Name
ELO 05 - Unlocking The Power Of PCBH
Description

This workshop will incorporate several digestible learning frameworks to help bring clarity and thriving amidst the chaos of primary care behavioral health. These learning frameworks will help leaders and clinicians alike unlock the benefits of this approach.

The presenters will describe how identifying a vision and delineating guiding principles helps give cohesion to a PCBH service. Additionally, they will discuss key mindset shifts that further help to unlock the power of primary care. In addition to a vision and mindset shifts, the presenters will explain digestible frameworks that can be implemented right away.

Primary care is a chaotic and demanding environment. There is never enough time, resources, staffing or funds. How can a service, especially a service that hasn’t always been historically included as part of the medical system, thrive in such an environment? That’s exactly the issue the presenters will take on in the presentation.

The presenters will introduce and break down a number of frameworks. These include  delineating the original goals and vision of primary care as a whole as well as the core principles of PCBH. They will present a number of mindset shifts such as having single session or “one at a time” approach to care. Additional frameworks will include how to use functional contextualism, the contextual interview, and the ACCESS-V framework to help clinicians maximize their ability to help their patients.

It is important for clinicians to be well versed in health conditions, evidence-based practice, and theoretical orientations. It is also very important to learn patients’ context as well as use their expertise to collaborate and make pragmatic plans. The presenters will introduce an original diagram to help guide clinicians through this process.

Overall, this presentation is designed to help anyone in primary care behavioral health learn to use digestible pnemomics, frameworks and diagrams that provide clarity amongst the primary care chaos.

Date & Time
Thursday, October 24, 2024, 8:00 AM - 11:00 AM
David Bauman
Content Level
All Audience
Tags
Primary Care Behavioral Health Model
Session Type
ELO
SIG or Committee
PCBH
Location Name
Bowie A
Objective 1
•Delineate the guiding principles of primary care. •Delineate the guiding principles of PCBH.
Objective 2
•Describe the core elements of a single session therapy mindset and how it relates to PCBH. •Describe functional contextualism and how it relates to PCBH visit structure. •Delineate the core features of the contextual interview.
Objective 3
•Describe the ACCESS-V framework for organizing important patient information•Describe a learning framework to help clinicians reconcile the relationship between clinician expertise and patient expertise.
Content Reference 1

Bauman, D., Beachy, B. & Ogbeide, S. A. (2018). Stepped care and behavioral approaches for diabetes management in integrated primary care. In W. O’Donahue & A. Maragakis (Eds), Principle-based stepped care and brief psychotherapy for integrated care settings. New York, NY: Springer Science, Business Media, LLC.

Content Reference 2

Cahill, A., Martin, M., Beachy., B, Bauman, D., & Howard-Young, J. (in print). The Contextual Interview. A cross-cutting patient-interviewing approach for social context. Medical Education Online.

Content Reference 3

Hayes, L. J., & Fryling, M. J. (2019). Functional and descriptive contextualism. Journal of Contextual Behavioral Science, 14, 119–126. https://doi.org/10.1016/j.jcbs.2019.09.002

Content Reference 4

Martin, M. P., Bridges, A. J., & Cos, T. (2021). Measuring Productivity in Primary Care Behavioral Health: A Delphi Study. Journal of clinical psychology in medical settings, 10.1007/s10880-021-09814-z. Advance online publication. https://doi.org/10.1007/s10880-021-09814-z

Content Reference 5

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Implementing High-Quality Primary Care, Robinson, S. K., Meisnere, M., Phillips, R. L., Jr., & McCauley, L. (Eds.). (2021). Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies Press (US). O’Malley, A. S., Rich, E. C., Maccarone, A., DesRoches, C. M., & Reid, R. J. (2015). Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs. Journal of General Internal Medicine, 30 Suppl 3, S576-585. https://doi.org/10.1007/s11606-015-3311-9 Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. (2018). The Primary Care Behavioral Health (PCBH) Model: An Overview and Operational Definition. Journal of Clinical Psychology in Medical Settings, 1 -18. https://doi.org/10.1007/s10880-017-9531-x