Name
F05 - 1st and 2nd Order Patient Centered Care, Or How Come It Takes So Long To Get Integration Right?
Description

A systems analysis of changes involved in the successful integration of behavioral health into primary care often fails to take into account the “sub-systems” we call human beings. The change, which we can also call “learning” of health professionals, can be understood in the same systems terms as organizations. Using the work of Gregory Bateson on systems and learning, we will discuss these changes as they have been studied in the implementation of the Patient Centered Medical Home model of primary care. Finally, we will describe clinical practices that can move the process of 2nd order change (or 2nd level learning) much faster, to the benefit of patients and health professionals.

Date & Time
Friday, October 25, 2024, 1:30 PM - 2:30 PM
Speakers
Alexander Blount, President, Integrated Primary Care, Inc
Deepu George, Associate Professor, University of Texas Rio Grande Valley School of Medicine
Alexander Blount Deepu George
Content Level
All Audience
Tags
Patient-centered care or Patient perspectives, Primary Care Behavioral Health Model, Workforce development
Session Type
Concurrent
SIG or Committee
PCBH
Location Name
Bowie C
Objective 1
Be able to describe the “sinking of premises” in complex systems.
Objective 2
Be able to describe how the “sinking of premises” is seen in human learning.
Objective 3
Be able to describe the way in which the T.E.A.M. approach to care at level one leads to quicker change in learning at level 2, which correlates with organization transformation.
Content Reference 1
Bateson, G. (1972). The logical categories of learning and communication, Steps to an Ecology of Mind, Aronson, 1987.
Content Reference 2
Blount, A. (1976). Gregory Bateson and a Language for Psychotherapy. Dissertation Abstracts.
Content Reference 3
Pribram, K.H. (1963). Reinforcement revisited: A structural view. In Nebraska Symposium on Motivation, 1963, M. Jones (Ed.), University of Nebraska, Lincoln.
Content Reference 4
Blount, A. (2019). Getting to patient centered care, In A. Blount, Patient-Centered Primary Care: Getting from Good to Great., Springer, NY, 1-15.
Content Reference 5
Blount, A. (2019). The T.E.A.M. Way, In A. Blount, Patient-Centered Primary Care: Getting from Good to Great., Springer, NY, 109-183.