Behavioral Health & Wellness Program Department of Psychiatry University of Colorado Denver

Behavioral Health & Wellness Program Chad Morris, Ph.D. – Program Director John Mahalik, Ph.D., M.P.A. – Director of Research & Evaluation Mandy Graves May, M.P.H – Director of Training & Outreach Laura Martin, M.D. – Medical Director Shawn Smith, M.A., M.B.A. – Business & I.T. Manager Karen Devine, B.A., M.S.W.-candidate – Professional Research Assistant Leslye Barringer-Wise – Student Research Assistant BHWP Team

Behavioral Health & Wellness Program Our mission is to improve the quality of life for individuals and communities through research, evaluation, education, clinical care, and policy change BHWP Mission Research Clinical Care Education Evaluation BHWP Policy Change

Behavioral Health & Wellness Program BHWP Expertise Multi-disciplinary team and integrated approach to wellness; Consultation within primary care and behavioral health settings; Individual/group/organization/system behavioral change; Applied social research, needs assessment and program evaluation; Administration, provider and peer training, outreach and education; Community-based impact studies and translational research; Model practice implementation and dissemination; In-house clinical trials and efficacy research; Public policy and policy analysis; Data management and statistical analysis; Grant development & report writing.

Behavioral Health & Wellness Program BHWP Funders & Partners Universities and Academic Centers General and Psychiatric Hospitals (e.g., UCD, Fort Logan) Pharmaceutical Industry (e.g., Pfizer) State Departments and Divisions (e.g., CDPHE, DBH) Federal Agencies and Departments (e.g., SAMHSA) Local Health Agencies (e.g., Boulder County) Behavioral Health Organizations (e.g., BHI, Inc., CO Access) Advocacy Organizations (e.g., MHAC, NAMI) Integrated Care Clinics and Family Medicine Community Mental Health Centers and Clinics (e.g., MHCD, Centennial)

Behavioral Health & Wellness Program Consultation and Training: Arizona California Colorado District of Columbia Florida Louisiana New York North Dakota Ohio Oklahoma Oregon Texas Washington Wisconsin Guam Palau Federated States of Micronesia

Behavioral Health & Wellness Program At least 1 in 5 people has a diagnosable mental disorder during the course of any given year (U.S. Department of Health and Human Services, 1999). Mental health issues are a continuum of differences in cognition, emotion or mood that adversely effect functioning (APA, 2000). From hospitals and primary care to the public behavioral health system From general population to severe mentally ill (SMI) population Persons with behavioral health disorders die up to 25 years earlier than the general population (NASMHPD, 2006; 2008). Behavioral health clients have high rates of modifiable risk factors (e.g., tobacco and poor nutrition/obesity) (NASMHPD, 2006; 2008). The Case for Behavioral Health & Wellness

Behavioral Health & Wellness Program Adult and Youth Community-Based Studies: Smoking cessation for persons with mental illnesses: A Toolkit for Mental Health Providers Multi-site community mental health center cessation pilot study Needs assessment and prevalence study for youth with mental illness Administrator and provider training and education Behavioral health tobacco-free forum Tobacco-free policy implementation case studies BHWP Tobacco Cessation & Prevention Projects CDPHE, State Tobacco Education & Prevention Partnership

Behavioral Health & Wellness Program Peer-to-Peer Program: “Peer Specialists/ Advocates”: mental health and substance use consumers in recovery trained to provide services (e.g. group therapy) Training ex-smoking peer specialists to conduct motivational interviewing, cessation support groups, advocacy and education regarding tobacco Piloting in Colorado and LA County Community mental health, substance use treatment, client-run, wellness centers, and VA hospitals and outpatient clinics Employing program evaluation Training evaluation Process evaluation Outcome and impact evaluation BHWP Tobacco Cessation & Prevention Projects UCSF, Smoking Cessation Leadership Center

Behavioral Health & Wellness Program BHWP Tobacco Cessation & Prevention Projects Pfizer, Chantix Clinical Trials Schizophrenia and Schizoaffective Disorders: 12-Week, double-blind, placebo-controlled, multi-center study Safety and efficacy of Varenicline Tartrate Three month non-treatment phase Smoking cessation counseling in treatment and non-treatment phases Depression: 12-Week, double-blind, placebo-controlled, multi-center study Safety and efficacy of Varenicline Tartrate Nine month non-treatment phase Smoking cessation counseling in treatment and non-treatment phases

Behavioral Health & Wellness Program Aim of joint pilot project is to investigate the weight control needs of persons with serious mental illness (SMI). Collaboration with Behavioral HealthCare, Inc. (BHI), a BHO that oversees services of three Front Range community mental health centers. Community needs assessment methodology: Facilitate focus groups with behavioral health providers and consumers to assess need for and barriers to weight control interventions. Conduct literature review for current evidence-base regarding weight control for behavioral health consumers. Plan to develop weight control toolkit for behavioral health providers. BHWP Weight Control Project CCTSI, Joint Pilot Project with Behavioral Health Organization

Behavioral Health & Wellness Program Goal of the course is to offer skills to providers and administrators necessary to help patients in primary care and behavior health settings with complex health behavior change. Health behavior change curriculum components: Clinical aspects – how to deliver specific health behavior change skills; Operational components - how to build and sustain infrastructure; Financial piece - how to create cost savings, how to get paid; Evaluative component - how to develop and measure program outcomes. Program addresses each area via case studies and group dialogue to ensure providers and administrators know concepts for health behavior change. BHWP Health Behavior Change Curriculum Collaboration with UCD, Dept. of Family Medicine

Behavioral Health & Wellness Program Integrated wellness initiatives for chronic conditions Extension of peer-to-peer program to weight control Health professions workforce development Program development for chronic pain studies and education National and international market penetration BHWP Future Directions and Initiatives

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