[PC-BH-Integration] Registris for Behavioral Health

Cynthia Zubritsky cdz at mail.med.upenn.edu
Mon Mar 2 13:05:18 EST 2009 

Hi Rodger,

Were the majority of these individuals 60 and older, implying some cognitive 
impairment?  How did they end up referred to behavioral health if they did 
not have elevated scores for depression, anxiety or substance abuse?  What 
types of treatmnet services did they receive?

Cynthia Zubritsky
Center for Mental Health Policy and Services Research
University of Pennsylvania
Philadelphia, PA 19104


----- Original Message ----- 
From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
To: <pc-bh-integration at lists101.his.com>
Sent: Monday, March 02, 2009 10:40 AM
Subject: Re: [PC-BH-Integration] Registris for Behavioral Health


>A conundrum that we need to figure out, is just as disease specific 
>behavioral health models are limiting and not real world primary care life, 
>focusing on single diagnosis registries or cluster of diagnoses registries 
>is equally potentially limiting. We need a new and different construct of 
>behavioral health in primary care measurement. In a new collaborative care 
>clinic we are developing, the majority of referrals for behavioral health 
>displayed considerable functional impairment, but no significant elevations 
>on measures of depression, anxiety, and substance use. Soon, I think, we 
>can look to Minnesota for illumination. R
>
> Rodger Kessler Ph.D. ABPP
> Research Assistant Professor
> Department of Family Medicine
> Center for Translational Science
> University of Vermont College of Medicine
> Berlin Family Health
> Fletcher Allen Healthcare
>
>
> -----Original Message-----
> From: pc-bh-integration-bounces at lists101.his.com 
> [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Barbara 
> Mauer
> Sent: Sunday, March 01, 2009 7:04 PM
> To: pc-bh-integration at lists101.his.com
> Subject: [PC-BH-Integration] Registris for Behavioral Health
>
> In a Washington State project, registries are being used by BH staff in
> primary care to track status on a wider range of conditions than
> depression, including anxiety and substance use, referrals for specialty
> MH and/or SU services, vocational and employment, and SSI applications.
> Contact Jurgen Unutzer and/or Diane Powers at UW, via their IMPACT
> website.
>
>
> -----Original Message-----
> From: pc-bh-integration-bounces at lists101.his.com
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> Today's Topics:
>
>   1. Registries for Behavioral Health (Kathy Reynolds)
>   2. Re: (no subject) (Sally Smith)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 26 Feb 2009 11:53:02 -0500
> From: Kathy Reynolds <reynoldk at ewashtenaw.org>
> Subject: [PC-BH-Integration] Registries for Behavioral Health
> To: "pc-bh-integration at lists101.his.com"
>        <pc-bh-integration at lists101.his.com>
> Cc: kmilner <kmilner at umich.edu>
> Message-ID:
>
> <9D6AAAF83C69ED44BCF660A45EBF5E1C1C57EC3B2E at MAILCLUSTER2.ewashtenaw.org>
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> Content-Type: text/plain; charset="us-ascii"
>
> I can suggest two folks to talk to about registries for behavioral
> health:  Karen Milner and Amy Kilbourne at the Universrity of Michigan.
> milnerk at ewashtenaw.org and amykilbo at med.umich.edu.  For depression you
> could also check the Bureau of Primary Care - HRSA website for their
> depression collaborative work.
>
>
> ________________________________________
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> [pc-bh-integration-bounces at lists101.his.com] On Behalf Of
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> Subject: PC-BH-Integration Digest, Vol 49, Issue 22
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> Today's Topics:
>
>   1. Resources on registries for beh health? (Nancy Halloran)
>   2. Re: Primary Care Behavioral Health Integration (Cherney, Roger)
>   3. Re: Resources on registries for beh health? (MARIE Susan)
>
>
> ----------------------------------------------------------------------
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> Message: 1
> Date: Mon, 23 Feb 2009 19:16:48 -0800
> From: Nancy Halloran <nshalloran at sonic.net>
> Subject: [PC-BH-Integration] Resources on registries for beh health?
> To: pc-bh-integration at lists101.his.com
> Message-ID: <200902240317.n1O3HPIM007894 at b.mail.sonic.net>
> Content-Type: text/plain; charset="us-ascii"; Format="flowed"
>
> Hello
> Can anyone recommend resources on the use of a behavioral health
> registry, in particular going beyond depression-specific studies? (I
> have looked at the Hogg Foundation website and IBPH). I am looking
> for more in-depth information, either in writing if available, or
> maybe a conversation with someone who is using a registry for panel
> management in their practice.
>
> Thanks
>
> Nancy S. Halloran, MPH
> Program Development, Proposals, & Project Management
> Health Equity Partnership & Community Institute for Healthcare Equity
> 614 Grand Ave, Suite 400
> Oakland, Ca 94610
>
> 510-847-3833
> 510-217-5940 (fax)
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> Message: 2
> Date: Mon, 23 Feb 2009 08:20:25 -0500
> From: "Cherney, Roger" <RCherney at nmhnj.org>
> Subject: Re: [PC-BH-Integration] Primary Care Behavioral Health
>        Integration
> To: <pc-bh-integration at lists101.his.com>
> Message-ID:
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> <D0F677A8A641564682F56518B9B54D5C088FC57C at nmh-new-msg00.njhccorp.local>
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>
>
> ________________________________
>
> From: pc-bh-integration-bounces at lists101.his.com
> [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Blount,
> Alexander
> Sent: Sunday, February 22, 2009 4:41 PM
> To: pc-bh-integration at lists101.his.com
> Subject: [PC-BH-Integration] Primary Care Behavioral Health Integration
>
>
>
>
>
> You may be interested in the Fall 2009 and Spring 2010 schedule of the
> Certificate Program in Primary Care Behavioral Health from U.Mass
> Medical School.
>
> We have added an invitation for any participant to bring a primary care
> medical provider to the first workshop where we teach the clinical
> routines of integrated care at no cost.
>
> We continue to broadcast via video conference to sites across the US and
> Canada.
>
> The complete description is on the newly reorganized portal for
> integrated care on the web:  www.IntegratedPrimaryCare.com
> <file:///\\www.IntegratedPrimaryCare.com> .
>
> 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
> www.IntegratedPrimaryCare.com <file:///\\www.IntegratedPrimaryCare.com>
>
> http://www.umassmed.edu/fmch/faculty/Blount.cfm
>
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> Message: 3
> Date: Tue, 24 Feb 2009 08:33:17 -0800
> From: "MARIE Susan" <susan.marie at co.multnomah.or.us>
> Subject: Re: [PC-BH-Integration] Resources on registries for beh
>        health?
> To: <pc-bh-integration at lists101.his.com>
> Message-ID:
>
> <9F75B2FC8BE3654B97CFD84E8B0226BD01166541 at EXCH2.co.multnomah.or.us>
> Content-Type: text/plain; charset="utf-8"
>
> We have identified several strategies for "registries" in our electronic
> health record. We utilize internal use V codes (eg suicidal ideation) to
> develop the registry and our integrating management of this list into
> the primary care team responsibilities. Let me know if you'd like
> further information. Susan Marie. Behavioral Health Director. Multnomah
> County Health Dept.
>
> ________________________________
>
> From: pc-bh-integration-bounces at lists101.his.com
> <pc-bh-integration-bounces at lists101.his.com>
> To: pc-bh-integration at lists101.his.com
> <pc-bh-integration at lists101.his.com>
> Sent: Mon Feb 23 19:16:48 2009
> Subject: [PC-BH-Integration] Resources on registries for beh health?
>
>
> Hello
> Can anyone recommend resources on the use of a behavioral health
> registry, in particular going beyond depression-specific studies? (I
> have looked at the Hogg Foundation website and IBPH). I am looking for
> more in-depth information, either in writing if available, or maybe a
> conversation with someone who is using a registry for panel management
> in their practice.
>
> Thanks
>
>
> Nancy S. Halloran, MPH
> Program Development, Proposals, & Project Management
> Health Equity Partnership & Community Institute for Healthcare Equity
> 614 Grand Ave, Suite 400
> Oakland, Ca 94610
>
> 510-847-3833
> 510-217-5940 (fax)
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> Reply to this message to send to the group
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> End of PC-BH-Integration Digest, Vol 49, Issue 22
> *************************************************
>
> ------------------------------
>
> Message: 2
> Date: Fri, 27 Feb 2009 09:19:48 -0500
> From: "Sally Smith" <Sally.Smith at mahec.net>
> Subject: Re: [PC-BH-Integration] (no subject)
> To: "pc-bh-integration at lists101.his.com"
>        <pc-bh-integration at lists101.his.com>
> Message-ID: <49A7B034.E681.00C8.0 at mahec.net>
> Content-Type: text/plain; charset="utf-8"
>
> Rodger-
> Hey there-
> I tried to open this paper ( metrics paper?) couldn't do it...
> Would you please send to me in another format?
> thanks- looking forward to talking with you at 2
>
> sally
>
>>>> "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org> 2/17/2009 12:23
> PM >>>
>
>
>
>
> Dear colleagues:
> We are pleased to announce the beginning of recruitment of individuals
> and practices into the Collaborative Care Research Network (CCRN), a
> Practice Based Research Network (PBRN) which is a subnetwork of the
> Academy's National Research Network (NRN). Membership in the Network is
> not a commitment to any particular project but rather the opportunity to
> participate in projects that we collectively develop. As projects
> proceed we will provide technical support and assistance to make sure
> that data collection is not a burden to individual or practices.
> Ideally, we would want the initial recruitment push to be done
> relatively quickly so that data we collect in the recruitment process
> can be immediately aggregated and used in grant applications and
> presentations that are forthcoming. We hope that we will have over 50
> enrollees with in the first month.
>
> The purpose of the CCRN is to develop and implement a national, practice
> based research agenda to evaluate the effectiveness of collaboration
> between behavioral health, psychology and substance abuse intervention
> and primary medical care. With the emergence of the medical home, it is
> clear that such services are to be a prominent dimension of responding
> to patient and families' health needs. However, there is an equally
> crucial need to evaluate the effectiveness of such collaborative care in
> ways that are both useful to primary care practitioners, and answer the
> important questions that have and will be raised. The recent Agency for
> Healthcare Research and Quality (AHRQ) systematic review concluded that
> integrated and collaborative care was generally effective but that
> currently there was no evidence to support that any particular models
> were superior, or that we can identify specific elements that account
> for effectiveness. They conclude with a call for effectiveness researc
> h to respond to these issues.
>
> We believe that the CCRN offers a broad based, multidisciplinary
> opportunity to accomplish the aforementioned tasks. We are already
> pursuing opportunities to generate and respond to a research agenda. We
> are seeking psychologists, social workers, MFT, licensed mental health
> and substance abuse counselors, family physicians, internists,
> pediatricians, and other primary care physicians  to participate as well
> as their medical practices, community health centers, residency programs
> and other interested practices. We encourage you to join us. For further
> information about the CCRN contact Rodger Kessler Ph.D. ABPP
> (Rodger.Kessler at uvm.edu) or Ben Miller PsyD .
> (Benjamin.Miller at ucdenver.edu) For enrollment material please contact
> the CCRN at CCRN at AAFP.org
>
> Sincerely,
>
> Benjamin F. Miller, PsyD                                Rodger Kessler,
> PhD, ABPP
>
>
> Wilson Pace, MD                                 Deborah Graham, MSPH
>
>
>
>
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