[PC-BH-Integration] PC-BH-Integration Digest, Vol 51, Issue 1

[Michael Dow]

Hi all,

I've got a question for the list about how those who are working in fully
integrated primary care settings are working with the consent to
treat/disclosure statement. We're in Boulder, CO and have behavioral health
clinicians in a number of medical sites, working alongside primary care
providers in a very integrated way, entering notes into the same EMR, etc.
One kink we've come up against is the requirements of our licensing boards
to have a consent/disclosue signed with each patient. Though we go over
confidentiality, etc. verbally, it's rather clunky to "the flow"
to introduce a disclosure signing into the visit. It also feels more like
setting up a "specialty mental health" model, which we are trying to stay
away from.

I've thought the best solution would be to have patients sign a behavioral
health disclosure/consent to treat when they enroll at the clinic along with
the briefer medical consent to treat. Some may not use the behavioral health
service, but some will. This way, we would also be advertising the
integrated model we offer. The medical clinic is reluctant to do this. We're
working on this reluctance--seeing if the shift in frame from
"psychotherapy" to "behavioral health consultation" helps to also
shift people's reluctance about it.

I thought I'd see what other people have come up with. Any suggestions?

Michael Dow, MA, LPC
Behavioral Health Consultant
People's Clinic
Clinica Campesina Family Health Services
3303 N. Broadway, CO
Boulder, CO 80304
(720) 565-4232

On Tue, Mar 31, 2009 at 10:00 PM, <
pc-bh-integration-request at lists101.his.com> wrote:

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>   1. Integrated Care organization executive (Blount, Alexander)
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> ----------------------------------------------------------------------
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> Message: 1
> Date: Tue, 31 Mar 2009 10:45:00 -0400
> From: "Blount, Alexander" <Alexander.Blount at umassmemorial.org>
> Subject: [PC-BH-Integration] Integrated Care organization executive
> To: <pc-bh-integration at lists101.his.com>
> Cc: "deGruy, Frank" <Frank.deGruy at ucdenver.edu>, "Miller,       Benjamin"
>        <Benjamin.Miller at ucdenver.edu>
> Message-ID:
>        <
> 1BB849C1E05F0F448C0A46B1B7B2F11B0160ED91 at UMMHCEXCHMB04.umassmemorial.org>
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> Content-Type: text/plain; charset="iso-8859-1"
>
>
>
>
> > Executive Director, 1/2 time, work from home.  The Collaborative Family
> Healthcare Association, www.CFHA.net <http://www.cfha.net/> seeks a
> self-starting individual with an interest in changing healthcare, experience
> as an administrator and grant getter, and some experience with a membership
> organization to be our Executive Director.  We are a 501c3 organization that
> runs a successful conference every year and is growing very quickly as
> interest in integrated or collaborative healthcare grows around the US.
>  Most of the work can be done out of your home. The Board is distributed all
> over the US and works well as a distributed group.  There will be travel a
> few times a year to conferences or meetings.  Salary: 30 to 35K for half
> time.  This could easily grow to full time.  Contact Alexander Blount, EdD,
> Chair of the Search Committee.  blounta at ummhc.org.
> >
> >
> > Alexander Blount, EdD
> > Clinical Professor of Family Medicine and Psychiatry
> > University of Massachusetts Medical School
> > Director of Behavioral Science
> > Department of Family Medicine and Community Health
> > Editor, Families, Systems, & Health
> > 55 Lake Avenue North
> > Worcester, MA 01655
> > O. 508 856-2147, F. 508 856-7799
> > blounta at ummhc.org
> > http://www.umassmed.edu/fmch/faculty/Blount.cfm
> > www.integratedprimarycare.com
> >
> >
> >
>
>
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