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CIPC Blog

PHQ9 Quality Metrics

Posted On: August 18, 2021

First let me say that the PHQ-9 is a fairly good tool for screening patients and identifying those who have an unmet behavioral health need.  While I think computer adaptive testing is a better approach and the way of the future, there are still plenty of settings where a paper and pencil PHQ-9 is the best we can do.

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Continuing Education and Quality Improvement

Posted On: July 19, 2021

For years employers in many sectors, including healthcare, have offered funding for continuing education as an employment “benefit.”  As healthcare increasingly focuses on quality of care, are there good reasons to think about this investment?

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The PIP 2.0: A Tool to Measure, Compare and Monitor Primary Care Integration

Posted On: May 25, 2021

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A Behavioral Health staff huddle at the Barre Family Health Center

Does more integration mean better healthcare? What if you work in a rural practice or in a busy practice in the center of a major city? Dr. Daniel Mullin and colleagues developed the Practice Integration Profile (PIP) to create a measure of integrated primary care that compares practices and monitors integration in a practice over time. Read the post by clicking on the title.

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Supporting Healthcare Responders During the Pandemic: Humanitarian Work Perspectives

Posted On: April 15, 2021

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This blog post is authored by a graduate of our 2014 “Primary Care Behavioral Health” course.  Many of our former students go on to do significant work in the healthcare field.  Dr. Cherepanov’s experience includes global mental health work in Chernobyl, Chechnya, Kosovo, and Liberia.  She now works as lead clinician for refugee services at Lynn Community Health Center—one of CIPC’s long-term partners in integration training.

During public health complex emergencies (CE), healthcare workers play a crucial role. This work can be rewarding as it reminds health professionals about their mission and purpose. But just like “a perfect storm,” CE disrupts the fabric of community life, and the responders are subjected to the same ailments as their patients (Cherepanov, 2019). When responding to international CEs, humanitarians accumulated a great deal of experience dealing with extreme work stresses. This experience offers a valuable insight into the psychological challenges the frontline healthcare workers face during the pandemic and the best practices for managing them. 

This post first appeared in January 2021 in the International Society for Traumatic Stress Studies.

 



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Task-Shifting, Training Non-specialist Providers in Brief Mental Health Interventions: A Commentary on a JAMA Article

Posted On: March 08, 2021

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Dr. Ethan Eisdorfer, a behavioral health provider at our Barre Family Health Center, analyzes a recent JAMA article about using non-specialist care providers to deliver brief mental health interventions to pregnant and post-partum women.

The most common types of non-specialists in these studies were midwives and nurses, but also included peers or community members, health visitors, and even family physicians. In many of the studies included in the analysis, professional mental health specialists served in a training or supervisory role without providing any direct care.

What would task-shifting like this throughout primary care practices look like?  How might it change the efficiency and efficacy of current healthcare? Click on the title above to learn more.

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Medical Group Visits and the Quadruple Aim

Posted On: February 11, 2021

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Current research suggests that Medical Group Visits (MGVs) address the well-known triple aim: improving the experience of care, improving the health of populations, and reducing per capita costs.  But what about the quadruple aim, which adds improved clinician experience?

Clinician burnout, especially during the pandemic, is a serious concern for US healthcare delivery.  Talented and dedicated clinicians are leaving the profession and there is mounting proof that when clinicians are over-stressed there are negative consequences for patient care. 

Read the post by clicking on the title

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Not quite MI?

Posted On: December 14, 2020

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Is practicing the spirit of Motivational Interviewing enough?  Implications for MI teachers and students

Read more about what actually produces skilled MI practitioners in this post by CIPC Director, Dr. Daniel Mullin.  Dan has been teaching and practicing Motivational Interviewing for more than 20 years and he discusses data about MI training and his observations about how MI is used in real clinical situations.  Click on the title to read the post.

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OWL-H and Medical Group Visits Tackle Hypertension

Posted On: November 23, 2020

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Last year, prior to the pandemic, in Worcester, Massachusetts, a group of adults with high blood pressure were enjoying cooking and serving a delicious meal.  They were laughing and talking while they spooned vegetables and beans onto their plates.  Down the hall, someone was showing another individual how to take their own blood pressure.  And in a separate room, a doctor with a stethoscope around her neck was discussing weight and blood pressure readings with a patient.  What was going on? Click on the title above to find out.

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A behavioral health practitioner reflects on Medication Assisted Treatment and Medications for Opioid Use Disorder

Posted On: October 19, 2020

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CIPC Director, Dan Mullin PsyD, MPH reflects on his role as a behavioral health practitioner in a clinic where Medication Assisted Treatment and Medications for Opioid Use Disorder (MAT/MOUD) are common.  His clinical work is as a BHP in a rural clinic that has a substantial population of individuals and families impacted by substance use.  

Click on title to read the full post.

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Learning to Fly: a journey into teaching and mentoring in IBH

Posted On: June 15, 2020

Learning to Fly:  a journey into teaching and mentoring in IBH

In the midst of a world-wide pandemic, behavioral health needs have grown to epidemic proportions among many who have no history of mental illness, as well as those who have long experienced mental illness. In an analogy that many have used, it often feels like learning to fly while already in the air. From this perspective, I feel compelled, as a health psychologist trained in integrated care, to consider how mental health clinicians may find innovative ways to use their skills in assisting systems of care that need our guidance most.

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