[PC-BH-Integration] integrated consent

[Crystal Miner]

Our consent currently states:

I consent to receive services by a team of professionals; I understand
that health information may be shared between the Primary Care Clinic
and Behavioral Health Services in order to coordinate care. 

I'd have to see the specific requirements of your boards to see what
they constitute as a "consent/disclosure" but you should be able to put
one into the normal "New Patient" paperwork that you have everyone sign
when they first start with your clinic. For us, this line is part of a
"signoff" sheet that contains Financial Responsibility statements and
the Acknowledgement statement for HIPAA. We haven't had any
patients/clients make any comments about it, and neither has anyone from
behavioral or primary clinics.

Good luck,

Crystal Miner

Practice Manager
Mat-Su Health Services, Inc. 
1363 West Spruce Avenue 
Wasilla, AK 99654 
PHONE: 907-352-3316
FAX: 907-352-3363 

www.matsuhealthservices.org
<file:///C:\Documents%20and%20Settings\cminer\Application%20Data\Microso
ft\Signatures\www.matsuhealthservices.org>  

 

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

 

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://lists101.his.com/pipermail/pc-bh-integration/attachments/20090414/2a74648f/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: not available
Type: image/jpeg
Size: 2743 bytes
Desc: image001.jpg
URL: <http://lists101.his.com/pipermail/pc-bh-integration/attachments/20090414/2a74648f/attachment.jpe>