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

[Peter Fifield]

We have had much success with offering a behavioral health screening packet to our initial intake process that includes the DUKE, AUDIT, DAST, PC-PTSD, PHQ9, GAD7 and an assessment of "perceived" function screeners.  On follow up visits we use the PHQ9 and GAD7 as our "mental health blood pressure" measures.  That being said, the most accurate measure for our clinic over time seems to have been the "perceived function measure" more so than any of the other standardized tools such as the PHQ and GAD.

peter fifield

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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 Phil Hirsch PhD
Sent: Wednesday, September 14, 2011 10:01 PM
To: '[National Council's Behavioral Health-Primary Care Integration Listserve]'; pc-bh-integration at nccbh.net
Cc: 'Jenne'
Subject: Re: [PC-BH-Integration] Bio/Psycho/Social Assessment in IntegratedHealthcare settings and Treatment Plan Templates

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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