The Certificate in Integrated Behavioral Health and Primary Care - Adult Track is designed for clinicians -- such as social workers, nurses, care managers, psychologists, and physicians -- who deliver or plan to deliver integrated health services, and who serve populations often presenting with complex needs in physical health, mental health, and substance use. Participants will gain assessment, intervention, and consultation skills; will learn strategies to apply these skills in the workplace; and will link with a peer distance learning community to practice new skills and discuss ideas.
Bidirectional Integrated Care
In this module, participants will build upon their knowledge of integrated care implementation in adult healthcare settings. Topics will include the Chronic Care Model; collaborative care; stepped care; care coordination; and financing integrated health environments. Participants will learn the care coordination standard for integrated primary care and discover new roles in primary care for the behavioral health consultant.
Assessment in Integrated Care
Initial and follow-up assessments play a critical role in effective integrated care. This course addresses free-form interviews such as biopsychosocial-spiritual assessment, structured screening tools, and mixed assessment and intervention models such as SBIRT. The strengths, weaknesses, benefits, and limitations of common assessment tools in integrated health environments are reviewed.
Behavioral Intervention in Integrated Care
Common elements often form the basis of evidence-based behavioral health interventions. This course teaches and reviews behavioral health intervention skills relevant to everyday clinical practice across disciplines and practice settings. Brief interventions around motivational interviewing, psychoeducation, cognitive restructuring, mindfulness, and values-based behavior change can help promote adaptive health behaviors in support of improved wellness. There is a strong emphasis on feasible brief interventions in a fast-paced clinical context and on adapting interventions to each consumer's unique biopsychosocial, socioeconomic, and cultural context.
Biomedical Aspects of Integrated Care
Many presenting medical problems are deeply influenced by health behaviors, and a growing body of evidence suggests that mental health consumers, including those with serious mental illnesses or substance use disorders, are faced with a broad range of physical health disparities. In this module, participants will deepen their understanding of bidirectional integrated care for medical issues such as diabetes and obesity, and behavioral health issues such as substance use disorders and depression. This courses emphasizes the medical sequelae commonly associated with behavioral health diagnoses and psychotropic medications. There are special sections on primary care psychopharmacology and prescription drug abuse.
- Explain the difference between colocation and integration.
- Compare and contrast interdisciplinary and multidisciplinary teams.
- Identify at least three social determinants of health for adult populations.
- Develop skills to hire and train staff in integrated health practice.
- Explain how provider mindfulness and self-care relate to workforce challenges such as burnout prevention.
- Identify two financing strategies that can facilitate integrated care.
- Apply Motivational Enhancement in integrated health settings.
- Use Cognitive-Behavioral Therapy in integrated health settings.
- Define and apply "cognitive restructuring."
- Engage in self-assessment in clinical practice.
- Define and apply "reflective listening."
- Define and recognize "change talk."
- Identify at least five social determinants of health for the pediatric population.
- Identify the five core components of the IMPACT Collaborative Care model and articulate how the model addresses common barriers to behavioral health care.
- State the role of warm handoffs in behavioral health consultation.
- Identify at least two ethical challenges to integrated health practice.
- Address/resolve common ethical challenges in integrated health practice.
- Describe the assessment of pain in integrated health settings.
- Implement an organizational self-assessment for cultural responsiveness.
- List three features of primary prevention of oral diseases such as dental caries.
- Conduct a biopsychosocial-spiritual interview in a fast-paced integrated care setting.
- List 4 common screening tools and assess their strengths and weaknesses.
- List the evidence-based components of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for addicted populations.
- State the demographic health disparities facing people living with serious and persistent mental illness.
- State the role of integrated primary care service delivery in remediating health disparities facing people living with serious and persistent mental illness.
- Explain 3 factors leading to over-prescription of opioid medications and apply 2 strategies to counteract them.
- List the 3 most common psychiatric medications prescribed in primary care and their uses, contraindications, and potential side-effects.
- Describe the components of the Infant Mental Health model.
- Identify and normalize developmental considerations in adolescent sexual health.
- Identify three risk factors for teen suicide.
- Describe 3 considerations for providing care to the LGBTQ population.
- Describe the findings of the ACEs study.
- Describe strategies for anti-racist practice in integrated health care settings
- Outline the four-step model for approaching pain in primary care settings.
|September 27, 2021||6:00pm - 7:00pm||Program Intro & Small Group |
|October 4, 2021||5:30pm - 7:30pm||Introduction to Integrated Health Care |
|October 6, 2021||5:30pm - 7:30pm||Social Determinants of Health |
|October 11, 2021||5:30pm - 6:30pm||Bi-Directional IHC & ACE Study |
|October 11, 2021||6:30pm - 7:30pm||A Model of Behavioral Health Consultation |
|October 20, 2021||5:30pm - 7:30pm||Collaborative Care Model |
|October 27, 2021||5:30pm - 7:30pm||Pain Management |
|November 3, 2021||5:30pm - 7:30pm||Motivational Enhancement I |
|November 8, 2021||5:30pm - 6:30pm||ACT and Mindfulness |
|November 8, 2021||6:30pm - 7:30pm||Mindfulness Small Group |
|November 15, 2021||5:30pm - 7:30pm||Motivational Enhancement II |
|November 17, 2021||5:30pm - 7:30pm||Financing |
|November 22, 2021||5:30pm - 6:30pm||Ethics |
|November 22, 2021||6:30pm - 7:30pm||Ethics Small Group |
|November 29, 2021||6:00pm - 7:30pm||Implementation |