[PC-BH-Integration] Bio/Psycho/Social Assessment in Integrated Healthcare settings and Treatment Plan Templates

[Phil Hirsch PhD]

Shauna (and all):

 

A few thoughts in reply to your question below:

 

1.	Although each agency should evaluate the value of particular
instruments for its use there is also value in working toward some
standardization of tools across integrated settings. For example, the PHQ-9
is probably the most widely used depression screening (can be downloaded and
used at no cost here
http://www.healthteamworks.org/guidelines/depression.html), AUDIT is highly
valued for problem drinking assessment, the Bipolar Disorder Questionnaire
(BDQ) for that condition;
2.	Healthworks (formerly Colorado Clinical Guidelines Collaborative)
has an interesting and well thought out guideline for systematic depression
treatment which can be downloaded from their website as well (see link
above). I like this type of stepwise guideline in that it is clear, specific
and relatively brief;
3.	Texas Medication Algorithms Project (TMAP) provides reasonably
succinct treatment guidelines for a number of BH conditions including
psychotic disorders;
4.	An example of an interesting, brief, automated and multi-factoral
screening tool and process that is being used in some health centers with
good satisfaction can be found by going to this website:
http://chc.patienttools.com/default.asp and then clicking the "How it Works"
link to the left.

 

I'm not necessarily recommending or endorsing these particular instruments
but am suggesting that they are good examples of tools that seem to work
well in integrated primary care settings in that they are brief, specific,
directive, easy to implement, usually free and can be scored and results
made available to clinicians "on the spot."

 

 

Phil Hirsch, PhD

President and Chief Executive

Access Psychiatry Solutions, LLC

P.O. Box 55273

Seattle, WA  98155

206.365.3096

www.accesspsych.com

 

  _____  

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Shauna
Reitmeier
Sent: Wednesday, September 14, 2011 1:38 PM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] Bio/Psycho/Social Assessment in Integrated
Healthcare settings and Treatment Plan Templates

 

Good Afternoon Everyone,

 

We have recently received some requests for examples of assessment tools and
treatment planning tools that organizations are using in integrated
healthcare settings.  We have been asked for examples from both types of
settings whether located in an FQHC or Primary Care setting and those in a
Community Mental Health Center

 

Some feedback we have been receiving is that in the bi-directional
integration from the CMHC setting into the FQHC/Primary Care setting the
existing Treatment Plans and Assessment Tools are quite long and do not
necessarily fit well into the short term, solution focused setting for
providing the Mental Health service. 

 

If anyone has examples of these two tools that have passed the necessary
accreditation and CMS reviews, they would be willing to share with the
broader community it would be greatly appreciated.  

 

Thank you so much for your assistance.  

 

 

 

 

Shauna Reitmeier, LLMSW

Contract Administrator

SAMHSA/HRSA Center for Integrated Health Solutions

National Council for Community Behavioral Healthcare

1701 K Street NW, Suite 400

Washington, DC 20006

202.684.7457 ext.271

734.476.7625 cell

202.386.9391 fax

shaunar at thenationalcouncil.org 

 

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