Behavioral Health Competencies for the Whole Team Behavioral Health Integration Complex Care Initiative Behavioral Health Competencies for the Whole Team Thursday June 8, 2016 8:30am-9:30 pm

Inviting humanness into healthcare. Define quickly IBH isn’t just BH services in medical settings, it is inviting and responding to patients whole health, their ‘real’ life struggles. Give some examples of mental health issues, also just beliefs, values, preferences, health behaviors, life stressors, etc. Inviting humanness into healthcare.

Eliciting Responding Sharing Introduce these three parts that are everyone on the teams’ responsibility with BH Eliciting Responding Sharing

Skillful Eliciting Non-verbal empathy Show of non-judgement Open Ended Questions Introduce 3 core skills to elicit

Let me know your thoughts, trying out something different using drawings. Examples of no verbal empathy, and open ended questions

Skillful Responding Normalizing Acknowledging Affirming 3 core skills with skillful responding. Share ACE research on skilledphysician response, even in the absence of treatment, improving engagement and adherance.

Example of acknowledging feelings and affirming

Sharing behavioral health information with the team: Documenting Discuss communication with the team on things that we historically have deemed not worthy, or inappopriate for medical notes; give examples of lack of belief in efficacy of medications, poverty as a barrier to obtaining timely treatment, son’s drug addiction making home not safe for pain meds, etc; in addition to traditional examples of MH and SUD conditions. Sharing behavioral health information with the team: Documenting Informal verbal communication Formal verbal communication (SCR, huddles)

Elicit and Respond: behavioral health information Think (alone) about someone you know who gets lots of behavioral health disclosures from patients Discuss with your team, who seems to get what types of disclosures? What techniques for eliciting do those team members use? What do you notice about who gets disclosures that are historically stigmatized or judged? (addictive disorders, sexual behavior, not taking medications…) Respond: Reflect on a recent patient disclosure. Share with your team: What techniques did you use to elicit? What techniques did you use to respond? What might you have done differently? Exercise set up

Sharing Behavioral Health Tasks on a BHICCI Healthcare Team Basic introduction to switch topics

Patient/clients’ preferences, values and beliefs Which Patients Get Referred to the BH Clinician? Which Patient are Managed with BH Consultation Alone? How to Decide? Patient/clients’ preferences, values and beliefs Patient level of severity/stability Particular behavioral health conditions Set out the three criteria

Backing Up Even Further: How Are You Organized as a Team? Set out the three criteria

How would you describe how your team is organized? How is your team currently making decisions about who gets referred to the BH clinician and who does not? How is this working for your team and the patients? Could you refine the criteria (patient preferences/beliefs, severity, conditions) to make it more specific? Exercise What other criteria might you suggest?

Thank you for your time! Please complete the survey, we really, really, really, take it to heart! End