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Learning Objectives

After viewing each Lesson, participants will be able to:

Creating and Managing an Integrated Primary Care Practice Topics

Module 1: Introduction to Integrated Primary Care

  • Describe data indicating a health care crisis in the US and the costs and consequences of poor health, particularly behavioral health
  • Describe Integrated Primary Care (IPC) and Behavioral Health Integration (BHI)
  • Compute role of Primary Care in health care transformation
  • Assess current efforts at health care transformation
  • Compute among major models of Integrated Primary Care

Module 2: Transforming the Organization

  • Describe the outcome benefits of some integrated exemplars
  • Explain the role and possible makeup of an integration team
  • Explain the sharing of information that needs to take place in integrated primary care
  • Describe the relationship between Integrated Primary Care and the Patient-Centered Medical Home
  • Explain the reasons that workflows may need revision during integration

Module 3: Transforming Clinical Practice

  • Explain how to feel comfortable and oriented in a primary care setting
  • Describe methods of building an effective integrated team
  • Describe how behavioral health can become an essential part of many primary care cases
  • List some examples of expertise transfer in an integrated primary care practice

Bio-Psycho-Social Treatment Topics

Module 4: Evidence-based Therapies 

  • Assess what constitutes valid evidence in scientific literature relevant to your practice
  • Recite types of evidence available for Behavioral Health approaches
  • Describe how Cognitive Behavioral Therapy can be applied in a Primary Care setting
  • Explain the role of Solution Focused Interviewing can play inpatient and provider change
  • Prepare steps in a 15- or 20-minute Behavioral Health visit and/or treatment in Primary Care

Module 5: Patient Activation

  • Design what patient activation is and its impact on patient health outcomes
  • Describe the several aspects that affect patient activation, including health literacy, self-efficacy, communication, shared decision making
  • Assess a patient’s level of activation
  • Describe steps to enhance patient activation
  • Explain each of the steps of “The Share Approach”

Module 6: Psychotropic Medication

  • Describe the role of a Behavioral Health Provider in psychotropic medication safety monitoring, adherence and effectiveness
  • Utilize to speak comfortably with adult patients and prescribers about psychotropic medications
  • Describe the pharmacological properties of common psychotropics

Module 7: Caring for Chronic Illness

  • Describe an evidence-based bio-psycho-social approach for chronic illnesses in primary care
  • List symptoms, mechanisms and treatments of chronic illnesses seen commonly in primary care

Module 8: Medically Unexplained Symptoms

  • Compare the usefulness of the terms "Somatization" and "Medically Unexplained Symptoms" (MUS)
  • Describe the role of a team approach to MUS
  • Describe the role that language plays in engaging the patient
  • Compare "functional" illnesses and describe Behavioral Health approaches

Dealing with Substance and Pain in Primary Care Topics

Module 9: Substance Abuse in Primary Care

  • Discuss common knowledge, skill and attitudinal needs of providers related to the management of substance use disorders
  • Describe the roles of members of multidisciplinary teams for managing substance use disorders in primary care
  • Describe effective interventions for substance use disorders in primary care
  • Discuss ways for behavioral health providers and medical providers to collaborate to improve the treatment of substance use disorders in primary care

Module 10: Health Behavior Change

  • Describe the process of building the doctor/patient relationship for better health
  • Explain the Stages of Change Model
  • Describe key elements of Motivational Interviewing
  • Describe a patient's stage of change in relation to a health behavior problem and appropriately match motivational approaches to that stage

 Module 11: Chronic Pain in Primary Care, Medical Interventions

  • Explain the right to treatment versus the danger of abuse
  • List pain medications commonly used in Primary Care, their actions, and indications
  • Describe contracting and monitoring patients with chronic pain
  • Discuss dangerous patterns of use

Module 12:  Chronic Pain in Primary Care, Behavioral Interventions 

  • Describe current definitions of pain
  • Explain Gate Control Theory/Biopsychosocial Model
  • Describe the neurology of pain
  • List several BH approaches to chronic pain
  • List common psychotropic medications for chronic pain

 Module 13: Relaxation Therapies

  • Describe relaxation therapies and their use in Primary Care
  • Utilize/teach simple relaxation techniques for patients

Behavioral Health and Pediatrics Topics

Module 14:  Behavioral Health in the Primary Care of Children

  • Utilize how to engage parents in promoting health without making them feel judged
  • Describe the roles of PCP, BHP and caregivers in the Primary Care of children
  • Analyze the major evidence-based screening tools used in pediatric care and how they are used

Module 15: Behavioral Health Interventions and ADHD in the Primary Care of Children

  • Analyze the Behavioral Health needs in the primary care of children
  • Discuss the BHP role in interviewing the child and caregivers
  • Analyze valid methods of involving and giving help to parents and caregivers
  • Utilize how to speak with the medical team and caregivers about ADHD: screening, medications and BH interventions

Module 16: Challenging Populations 

  • Assess the needs of common patient populations in the primary care of children
  • List ways in which a Behavioral Health Provider can be of use in the primary care of chronic illnesses in the care of children
  • Describe the increased role of behavioral risks with adolescents
  • Compile and address depression, anxiety, substance abuse and health behavior needs of adolescents in primary care
  • Utilize how to guide parents, children struggling with chronic illnesses, and adolescents on behavioral issues in a culturally acceptable and effective manner

Serious Mental Illness Topics

Module 17: Integrated Care for People Coping with Serious Mental Illness

  • Describe the health needs of people coping with serious mental illness
  • Describe ways in which health and wellness can be fostered through a structured learning program
  • Compute how the experience of trauma, mental illness and some come common treatments for mental illness increase health risks and lower the effectiveness of usual medical care for these people
  • Describe the possibility of primary care, care management and wellness programs to improve the life experience and health of this group

Module 18: Serious Mental Illness Health Behavior

  • Describe physical health issues for people with serious mental illness
  • List evidence-based lifestyle interventions geared toward people with serious mental illness
  • List examples of how to implement various evidence-based lifestyle interventions within mental health and/or primary care setting

Population Health in Primary Care Topics

Module 19: Screening and Care Management

  • Describe the purpose of screening in Primary Care
  • List some of the most common screening tools used in Primary Care
  • Describe care management for depression in Primary Care
  • Describe the evidence for depression care management
  • List the pros and cons of implementing care management in Primary Care

Families, Community and Culture Topics

Module 20: Working with Families in Primary Care 

  • Describe the family's role in health
  • Describe the importance of a family perspective in addressing problems in health behavior
  • Analyze critical points in care where family involvement is necessary
  • Describe steps in conducting a medical family meeting

Module 21: Behavioral Health services in primary care for elderly people

  • Describe changes in behavioral approaches necessitated by advancing age
  • Describe specific needs of a geriatric population
  • Apply specific behavioral interventions for older adult

Module 22: Underserved Populations, Culture and Primary Care

  • Apply appreciation of their potential role in helping primary care providers work with a culturally diverse population of patients
  • Apply the impact of racism, discrimination, immigration, and poverty as well as cultural influences on coping skills
  • Prepare and teach narrative questioning skills for discovering important cultural issues and the barriers faced by primary care clinicians in using these techniques