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Learning Objectives

After viewing each Lesson, participants will be able to:

Creating and Managing an Integrated Primary Care Practice Topics

Module 1: Introduction to Integrated Primary Care

Describe data indicating a health care crisis in the US and the costs and consequences of poor health, particularly behavioral health
Describe Integrated Primary Care (IPC) and Behavioral Health Integration (BHI)
Compute role of Primary Care in health care transformation
Assess current efforts at health care transformation
Compute among major models of Integrated Primary Care

Module 2: Transforming the Organization

Describe the outcome benefits of some integrated exemplars
Explain the role and possible makeup of an integration team
Explain the sharing of information that needs to take place in integrated primary care
Describe the relationship between Integrated Primary Care and the Patient-Centered Medical Home
Explain the reasons that workflows may need revision during integration

Module 3: Transforming Clinical Practice

Explain how to feel comfortable and oriented in a primary care setting
Describe methods of building an effective integrated team
Describe how behavioral health can become an essential part of many primary care cases
List some examples of expertise transfer in an integrated primary care practice

Bio-Psycho-Social Treatment Topics

Module 4: Evidence-based Therapies

Assess what constitutes valid evidence in scientific literature relevant to your practice
Recite types of evidence available for Behavioral Health approaches
Describe how Cognitive Behavioral Therapy can be applied in a Primary Care setting
Explain the role of Solution Focused Interviewing can play inpatient and provider change
Prepare steps in a 15- or 20-minute Behavioral Health visit and/or treatment in Primary Care

Module 5: Patient Activation

Design what patient activation is and its impact on patient health outcomes
Describe the several aspects that affect patient activation, including health literacy, self-efficacy, communication, shared decision making
Assess a patient’s level of activation
Describe steps to enhance patient activation
Explain each of the steps of “The Share Approach”

Module 6: Psychotropic Medication

Describe the role of a Behavioral Health Provider in psychotropic medication safety monitoring, adherence and effectiveness
Utilize to speak comfortably with adult patients and prescribers about psychotropic medications
Describe the pharmacological properties of common psychotropics

Module 7: Caring for Chronic Illness

Describe an evidence-based bio-psycho-social approach for chronic illnesses in primary care
List symptoms, mechanisms and treatments of chronic illnesses seen commonly in primary care

Module 8: Medically Unexplained Symptoms

Compare the usefulness of the terms "Somatization" and "Medically Unexplained Symptoms" (MUS)
Describe the role of a team approach to MUS
Describe the role that language plays in engaging the patient
Compare "functional" illnesses and describe Behavioral Health approaches

Dealing with Substance and Pain in Primary Care Topics

Module 9: Substance Abuse in Primary Care

Discuss common knowledge, skill and attitudinal needs of providers related to the management of substance use disorders
Describe the roles of members of multidisciplinary teams for managing substance use disorders in primary care
Describe effective interventions for substance use disorders in primary care
Discuss ways for behavioral health providers and medical providers to collaborate to improve the treatment of substance use disorders in primary care

Module 10: Health Behavior Change

Describe the process of building the doctor/patient relationship for better health
Explain the Stages of Change Model
Describe key elements of Motivational Interviewing
Describe a patient's stage of change in relation to a health behavior problem and appropriately match motivational approaches to that stage

Module 11: Chronic Pain in Primary Care, Medical Interventions

Explain the right to treatment versus the danger of abuse
List pain medications commonly used in Primary Care, their actions, and indications
Describe contracting and monitoring patients with chronic pain
Discuss dangerous patterns of use

Module 12: Chronic Pain in Primary Care, Behavioral Interventions

Describe current definitions of pain
Explain Gate Control Theory/Biopsychosocial Model
Describe the neurology of pain
List several BH approaches to chronic pain
List common psychotropic medications for chronic pain

Module 13: Relaxation Therapies

Describe relaxation therapies and their use in Primary Care
Utilize/teach simple relaxation techniques for patients

Behavioral Health and Pediatrics Topics

Module 14: Behavioral Health in the Primary Care of Children

Utilize how to engage parents in promoting health without making them feel judged
Describe the roles of PCP, BHP and caregivers in the Primary Care of children
Analyze the major evidence-based screening tools used in pediatric care and how they are used

Module 15: Behavioral Health Interventions and ADHD in the Primary Care of Children

Analyze the Behavioral Health needs in the primary care of children
Discuss the BHP role in interviewing the child and caregivers
Analyze valid methods of involving and giving help to parents and caregivers
Utilize how to speak with the medical team and caregivers about ADHD: screening, medications and BH interventions

Module 16: Challenging Populations

Assess the needs of common patient populations in the primary care of children
List ways in which a Behavioral Health Provider can be of use in the primary care of chronic illnesses in the care of children
Describe the increased role of behavioral risks with adolescents
Compile and address depression, anxiety, substance abuse and health behavior needs of adolescents in primary care
Utilize how to guide parents, children struggling with chronic illnesses, and adolescents on behavioral issues in a culturally acceptable and effective manner

Serious Mental Illness Topics

Module 17: Integrated Care for People Coping with Serious Mental Illness

Describe the health needs of people coping with serious mental illness
Describe ways in which health and wellness can be fostered through a structured learning program
Compute how the experience of trauma, mental illness and some come common treatments for mental illness increase health risks and lower the effectiveness of usual medical care for these people
Describe the possibility of primary care, care management and wellness programs to improve the life experience and health of this group

Module 18: Serious Mental Illness Health Behavior

Describe physical health issues for people with serious mental illness
List evidence-based lifestyle interventions geared toward people with serious mental illness
List examples of how to implement various evidence-based lifestyle interventions within mental health and/or primary care setting

Population Health in Primary Care Topics

Module 19: Screening and Care Management

Describe the purpose of screening in Primary Care
List some of the most common screening tools used in Primary Care
Describe care management for depression in Primary Care
Describe the evidence for depression care management
List the pros and cons of implementing care management in Primary Care

Families, Community and Culture Topics

Module 20: Working with Families in Primary Care

Describe the family's role in health
Describe the importance of a family perspective in addressing problems in health behavior
Analyze critical points in care where family involvement is necessary
Describe steps in conducting a medical family meeting

Module 21: Behavioral Health services in primary care for elderly people

Describe changes in behavioral approaches necessitated by advancing age
Describe specific needs of a geriatric population
Apply specific behavioral interventions for older adult

Module 22: Underserved Populations, Culture and Primary Care

Apply appreciation of their potential role in helping primary care providers work with a culturally diverse population of patients
Apply the impact of racism, discrimination, immigration, and poverty as well as cultural influences on coping skills
Prepare and teach narrative questioning skills for discovering important cultural issues and the barriers faced by primary care clinicians in using these techniques