Name
Psychiatric Health, Life Skills and Opportunities for Wellness (PHLOW) Program: Addressing Psychiatric Need Through Integrated Consultation, Collaboration and Brief Episodes of Care
Description

In this presentation, we will discuss the PHLOW Program, an integrated psychiatric care initiative within La Clinica’s broader Integrated Behavioral Health model. We’ll explore how the program improves access to psychiatric services, supports primary care teams in managing behavioral health, and reduces unnecessary referrals. Additionally, we’ll highlight how the program supports the right level of care, promotes cost savings while upskilling primary care providers to handle mild to moderate behavioral health concerns and informs organization wide policies, programming and care philosophies. We will also address the financial sustainability of the program and the successful partnership between our organization and payors.

Speakers
Rosa Ruggiero PMHNP, Psychiatric Services Director, La Clinica Wellness Center, Medford, OR
Laura Bridges LCSW, MPH, Behavioral Health Director, La Clinica in Southern Oregon, Ashland, OR
Content Level
All Audience
Tags
Population and public health, Primary Care Behavioral Health Model, Psychiatry
Session Type
Concurrent
Objective 1
Identify the primary structural components of the PHLOW Program model that successfully serve the patients, the primary care teams, the organization and the community.
Objective 2
Highlight opportunities to leverage integrated behavioral health psychiatry programs to support broader organizational programming, policy development, staff training, multidisciplinary learning experiences, workforce development and community based behavioral health planning.
Objective 3
Discuss the financial value of integrated behavioral health psychiatry programs, the overall decrease in cost of care and the importance of fostering collaborative partnerships with payors to jointly explore sustainable funding models that reinforce the right level of clinical care.
Content Reference 1

Ader, J., Stille, C. J., Keller, D., Miller, B. F., Barr, M. S., & Perrin, J. M. (2015). The medical home and integrated behavioral health: advancing the policy agenda. Pediatrics, 135(5), 909–917. https://doi.org/10.1542/peds.2014-3941

Content Reference 2

Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2012). Collaborative care for depression and anxiety problems. The Cochrane database of systematic reviews, 10, CD006525. https://doi.org/10.1002/14651858.CD006525.pub2

Content Reference 3

Basu, S., Landon, B. E., Williams, J. W., Jr, Bitton, A., Song, Z., & Phillips, R. S. (2017). Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices. Journal of general internal medicine, 32(12), 1330–1341. https://doi.org/10.1007/s11606-017-4177-9

Content Reference 4

Druss, B. G., & Goldman, H. H. (2018). Integrating Health and Mental Health Services: A Past and Future History. The American journal of psychiatry, 175(12), 1199–1204. https://doi.org/10.1176/appi.ajp.2018.18020169

Content Reference 5

Reist, C., Petiwala, I., Latimer, J., Raffaelli, S.B., Chiang, M., Eisenberg, D., & Campbell, S. (2022) Collaborative mental health care: A narrative review. Medicine (Baltimore). 101(52):e32554. http://dx.doi.org/10.1097/MD.0000000000032554