This presentation will review some of the barriers faced as a lone BHC in a system with low readiness to expand integrated primary care, and then strategies for how to flexibly adapt to this context in order to continue moving towards the values of whole-person and team-based care. Key topics of discussion will include evidence-based practices, assessing areas of need, efficient utilization of resources, provider burnout and job satisfaction, and prioritizing high quality patient care. We will review a transition process for pivoting integrated behavioral health from primary care to gastroenterology, lessons learned along the way, and strategies for maintaining one’s professional values while responding to changing contexts.
Keefer, L., Palsson, O. S., & Pandolfino, J. E. (2018). Best practice updated: Incorporating psychogastroenterology into management of digestive disorders. Gastroenterology, 154, 1249-1257.
Kinsinger, S. W., Ballou, S., & Keefer, L. (2015). Snapshot of an integrated psychosocial gastroenterology service. World Journal of Gastroenterology, 21(6), 1893-1899.
Salwen-Deremer, J. K., Bardach, S. H., Tormey, L. K., Szkodny, L. E., Gohres, K., & Siegel, C. A. (2024). Redesigning a gastroenterology behavioral health program to improve patient access. Clinical Gastroenterology & Hepatology, 22, 12-15.
Sayegh, C. S., Chavannes, M., Moss, I. K., Featherstone, R. E., & Urquiza, I. (2023). The impact of integrating behavioral health services into Pediatric Subspecialty Care: A Systematic Review. Journal of Pediatric Gastroenterology and Nutrition, 78(1), 8–16. https://doi.org/10.1002/jpn3.12060