[PC-BH-Integration] One more plea for failures

Mon Apr 2 16:29:03 EDT 2012

Wondering if a summary has been put together on the plea?

Thank you.

Scott Gilman

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Sarah
Bannon
Sent: Tuesday, January 03, 2012 1:01 PM
To: pc-bh-integration at lists101.his.com
Cc: Sarah Bannon
Subject: Re: [PC-BH-Integration] One more plea for failures

Hello:

Mr. Rosenfeld's summary is excellent and it hits on all of the key
points that I would echo from doing integrated care training for
behavioral health providers in FQHC settings for HRSA over six years
except one:  

The Behavioral Health Clinician has to break his/her habits and
perception of how they were trained regarding length (and focus) of
session. One of the singular and recurring failures is BHCs" not
getting" that they need to copy of the pace and methodical approach of
primary care. This means shorter sessions, more functionally and
short-term focused, and the willingness to be interruptable and flexible
to handle higher acuity cases, etc. 

The ability and the willingness to transform to match the culture of the
(primary care) environment and fully act like a member of the (primary
care) team is very tough, especially for traditionally-trained
behavioral health professionals. To be fair, it is also very hard for
most medical staff to cross the cultural divide too...

It would be interesting to see a summary of your work if you would be
willing to share it Dr. Kern.

Best Regards--Sarah Bannon
CEO, Lakeview Consultants, LLC

This email and its attachments, if any, is intended only for the
person(s)to which it is addressed and may contain confidential and/or
privileged material. Any review, retransmission, dissemination or other
use of, or taking of any action in reliance upon this information by
persons or entities other than the intended recipient is prohibited. If
you have received this email in error, please contact the sender and
delete the material from any computer. 

________________________________

From: brosenfeld at mphc-az.org
To: pc-bh-integration at lists101.his.com
Date: Tue, 3 Jan 2012 16:31:01 +0000
Subject: Re: [PC-BH-Integration] One more plea for failures

Dr. Kern,

My name is Bill Rosenfeld and I am the Director of Integrated Behavioral
Health at Mountain Park Health Center in Phoenix, Arizona.  We have a
thriving integrated practice, with 30 people in our department working
with 70 Medical Providers.  Here is a short list of failures that I
would love to have other folks avoid in their endeavors to create
integrated practices.  Good luck!

1.)     Part time presence of a Behavioral Health Provider failed in
multiple trials.  It is nearly impossible to request a medical provider
to practice differently one or two days a week.  No-shows were rampant,
and warm handoffs seldom.

2.)    Placing a Behavioral Health Provider outside of the clinic areas
that the medical providers use was also a failure.  It seems like many
practices commit to integrating services, but place the Behaviorist in
the furthest broom closet from clinical traffic areas....they almost all
fail.

3.)    Success of the Behavioral Health Providers is largely personality
driven.  It takes a person with a strong constitution and excellent
communication skills to be accepted as part of the primary care team.

4.)    Setting up shop and waiting for referrals in one's office has
also proven to fail in multiple trials.  The Behaviorist that has a
strong sense of self marketing and the boldest open door policy seems to
fare much better.

5.)    Lack of executive level support would have been tragic, and would
have led to failure.  Luckily, we were strongly supported.  We have seen
many other health centers fail as a result of poor support from their
leaders.

I hope this helps.  We are in our tenth year of this project, and it
truly took a good two years to catch fire.  

-Bill

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of John
Kern
Sent: Friday, December 30, 2011 6:20 AM
To: 'pc-bh-integration at lists101.his.com'
Subject: [PC-BH-Integration] One more plea for failures

My final act of 2011 will be to reach out again to all of you to share
with me / us any experiences of failures so far in the implementation of
your programs, things that you would recommend that others not do, to
spare them your own personal agony.

 I am collecting these for a training presentation, and PROMISE that I
won't use any identifying information without permission. AND that my
own failures will be well-documented in the presentation - that's what
makes it fun.

Thanks in advance. Happy New Year! 

BTW, if you are willing to share, but not to the listserv, I am at
john.kern at regionalmentalhealth.org
<http://john.kern%40regionalmentalhealth.org/> 

John S. Kern, M.D.

Chief Medical Officer

The Regional Mental Health Center

8555 Taft Street

Merrillville, IN 46410

219-736-7232

________________________________

IMPORTANT WARNING: This message is intended for the use of the person or
entity to which it is addressed and may contain information that is
privileged and confidential, the disclosure of which is governed by
applicable law. If the reader of this message is not the intended
recipient, or the employee or agent responsible to deliver it to the
intended recipient, you are hereby notified that any dissemination,
distribution or copying of this information is STRICTLY PROHIBITED. If
you have received this message by error, please notify us immediately
and destroy the related message.

This e-mail and any files transmitted with it are the property of Shiawassee County Community Mental Health Services. This e-mail and any files transmitted are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this e-mail in error, please immediately notify by telephone (989) 497-1317 or 1-800-288-5309.

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://lists101.his.com/pipermail/pc-bh-integration/attachments/20120402/f587bf80/attachment-0001.html>