Name
Adapting to a changed reality: Slowing without stopping the expansion of integrated care
Description
This presentation will provide a brief overview and review of outcomes from the purposeful expansion of integrated care services with colocated collaborative care (i.e., the Veteran’s Health Administration version of Primary Care Behavioral Health) into specialty medicine settings. Core program content will involve focused discussion of anticipated and unanticipated barriers encountered to the planned expansion of integrated care, including how our implementation team planned for and responded to these challenges. The talk will conclude with a conversation about the variables that have maintained the energy and resilience needed to keep moving forward – slowing out of necessity, but without stopping.
Speakers
Katherine Dollar PhD, ABPP, Executive Director, Center for Integrated Healthcare (VISN 2), Syracuse, New York
Kristen Perry, Associate Director, Center for Integrated Healthcare (VISN 2),
Rachel Allen PsyD, Education and Implementation Specialist, US. Department of Veterans Affairs, Syracuse, NY
Kristen Perry, Associate Director, Center for Integrated Healthcare (VISN 2),
Rachel Allen PsyD, Education and Implementation Specialist, US. Department of Veterans Affairs, Syracuse, NY

Co-Authors
Jennifer Patterson, PhD, ABPP, National Director of Integrated Services, Veterans Health Administration, Washington, DC; Sharyl Martini, MD, Executive Director for Neurology, Veterans Health Administration, Washington, DC; Kathleen Sarmiento, MD, National Program Executive Director for Sleep Medicine, Veterans Health Administration, San Francisco, CA
Content Level
All Audience
Tags
Innovations, Primary Care Behavioral Health Model, Technical assistance
Session Type
Concurrent
SIG or Committee
Primary Care Behavioral Health (PCBH)
Objective 1
Describe recent efforts in expansion of integrated care into specialty medicine at VHA.
Objective 2
List barriers and potential solutions to implementation of integrated care.
Objective 3
Discuss sources of resilience to support teams’ abilities to respond to barriers to implementation.
Content Reference 1
Bishop, T.M., Walsh, P.G., Ashrafioun, L., Lavigne, J.E., & Pigeon, W.R. (2020). Sleep, suicide behaviors, and the protective role of sleep medicine. Sleep Medicine, (66), 264-270. https://doi.org/10.1016/j.sleep.2019.07.016
Content Reference 2
Ramar K, Malhotra RK, Carden KA, et al. (2021). Sleep is essential to health: an American Academy of Sleep Medicine position statement. J Clin Sleep Med., 17(10), 2115–2119.
Content Reference 3
GBD 2017 US Neurological Disorders Collaborators. Burden of Neurological Disorders Across the US From 1990-2017: A Global Burden of Disease Study. JAMA Neurol. 2021;78(2):165–176. doi:10.1001/jamaneurol.2020.4152