practices shared by current Integrated Care settings.; 3) Introduce informed consent and release of information research project findings from survey and content analysis data.; 4) Consider and discuss the challenges these regulations and ethics will pose to integrated systems Topic Areas: Clinical care/direct practice|Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Number of Presenters: 4 Presenters: Cathy M. Hudgins, Ph.D., LPC, LMFT; Director of the Radford University Center for Integrated Care Training and Research Sandra Rose, Ph.D.; Director of Behavioral Health Goodwin Community Health Peter Y. Fifefield, M.S., LCMHC; Integrated Behavioral Health Services Manager Families First Health and Support Center Steve Arnault, M.S.; Vice President of Quality, Compliance and Integrated Care, Center for Life Management Names of Additional Presenters (if more than 5) Comments: We presented preliminary findings from this research project in a 20-minute format last year, but from the feedback we received, this was not enough time to discuss the complexity of this issue. We have completed the analysis of this project and would lik Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415369 Submitted on 3/31/2012 10:27:58 AM "Seeing the Forest Through the Trees: Integration in Family Medicine GME" Primary Contact: Dan Marlowe (daniel.marlowe@sr-ahec.org; 2528644883) Over the last decade there has been the call for fundamental changes in the health care system and how we train future practitioners. Several reports underline the need to develop training programs that include the larger context of health care, accountability, other new organizational structures, and team-based learning designed to deliver patient-centered, coordinated, inter-professional, and interdisciplinary care. This presentation introduces the Integrated Care Curriculum (ICC), a multifaceted longitudinal and developmental competency-based experience emphasizing interdisciplinary and interprofessional collaboration (i.e., integrated care), continuous quality improvement, community engagement, and teaching/supervision for family medicine residents. The purpose of the presentation will be to share a curriculum that begins to create a new model; one that teaches family medicine residents to change the way they conceptualize integrated care and inter-professional collaboration in general. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand and explain how the ICC was constructed and its essential components; 2) State how the practice of integrated, team-based care, evaluation, and instruction is employed in this .innovative training approach and is reinforced in all ICC rotations; 3) Identify and describe the process of implementation of the ICC and three implementation strategies; 4) Share ideas about elements required for building an effective and sustainable ICC, including strategies that might promote or hinder implementation in other institutions. Topic Areas: Clinical care/direct practice|Organizational/implementation issues CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 3 Presenters: Daniel Marlowe, PhD, LMFT. Director Applied Psychosocial Medicine, Southern Regional Area Health Education Center Eron G Manusov, MD. Vice President, Center for Educational and Services, Southern Regional Area Health Education Center Greg Turner, EdD, Assistant Dean for Faculty Development, The Florida State University College of Medicine Names of Additional Presenters (if more than 5) Comments: I will send the other two presenters' CVs ASAP as an email attachment. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415427 "Understanding the Effects of Family Relationships on Mental and Physical Health: Applying the Biobehavioral Family Model to an Adult Primary Care Sample" Primary Contact: Sarah Woods (swoods.lmft@gmail.com; 757-390-6529) Submitted on 3/31/2012 11:55:37 AM Research on families and health indicates a need for a comprehensive, biopsychosocial model in studying and understanding the effects of close relationships on mental and physical health. The Biobehavioral Family Model is based on ideas from general systems theory and Minuchin's structural family therapy; the model explains the mutual, reciprocal effects of family functioning on emotion dysregulation and disease activity. We tested this model with a diverse sample of underserved, primarily uninsured adult primary care patients (n=125) and discuss results that highlight the significant relationships indicated through modeltesting between family/romantic relationships, depression/anxiety, and illness symptoms/overall health. Policy and clinical implications are discussed, as well as directions for future research. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the Biobehavioral Family Model and its hypothesized pathways.; 2) Identify important associations between close relationships, emotion regulation, and disease activity.; 3) Discuss the relevance of the Biobehavioral Family Model to adult primary care patients.; 4) Discuss clinical implications of the Biobehavioral Family Model for collaborative care. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 2 Presenters: Sarah Woods, M.S., LMFT, Graduate Research Assistant, Marriage & Family Therapy Program, The Florida State University Jacob Priest, M.S., Graduate Research Assistant, Marriage & Family Therapy Program, The Florida State University Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415433 Submitted on 3/31/2012 11:59:56 AM "Re-visioning the future of healthcare through a more collaborative multidisciplinary model of training" Primary Contact: Thomas Bishop (bishoptw@etsu.edu; (423) 439-6464) It could be argued that the future of integrated care is in part dependent upon collaborative training models that are not only multidisciplinary in nature, but that strive to reach a "œcrosspollination"• of experiences and knowledge. The aim of this talk is to present Johnson City Family Practice Residency's efforts of utilizing a needs assessment as a prescriptive path in moving toward more collaborative/integrated training and the resulting improvement on health care delivery. The intent would be to use this experience to spur on discussion of how training sites may strengthen their training of integration make real improvements in health care. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify how a needs assessment can be implemented in a practical manner, utilized in defining a training sites' level of integration, and how they may move forward.; 2) List specific challenges in progressing toward a more collaborative model of training and how they may be addressed.; 3) Identify specific outcomes of collaborative training on patient care and the creation of a strong medical home.; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Thomas W. Bishop, Psy.D. Assistant Professor of Family Medicine Quillen College of Medicine, East Tennessee State University Johnson City Family Practice Residency 917 W. Walnut Street Johnson City, TN 37604 Emily K. Flores, PharmD, BCPS Assistant Professor, Department of Pharmacy Practice Bill Gatton College of Pharmacy East Tennessee State University Clinical Assistant Professor, Adjunct Faculty Quillen College of Medicine, Department of Family Medicine Off Thomas Avonda, M.D. Assistant Professor of Family Medicine Quillen College of Medicine, East Tennessee State University Johnson City Family Practice Residency 917 W. Walnut Street Johnson City, TN 37604 Names of Additional Presenters (if more than 5) Comments: I have include a bio for Thomas Avonda, M.D., but will forward a vita ASAP. He has been serving call. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415450 Submitted on 3/31/2012 12:19:48 PM "The Key to Future Success in Integration: Interdisciplinary Training" Primary Contact: William Gunn (wgunn@crhc.org; 603-225-2711 x4786) Interdisciplinary training is not the norm in schools of medicine, nursing, social work, psychology, professional counseling, marriage and family, or substance use programs . Professional training almost always occurs within discipline, leaving little opportunity for trainees to experience cross discipline collaboration and integration while they are developing lifetime practice patterns. While there are behavioral health training sites in primary care and other health settings, direct training with the other disciplines rarely occurs. These training traditions are inconsistent with healthcare trends towards more cross disciplinary team care. Individuals trained in isolation may have difficulty functioning effectively in a team based environment. The presenters' 40 plus years of experience conducting cross disciplinary teaching in family medicine residencies will inform the presentation. They will describe an effort within psychology to pair academic training programs with residency training programs. They will outline the curriculum developed to facilitate experiential instruction, how national efforts to raise awareness of the importance of interdisciplinary training and competencies in this area. The audience will be invited to discuss CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details their efforts to provide this training in their settings and "œlessons learned"• in this process. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will understand the history of interdisciplinary training and recent efforts to describe competence in this area; 2) Participants will understand the difference in training in an ongoing clinical practice from an academic institution; 3) Participants will be able to describe how curriculum, goals and objectives, methods of instruction, and evaluation strategies can occur around interdisciplinary training; 4) Participants will be able to describe ways in which interdisciplinary traning can occur in their home settings Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: William B. Gunn Jr. PhD Director of Primary Care Behavioral Health NH/Dartmouth Family Medicine Residency Concord, NH 03301 Nancy Ruddy PhD Psychologist and Driector of Behavioral Science 799 Bloomfield Ave. Verona NH 07476 Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415504 Submitted on 3/31/2012 1:03:39 PM "Ethical Considerations in Integrated Care: Behavioral Health Consultation and Care Management Models" Primary Contact: Anne Dobmeyer (dobmeyera@gmail.com; 937-479-7094) Providing integrated behavioral health in primary care requires understanding of ethical considerations and challenges present in these collaborative models of care. Ethical guidelines developed for various specialties (e.g., psychology, psychiatry, social work, nursing, primary care medicine) may not adequately provide guidance for these emerging practice areas. This presentation will discuss specific ethical challenges faced by psychologists and social workers providing behavioral health consultation in primary care, as well as nurses and psychiatrists working in a care management model, within Department of Defense medical clinics. Relevant ethical codes from different professional specialties will be examined, and recommendations CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details provided for maintaining ethical practice. Audience members will be asked to examine integrated care clinical scenarios, identify ethical concerns, and discuss possible resolutions. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify common ethical dilemmas that may arise when providing behavioral health consultation in primary care; 2) Describe ethical challenges that may be encountered in Care Management models of integrated primary care; 3) Analyze relevant professional codes of ethics to assist with resolving ethical dilemmas commonly encountered by behavioral health providers in primary care; 4) Discuss whether current ethical standards from involved disciplines adequately address common ethical dilemmas arising in integrated primary care settings Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Anne C. Dobmeyer, Ph.D., ABPP DoD Program Manager for Internal Behavioral Health Consultation DoD Deployment Health Clinical Center, Defense Centers of Excellence Charles C. Engel, MD, MPH Director, DoD Deployment Health Clinical Center Associate Professor & Associate Chair (Research) Department of Psychiatry, Hebert School of Medicine, Uniformed Services University of the Health Sciences Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415508 "Group Intervention for Pediatric Obesity in Primary Care: Barriers Encountered, Cultural Considerations, Efficacy Assessment, and Program Development" Primary Contact: Shanda Wells (shandawells@gmail.com; 712358350) Submitted on 3/31/2012 1:06:25 PM The complexities of treating pediatric obesity within a primary care setting require innovative and comprehensive methods. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details This presentation will consider how Access Community Health Centers has addressed the problem of pediatric obesity through community partnerships and integrated individual and group medical services with registered dietitians and behavioral health specialists. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify organizational strategies and procedures to develop an integrated and comprehensive approach to pediatric obesity within a community health center.; 2) List specific strategies used by behavioral health consultant (BHC) and registered dietician to target pediatric obesity in a primary care setting.; 3) Describe cultural factors and programmatic barriers encountered thus far regarding implementation, group retention, and communication; 4) Describe demonstrated efficacy thus far as measured through both objective physiological data and subjective family reports. Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: Shanda Wells, PsyD Behavioral Health Post-Doctoral Fellow Access Community Health Center Chantelle Thomas, PhD Behavioral Health Consultant Access Community Health Center Elizabeth Zeidler-Schreiter, PsyD Behavioral Health Consultant Access Community Health Center Armando Hernandez, PhD Behavioral Health Consultant Access Community Health Center Names of Additional Presenters (if more than 5) no Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415568 "Consumer Engagement: Moving To a Recovery-Based Treatment Model" Primary Contact: Ginny Morgan (ginny.morgan@stmhmr.org; 409-782-5019) The Spindletop Center is looking to move its model of care from a clinically-based model (medication-centered) to a model that CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/31/2012 1:40:37 PM http://www.cfha.net/?page=CFPReview Proposal Details is also grounded in a well-rounded, client-directed approach to recovery. The new recovery-based model will augment existing medical aid with classes and peer-based counseling that will empower clients to take a more active role in managing their symptoms and directing their recovery processes. The model will offer clients tools to recognize and deal appropriately with changes in their conditions, resources to handle those changes before medical attention is necessary and will save the Center funds that would be used on medical attention for those clients. This new model is based, in part, on the Wellness and Recovery Action Plan developed by Mary Ellen Copeland, and will, therefore be administered by trained Spindletop Peer Specialists. Spindletop believes this shift will not only help clients be "œowners"• of their treatment and recovery, but will also give clients a "œwellness toolbox;"• a daily maintenance plan, ways to identify and deal with triggers; ways to identify and deal with warning signs of crises; and to develop a clear plan to recovery. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the difference between our current model and the recovery-based model.; 2) Identify strategies to help clients take a more active role in treatment and recovery. Identify strategies to help clients become self-advocates in their treatment and recovery.; 3) Help clients recognize what triggers a worsening of symptoms and use a "œtoolkit"• to deal with the episode. Aid clients in developing maintenance plans to manage their conditions.; 4) Learn strategies to help organizations identify, train and retain effective peer counselors and identify ways to overcome provider/client resistance to the recovery-based model. Topic Areas: Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Ginny Morgan, Clients' Rights Officer, Spindletop Center, Beaumont Texas. Board Member, Nick Nides Self Help Haven (a.k.a. Beaumont Hope Center). Byron Hughes, Program Coordinator, Nick Nides Self Help Haven. Peer Specialist, Spindletop Center, Beaumont Texas Garry D. Lewis, Peer Specialist, Spindletop Center, Beaumont Texas Names of Additional Presenters (if more than 5) Comments: We believe that a treatment model that includes a recovery-based approach will be a cost-effective, impactful way of leading our consumers to successful outcomes. Medication is a wonderful tool, but a well-rounded, person-centered model CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details will also give our Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415584 Submitted on 3/31/2012 1:47:22 PM "Resource Link: A Replicable Model For Integrating Behavioral Health and Pediatric Primary Health Care" Primary Contact: Mike Wells (michael.a.wells@osfhealthcare.org; 309-671-7532) This presentation provides an overview of Resource Link â, a program at Children's Hospital of Illinois that equips pediatric health care providers to address mental health in the context of the primary care practice. Program services are described. These include office-based provider training, psychiatric consultation for primary care providers and care coordination for families. Evidence basis and original research data gathered to inform the program's development and expansion, as well as program evaluation data covering its seven years of operation will be discussed. A description of the program's recent expansion will be provided along with data related to its replicability in urban and rural areas. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe evidence basis for the integration of behavioral health and primary health care.; 2) Discuss the key program components of the Resource Link model of integrating behavioral health and primary health care.; 3) Describe Resource Link program evalution results and implications for replication and broad population impact.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 4 Presenters: Marjorie Getz, MPhil, Primary Investigator/Program Evaluator, Resource Link, Children's Hospital of Illinois Kay Saving, MD, Medical Director, Children's Hospital of Illinois Lourdes Delgado-Serrano, MD, Child and Adolescent Psychiatrist, University of Illinois College of Medicine Michael Wells, MS, Children's Service Line Coordinator, OSF HealthCare Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415632 "Prevalence of Relationship Discord in Medically Underserved Primary Care Patients: Clinical Implications for Collaborative Care" Primary Contact: Sarah Woods (swoods.lmft@gmail.com; 757-390-6529) Submitted on 3/31/2012 2:10:15 PM In order to best assess the need for family interventions for primary care patients and to better inform medical providers about the patients they serve, the prevalence rates of relational discord for primary care patients need to be established. These rates are previously unknown, despite our knowledge that family relationships affect the management and outcomes of chronic illness; rates of common psychiatric conditions are only beginning to be understood for urban primary care patients. This presentation will discuss recent findings from a study that assessed primarily uninsured, low-income primary care patients (n = 125) using several psychosocial measures. Rates of problematic family functioning, relationship distress, depression, anxiety, and alcohol use will be presented, as well as results from a latent class analysis that highlights important associations among patient characteristics and demographic groups at greatest risk of psychosocial concerns. Directions for future research will be discussed, as well as policy and important clinical implications. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify the prevalence of relational discord for underserved primary care patients.; 2) Discuss the relevance of the prevalence rates of common mental health concerns and relational discord for collaborative care.; 3) Identify how underserved primary care patients' symptoms cluster together and may present in practice.; 4) Discuss the importance of competent behavioral health providers for serving medically underserved, at-risk primary care patients. Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 3 Presenters: Sarah Woods, M.S., LMFT, Graduate Research Assistant, Marriage & Family Therapy Program, The Florida State University CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Jacob Priest, M.S., Graduate Research Assistant, Marriage & Family Therapy Program, The Florida State University Katharine Wickel, M.S., LAMFT, Graduate Research Assistant, Marriage & Family Therapy Program, University of Minnesota Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415638 "Engaging caregivers and professionals in a team-based model of early intervention: A systems-change process" Primary Contact: Emily Shaffer-Hudkins (eshaffer@health.usf.edu; 8133569973) Submitted on 3/31/2012 2:15:08 PM Repeated studies have demonstrated that early intervention has the greatest impact for young children when caregivers are actively engaged in the treatment (Mahoney & Perales, 2005). Within the Florida early intervention program, such empirical findings have resulted in a conceptual shift in practice whereby relationships between a caregiver and child are supported by one interventionist or "˜coach' who receives ongoing consultation from other health professionals. This presentation will provide an overview of a systems change process to promote teaming among professionals and engage caregivers more meaningfully in ongoing early intervention. The presenter will discuss specific activities used to build consensus and infrastructure among community therapists, early interventionists, and family case managers as well as barriers to implementing these changes. Preliminary data on the satisfaction of providers and families with this team-based model will be shared. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the importance of engaging caregivers in the provision of early childhood mental health services; 2) Discuss key strategies for engaging caregivers in ongoing early intervention activities to promote developmental success; 3) Gain practical skills in the steps of a systems change process within early intervention; 4) Identify how lessons learned from the Florida Early Steps Program may apply to other systems of early childhood mental health care Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Emily Shaffer-Hudkins, Ph.D., Psychology Post-Doctoral Fellow, University of South Florida Department of Pediatrics Names of Additional Presenters (if more than 5) Comments: A multidisciplinary team including a developmental pediatrician, physical/occupational therapists, speech therapists, psychologists, and others have been involved with this project. Dr. Shaffer-Hudkins would be presenting on behalf of this team. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415749 Submitted on 3/31/2012 3:21:38 PM "Integrated Care, Physicians, Health-care Executives, and Attorneys: How do we make it work?" Primary Contact: Eron Manusov (eron.manusov@sr-ahec.org; 8505911324) The purpose of the workshop is to bring together physicians, executive managers, and legal experts to lead a discussion to define barriers and to create potential solutions to make truly integrated care a new discipline; where collaboration means not only working within a profession but learning, thinking, creating, and ultimately being responsible/liable as an integrated group. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Discuss three major domains of barriers to total collaborative integrated healthcare (medical, executive management, legal).; 2) Review and list categories within each of the three domains that affect collaborative integrated care; 3) Apply a relational approach to providing potential solutions to the barriers to integrated care.; 4) Create a list of solutions that address the specific barriers to integrated care. Topic Areas: Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 4 Presenters: Eron G Manusov, MD. Vice President, Clinical Education and Services, Southern Regional Area Health Education Center Daniel Marlowe, PhD. Director Applied Psychosocial Sciences, Southern Regional Area Health Education Center Sushma Kapoor, MD. Associate Program Director, Duke/ Southern Regional Area Health Education Center Family CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Medicine Residency Shari Nokes, Esq. Nokes and Nokes Law, Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415821 "Inter-professional Training in Family-Centered Integrated Healthcare for the Underserved Population of Children: Organizational/Implementation Issues" Primary Contact: Cindy Carlson (ccarlson@austin.utexas.edu; (512) 471-0276) Submitted on 3/31/2012 4:43:08 PM In this presentation a multidisciplinary panel will engage the audience in discussion of the organizational/ implementation issues presented with inter-professional training in family-focused, culturally/linguistically competent, integrated health care for the underserved population of children. Data to stimulate audience participation are based on a current HRSA-funded training grant, the Integrated Health Care Services for Underserved Children and Families Program, which jointly trains child psychologists and psychiatrists to work in collaborative family care in children's hospital settings and FQHCs. Panelists represent the diverse role perspectives of training, health care system administration, clinical supervision, and evaluation. To encourage audience participation, the format will include a brief (5 minute) introduction to each topic that provides the ideal or project vision, and the reality, i.e. implementation issues. A 10-minute audience brainstorming of solutions will follow the presentation of each topic stimuli. Implementation issues will include: joint training, integrated clinical practice, cultural/linguistic competence; competence in family collaborative care; and self-study with evaluation data. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Articulate the relationship between interprofessional training and integrated health care delivery.; 2) List three reasons children's services should be family-centered, culturally/linguistically competent, and integrated.; 3) Identify three barriers and three solutions to inter-professional training implementation.; 4) Provide two examples of how evaluation data inform organizational/ implementation issues. Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 90 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 6 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Cindy Carlson, Ph.D. Professor & Chair, Dept. of Educational Psychology, University of Texas at Austin Jane Ripperger-Suhler, M.D. Associate Program Director, General, Child & Adolescent Psychiatry Residency Programs, Univ. of Texas Southwestern Residency Programs at Seton Family of Hospitals- Austin, TX Jane Simpson Gray, Ph.D. Psychologist & Director of Training, Texas Child Study Center, Austin, TX Greg Jensen, LCSW Vice-President of Behavioral Health, Lone Star Circle of Care, Georgetown, TX Elizabeth Portman Minne, Ph.D. Psychologist, Lone Star Circle of Care Referral Center at Crockett High School, Austin, TX Names of Additional Presenters (if more than 5) Patricia Keith, Ph.D. Keith Research Associates, Austin, TX Comments: Please consider this submission for a 40 minute presentation if it is not selected for a 90 minute slot. Thank you. Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415878 Submitted on 3/31/2012 5:39:47 PM "A Behavioral Health Intervention for Hypertension within a Patient Centered Medical Home" Primary Contact: Shandra Brown Levey (shandra.brownlevey@ucdenver.edu; 303-724-9765) Medical providers often forget to involve behavioral health providers in the care of their hypertensive patients. A fair amount of evidence suggests that addition of behavioral health services can improve hypertension. For a few patients behavioral health approaches may even eliminate the need for pharmacotherapy. Our office has NCQA PCMH certification and as part of a clinic wide effort to decrease the number of patients with uncontrolled hypertension we added behavioral health interventions to the list of our available services. We will discuss this project in terms of clinic workflow, specific behavioral health interventions for hypertension, and outcomes. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to: Identify ways in which a behavioral health team and medical team can work together to identify hypertensive patients who can benefit from behavioral health interventions.; 2) Discuss ways in which behavioral health can be beneficial to patients with hypertension.; 3) Describe possible outcomes for patients who receive behavioral health interventions for hypertension.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 2 Presenters: Shandra M. Brown Levey, PhD Primary Care Psychology Fellow Deborah Seymour, PsyD Psychologist Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415909 Submitted on 3/31/2012 6:11:48 PM "The Role of Integrated Behavioral Health Services within the Patient Centered Medical Home" Primary Contact: Shandra Brown Levey (shandra.brownlevey@ucdenver.edu; 303-724-9765) A patient-centered medical home (PCMH) is designed to improve patient health outcomes and patient satisfaction. One way in which both goals can be achieved is through the addition of integrated behavioral health services. In this presentation, we will describe specific ways in which behavioral health has been integrated into our NCQA certified PCMH and has been included in plans for PCMH recertification. Objectives: At the conclusion of this presentation, the participant will be able to: 1) At the conclusion of this presentation, the participant will be able to: Identify ways in which a behavioral health team and medical team can work together to identify primary care patients who can benefit from behavioral health interventions.; 2) Discuss ways in which behavioral health care can be actively implemented for clinically important conditions (CICs) identified for PCMH purposes.; 3) Describe how behavioral health can help with PCMH recertification efforts.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement|Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 5 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Shandra M. Brown Levey, PhD Primary Care Psychology Fellow Deborah Seymour, PsyD Psychologist Alyssa Ford, MS Pre-Doctoral Psychology Intern Kyle Knierim, MD Family Medicine Resident Idalia Massa, PhD Primary Care Psychology Fellow Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415962 Submitted on 3/31/2012 7:02:33 PM "Compassionate Care for Chronic Pain" Primary Contact: Patti Robinson (robinsonpatricia@me.com; 509.307.5333) Chronic pain is the leading cause of medical treatment in the United States (Asmundson, Wright, & Stein, 2004). While primary care and specialty providers are cognizant of the role social and psychological factors play in the maintenance of chronic pain, most find it difficult to effectively target the pattern of avoidant coping exhibited by most chronic pain patients. This session will suggest a theoretical model and offer a conceptual tool for providers to use in promoting better health outcomes for patients with chronic pain. Participants will also learn strategies for enhancing their experience of compassion in caring for patients with chronic pain. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe a conceptual framework for targeting avoidant coping in patients with chronic pain; 2) Identify a tool for formulating on-going care of patients with chronic pain; 3) Identify a tool for on-going clinical intervention with patients with chronic pain; 4) Discuss one or more strategies for providers to use to increase their compassion in caring for chronic pain patients Topic Areas: Clinical care/direct practice Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Presenters: Patti Robinson, PhD Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415968 Submitted on 3/31/2012 7:09:35 PM "The March of Health Care Organizations Toward Integration" Primary Contact: Patti Robinson (robinsonpatricia@me.com; 509.307.5333) This workshop suggests a strategy for evaluating a health care system's status in regards to providing integrated behavioral health services. The Primary Care Behavioral Health Integration Tool (PCBH-IT) survey provides a snapshot of a clinic's status in seven domains. PCBH-IT results for multiple clinics may be graphed together to provide a profile for the larger system. Additionally, the PCBH-IT survey may be repeated periodically to assess the progression of the clinic/system toward greater levels of integration. Participants will view case examples from two health care organizations with multiple clinics and discuss implications for assisting systems with change. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Identify a tool for assessing a clinic's status relative to providing integrated behavioral health services; 2) List 3-7 domains important to organization success in providing behavioral health services; 3) Identify foundation domains that support optimal population impact; 4) Describe strategies for assisting systems with changes underlying successful delivery of integrated behavioral health services Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 Presenters: Patti Robinson, PhD Names of Additional Presenters (if more than 5) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1415972 Submitted on 3/31/2012 7:16:42 PM "The Behavioral Health Consultant Mentor: Lessons Learned" Primary Contact: Patti Robinson (robinsonpatricia@me.com; 509.307.5333) The continuation of an innovative approach relies on the development of a strong core of well-trained, committed proponents capable of coaching others and evolving the approach as indicated. Participants in this workshop will consider the core competencies for a primary care Behavioral Health Consultant Mentor. Additionally, they will listen to lessons learned from a mentor trainer and be invited to discuss ways to better address the barriers to the evolution of the mentor role. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe three or more core competencies for a Behavioral Health Consultant Mentor; 2) Describe one or more educational methods the Mentor uses; 3) List two or more barriers to the evolution of the Mentor role; 4) Discuss possible strategies for further development of the Mentor role Topic Areas: Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Patti Robinson, PhD Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416097 "Implementing Integrated Healthcare in Community Settings: Factors to Consider in Designing and Evaluating Programs" CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/31/2012 9:08:35 PM http://www.cfha.net/?page=CFPReview Proposal Details Primary Contact: Michele Guzman (michele.guzman@austin.utexas.edu; (512) 471-5041) Presenters will share information about the challenges and lessons learned from several different evaluations of IHC models implemented at community health centers in Texas. They will highlight the findings and limitations of the various evaluations, identifying common themes and areas for future research. In order to better integrate the information provided, participants will be asked to apply the lessons learned and findings to their own IHC implementation experiences through an interactive discussion and activity. The second half of the presentation will provide tips and tools for establishing a strong evaluation plan from the beginning of implementation that will provide opportunities for strategic learning and valuable information for organizations and their stakeholders. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Understand challenges encountered by a number of community health centers in Texas that implemented IHC models.; 2) Be familiar with results from evaluations of a number of community health centers in Texas that implemented IHC models.; 3) Apply information shared to current experiences with IHC implementation.; 4) Improve evaluation efforts with respect to their own programs. Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Dr. Toni Watt, Ph.D., Associate Professor of Sociology, Texas State University Dr. Michele Guzman, Ph.D., Assistant Director of Research and Evaluation, Hogg Foundation for Mental Health Cate Graziani, M.S.S.W/M.P.Aff. Candidate, Graduate Research Assistant, Hogg Foundation for Mental Health Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416154 "Practice-Based Participatory Research: The Integrated Care Evaluation Project" Primary Contact: James Fauth (jfauth@antioch.edu; 603-282-2193) CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Submitted on 3/31/2012 9:47:10 PM http://www.cfha.net/?page=CFPReview Proposal Details This presentation introduces a novel quality improvement model - Practice-Based Participatory Research (PBPR) - that leverages evidence-based models to engage practitioners in the systematic pursuit of local evidence to inform practice.The application of the PBPR framework within the Integrated Care Evaluation (ICE) project, which focuses on better understanding and improving the allocation and provision of integrated care within naturalistic, underserved primary care settings, will be described. Multilevel modeling analyses of the ICE project data to date have revealed that the probability of receiving colocated behavioral health escalated with emotional distress, reaching its highest levels in the upper reaches of the emotional distress continuum. While this makes sense on one level (directing resources to the most needy patients), the integrated care research tells us that the relatively low intensity behavioral health intervention available via integrated care in the settings we evaluated are most effective for mildly to moderately distressed patients, whereas severely distressed patients are more likely to benefit from referral out to specialty care. The presentation concludes by discussing some of the ramifications and clinical implications of the aforementioned results, including how to improve the allocation and outcomes associated with integrated care as financially sustained in naturalistic settings. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe key tenets of Practice-based Participatory Research; 2) Identify the key results of the Integrated Care Evaluation project; 3) Discuss potential quality improvement strategies that might better align integrated care practice with evidence based models of care; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: James Fauth Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416202 "The Power of Communication" CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 http://www.cfha.net/?page=CFPReview Submission # Proposal Details Primary Contact: Makini Austin (maustin@wemc.org; 404.752.1400 x.1428) Submitted on 3/31/2012 10:08:13 PM This session will highlight the top 5 diagnoses in the primary care setting and target specific communication problems encountered that impede the provision of comprehensive care for patients. An effective communication protocol from the perspective of the PCP and the behavioral health professional will be identified. The protocol can serve as a model for communication protocols for other common diagnoses. The session will include an activity that promotes improving team communication. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Discuss common challenges related to communication between PCP's and behavioral health providers.; 2) Identify components of effective communication between PCP and behavioral health professional.; 3) Identify how better communication can enhance team dynamics and improve patient outcomes.; 4) Topic Areas: Clinical care/direct practice Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 1 Presenters: Makini Austin, NCC, LAPC Behavioral Health Counselor West End Medical Center Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416240 "A state-based initiative to learn what it takes to create and deliver whole person care: Early lessons from Advancing Care Together" Primary Contact: Maribel Cifuentes (maribel.cifuentes@ucdenver.edu; 303-724-9772) Submitted on 3/31/2012 10:26:59 PM Advancing Care Together (ACT) is a state-based initiative funded by The Colorado Health Foundation and organized as a dynamic collaboration by the behavioral health, substance use, and primary care communities to learn about practical ways to integrate care from a portfolio of 11 demonstration projects that supported by 3-year grants are actively testing varied strategies CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details to create working models of integrated care. The ACT portfolio is made up of primary care practices and community mental health centers in diverse Colorado communities serving patients of all age groups and employing a range of care delivery models. Comprehensive and meaningful evaluation is central to achieving the goals of ACT, as such an independent assessment team is conducting a mixed-methods learning evaluation designed to achieve two aims: 1) a qualitative comparative assessment to monitor and examine the process of implementing ACT demonstrations and to identify cross-project lessons; and 2) a longitudinal study to examine the effectiveness of ACT demonstrations by evaluating clinical care outcomes and processes, health care utilization and practice expenses attributable to the ACT demonstrations. In this presentation we will describe the organizational structure and design of the ACT initiative and its evaluation, early lessons from the first year of demonstration work, and key steps towards ACT's future direction. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe how ACT is organized and designed, including the role and objectives of the steering committee, program office, evaluation team, and the 11 innovation sites.; 2) Summarize the aims and methodology of the ACT learning evaluation.; 3) Discuss ACT's key next steps, including its operational timeline and plan for dissemination of results; 4) Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: This presentation will include an evaluation of research data. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 3 Presenters: Maribel Cifuentes, RN, BSN Deputy Director, Advancing Care Together University of Colorado, Department of Family Medicine Idalia Massa, PhD Primary Care Psychology Fellow University of Colorado, Department of Family Medicine Shandra Brown Levey, PhD Primary Care Psychology Fellow University of Colorado, Department of Family Medicine Names of Additional Presenters (if more than 5) None Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # 1416247 Submitted on 3/31/2012 10:30:06 PM http://www.cfha.net/?page=CFPReview Proposal Details "Post deployment Care Wiki: A Collaborative Knowledge Platform" Primary Contact: Lucile Burgo (lucille.burgo@va.gov; 2037109684) This session will describe a WIKI on post deployment care that builds on expertise that exists within and beyond the VA system and is a collaboratively built and maintained information-sharing tool. Together we can help returning combat Veterans on their journey to health and reintegration, committing to holistic, integrated, and partnership-based care using the Wiki to sustain an evolving knowledge base for posterity. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe building a WIKI as a platform for collaborative information gathering; 2) Describe using a WIKI as a tool for information sharing and integration; 3) Understand the rules of engagement surrounding the successful use of these shared resources.; 4) Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 2 Presenters: Lucile Burgo, MD National Co-director VA Post-Deployment Integrated Care Initiative VA Connecticut Healthcare Stephen C Hunt National Director VA Post-Deployment Integrated Care Initiative VA Puget Sound Healthcare Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416290 Submitted on 3/31/2012 11:02:53 PM "Healing The Wounds of War" Primary Contact: Stephen Hunt (Stephen.Hunt@va.gov; 2065955867) This presentation will describe how the VA implemented an integrated system of post deployment care for returning combat Veterans. We will explore the unique health impacts of war on combatants, describe the comprehensive, interdisciplinary system of holistic care that has been put in place to attend to their needs and explore the lessons learned in the collaborative CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details process of realizing a "œmedical home "œ for Veterans in PACT (Patient Aligned Care Teams) Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the unique health concerns of Veterans returning from Iraq and Afghanistan; 2) Describe effective team based approaches to management of co-morbid health concerns in this population; 3) Understand how an integrated healthcare system has the resources to provide for this special population and can partner with the community; 4) Review data from a study of system wide implementation of the program Topic Areas: Organizational/implementation issues Audience Level: Basic (crucial core concepts) Research: Original research data will be shared in this presentation. Minimum Length: 90 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 2 Presenters: Stephen C Hunt MD National Director VA Post Deployment Care Initiative VA Puget Sound Healthcare Lucile Burgo, MD National Co-Director VA Post deployment Integrated Care Initiative VA Connecticut Healthcare Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416352 Submitted on 3/31/2012 11:40:20 PM "Uniting the collaborative care field to make a collective business case and transform healthcare policy" Primary Contact: Benjamin Miller (benjamin.miller@ucdenver.edu; 8573347833) There is a reason that the integration of behavioral health and primary care has not been adopted in broader healthcare policy. In part, the reason is that the field has had substantial difficulty making a collective case for why integration should be the standard of care. However in the face of continued innovation in integration, the country continues to see policies emerge that do not support the ongoing sustainability of these programs. Despite these meaningful and well intentioned efforts at integration, these attempts remain disconnected and therefore are not as influential on overall healthcare policy. This presentation will attempt to offer suggestions on how the field can begin to unite and become more influential in healthcare policy. Data collected and analyzed from three large data sets (Medical Expenditure Panel Survey, National Ambulatory Medical Care Survey and National Provider Identification data) will be used as examples of how the field can better inform and CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details influence public policy. Objectives: At the conclusion of this presentation, the participant will be able to: 1) Participants will be able to list three ways the field has been stuck in moving healthcare policy forward for integration; 2) Participants will be able to discuss three ways the field can unite in influencing healthcare policy; 3) Participants will be able to outline three publicly available data sets and how they can be used to influence healthcare policy around integration; 4) Topic Areas: Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Not applicable for Poster Presentation or Roundtable Discussion. Number of Presenters: 1 Presenters: Benjamin F. Miller, PsyD Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416406 Submitted on 4/1/2012 1:10:29 AM "Social Media's Role in Healthcare Reform: Exploratory Study of US Atttiudes ad Implications for Practice" Primary Contact: Gage Stermensky II (gstermensky@forest.edu; 417.501.1051) The purpose of the presentatio is to explore findings from a 2012 study examining the attitudes and beliefs towards the current healthcare system in the US and the implementation of social media. In addition, the researchers will explore factors that contribute to participant attitudes towards what they would like to see changed, as well as potential limitations of social media use in healthcare. The aim of the project is to explore the findings, tie to current policy and healthcare reform, and decribe the current state of consumer atttitudes and beliefs based upon the over 1,000 participants who participated in the study form around the US. Lastly, the researchers will breifly discuss research methodology using Twitter and Facebook (which were implemented in this study. Objectives: At the conclusion of this presentation, the participant will be able to: 1) What are the beliefs and attitudes towards the current healthcare system in the general population?; 2) 2. What aspects of healthcare has the most influence over CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details participant decision making processes when making healthcare decisions?; 3) 3. What factors are associated with participants being more or less likely to advocate to the use of social media in healthcare?; 4) 4. What role do participants feel mental health should play in future healthcare reform? Topic Areas: Consumer/patient engagement|Organizational/implementation issues|Public policy Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 20 minutes Alternate format? Consider for Poster Presentation if not selected as conference session. Number of Presenters: 3 Presenters: Gage Stermensky II MA, PLADC 3rd year PsyD Student, Primary Care Psychology David Kendis, BS 3rd year generalist PsyD Student Dr. Phil Pegg, PhD Associate Professor, IRB Chair, The School of Prof. Psychology at Forest Institute Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416441 "Building the Behaviorally Enhanced PCMH: The Development and Implementation of an EHR-Based System for the Screening and Management of Depression in Primary Care" Primary Contact: Zephon Lister (zlister@ucsd.edu; 619-543-7500) Submitted on 4/1/2012 2:21:01 AM This presentation describes the development and implementation of an EHR-based office visit screening system for depression using the PHQ-2 and PHQ-9 of all patients arriving for a primary care visit. The decision to implement this system was driven by both the new 2011 NCQA PCMH standards and the recent U.S. Preventive Services Task Force (USPSTF) recommendations for screening for depression. This presentation also outlines the rapid cycle Plan-Do-Study-Act (PDSA) model used for practice improvement and the integrated collaborative care model used for the clinical management of patients who reported moderate to severe depressive symptoms. Description of the EHR-based tracking of patients completing the PHQ2 and PHQ-9 and descriptive data of depressive symptom prevalence among patients within this primary care setting will also be discussed. CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details Objectives: At the conclusion of this presentation, the participant will be able to: 1) Describe the process and conceptual underpinnings of developing an EHR-based office visit screening system; 2) Identify and list the implementation steps and components of an EHR-based office visit screening system; 3) Discuss a more generalized template for implementation of this process in a range of primary care environments; 4) Describe the challenges and clinical pearls identified through the development and implementation of a universal screening process Topic Areas: Clinical care/direct practice|Organizational/implementation issues Audience Level: Experienced (comprehensive knowledge or collaboration experience) Research: Original research data will be shared in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 3 Presenters: Zephon Lister, PhD, LMFT Assistant Clinical Professor Director of Collaborative Care Program UCSD Department of Family & Preventive Medicine William J. Sieber, Ph.D. Associate Clinical Professor Director of Research Associate Director, Collaborative Care UCSD Division of Family Medicine Gene A. Kallenberg, M.D Professor of Clinical Family Medicine Chief, Division of Family Medicine; Vice-Chair, Dept. of Family and Preventive Medicine University of California, San Diego UCSD Division of Family Medicine Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1416667 Submitted on 4/1/2012 10:58:40 AM "Why Social Media Matters for Engaging with Patients and Clinical Collaboration?" Primary Contact: Gonzalo Bacigalupe (bacigalupe@gmail.com; 16178723249) The exponential growth, growing accessibility, variety, and sophistication of social technologies"”in particular those categorized as social media"”are transforming how clinical practitioners, patients, and their families work together. The potential for these relational information communication technologies to strengthen our collaborative clinical practice is large although confusing and often scary. The emergence of more informed patients and families, now often called e-patients, demands from clinicians to understand what these technologies are and how they work. This workshop will provide a forum to CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # http://www.cfha.net/?page=CFPReview Proposal Details assess what is the impact of these social technologies, outline its main developments, and contribute with a set of resources that participants can utilize to increase their expertise in this emerging area of knowledge. The workshop will be based on up to date research and an assessment of what themes and dilemmas are under discussion by healthcare social media experts. The workshop is designed for those with little knowledge as well as those with expertise in social media and healthcare. This mix should enrich the discussion and advance an agenda for CFHA to collaborate with sister organizations focusing on the subject of e-health and social media and healthcare. Objectives: At the conclusion of this presentation, the participant will be able to: 1) To understand the impact of emerging social technologies in the collaborative health strategy.; 2) To provide a forum to assess what is the impact of social technologies on patients, their families, and clinical work; 3) To outline the main social media developments and its interconnection with e-health.; 4) Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: This presentation will include an evaluation of research data. Minimum Length: 90 minutes Alternate format? Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Gonzalo Bacigalupe, EdD., MPH, Associate Professor UMASS Boston and Ikerbasque Research Professor University of Deusto. Names of Additional Presenters (if more than 5) Comments: Yes; I/we agree to the terms and conditions for CFHA Conference presentations. 1425047 Submitted on 4/4/2012 2:11:48 PM "Empowering Consumer in Their Recovery Proceess through Psyche Rehab in Crisis Setting" Primary Contact: Vicki Herndon (vherndon@hhillcountry.org; 830-257-5111) Highlighting Structured Psychiatric Rehabilitation Objectives to Promote and Support Recovery as a Choice.The goals of these objectives are two-fold; a)to place the consumer at the center of their treatment choices; with understanding of their role and shared responsibility for their outcomes. b) empower them to make conscious choice to either recovery or remain in their CFHA 2012 Conference Proposal Reviews - Monday, April 9, 2012 Submission # Proposal Details particular mindset. http://www.cfha.net/?page=CFPReview 5) Objectives: At the conclusion of this presentation, the participant will be able to: 1) 1)Promoting Partnership between consumer/provider Our treatment is designed partner with you in getting beyond your current crisis and into you life. This transitions power to consumer and places provider in support role; 2) 2)Ilness education and how it relates to one's sense of self. Here I use 4 Levels of experiencing to help consumers understand the relationship beliefs, behaviors and experiencing symptoms.; 3) 3)Identify personal blocks to their recovery process at time of treatment and how they relate to individual core beliefs, emotions, and motivations.; 4) 4) Identify and teach coping strategies which consumer chooses to use to overcome personal blocks/ by modifying core beliefs and managing feelings ( anxiety, feeling down through relaxation techniques. Topic Areas: Clinical care/direct practice|Consumer/patient engagement Audience Level: Basic (crucial core concepts) Research: No research is included in this presentation. Minimum Length: 40 minutes Alternate format? Consider for Poster Presentation if not selected as conference session.|Consider for Roundtable Discussion if not selected as conference session. Number of Presenters: 1 Presenters: Ms. Vicki Herndon MA, LPC Names of Additional Presenters (if more than 5) Comments: Thank you for your consideration in allowing me to submit this presentation Yes; I/we agree to the terms and conditions for CFHA Conference presentations.