Engaging the Community in Identifying and Prioritizing Outcomes for Integrated Primary Care Behavioral Health Nancy Pandhi MD MPH PhD 1,3, Nora Jacobson PhD 4, Natalie Wietfeldt BS 1, Zaher Karp BA 1,2, Elizabeth Zeidler-Schreiter PsyD 5, Neftali Serrano PsyD 5, Armando Hernandez PhD 6 Dept. of Family Medicine and Community Health 1 Dept. of Population Health Sciences, 2 University of Wisconsin School of Medicine and Public Health, 3 UW Institute for Clinical and Translational Research, 4 Access Community Health Center, 5 Group Health Cooperative 6 BACKGROUND Mental health issues affects 1 in 4 people and most people seek care in primary care Primary care behavioral health (PCBH) care partners Behavioral Health Consultants and primary care physicians to provide this help Statement of the Problem Patients have not been given a chance to provide input as to what outcomes they want from PCBH As patient-centered care is a core value of family medicine, knowing what outcomes patients' desire is critical information for effective practice Objective To work with patients 1) to determine desired outcomes from the Primary Care Behavioral Health Model and 2) to prioritize these outcomes RESULTS Survey Dissemination and Participants (n=381) Desired Outcomes Across Prioritization Groups (n=38) *Received same number of votes ACKNOWLEDGMENTS Co-investigators from Access Community Health Centers, Group Health Cooperative, UW Health, UW Institute for Clinical and Translational Research, and the Center for Patient Partnerships Research supported by the Clinical and Translational Science Award program, through the National Center for Advancing Translational Sciences (9U54TR000021) and the University of Wisconsin School of Medicine and Public Health through the Wisconsin Partnership Program CONCLUSIONS AND RECOMMENDATIONS Conclusions Outcomes that are important to patients include accessing care, experiencing care, being treated with respect, seeing improvements in relationships with others, and developing a positive outlook Outcomes valued by patients show some overlap with those valued by health professionals, but are also unique in some respects Implications and Recommendations Health professionals involved with mental health care integration into primary care should assess outcomes important to patients when evaluating the effectiveness of care they provide Determining effectiveness should include measures of how integrated care affects patients' day to day functioning and global well-being Survey Analysis Survey responses categorized into inductively derived themes: Care experience, patient dignity, patient well-being, access/services Outcomes Prioritization Recruited participants who experienced PCBH care Outcomes identified from survey responses were ranked for importance Each group ranked top 3 for 2 themes Rankings were summed across 6 groups MATERIALS AND METHODS Video Vignette Survey Dane1in4.org Farmer’s Markets, Community Center, Homeless Shelter, Support Groups HMO, Community Clinic, Academic Health Center METHODS Video Vignette Development Developed script for videos with clinicians and community members Professional videos filmed in clinic 1) Demographic questions answered on tablet computers or online. Answers to responses determined gender voice- over, age of patient, and care model shown. 2) Participant watches video showing PCBH in action. Doctor talks with anxious patient. The Behavioral Health Consultant offers the patient strategies. 3) Participants answered 3 open-ended questions on paper or tablet: If you were this patient, what would you like about receiving this type of care? What would you not like? How would you want your life to change after this visit? 3) Participants answered 3 open-ended questions on paper or tablet: If you were this patient, what would you like about receiving this type of care? What would you not like? How would you want your life to change after this visit? Doctor talks with behavioral health consultant and gives warm hand-off to patient. 1.Gender  Male  Female  Other 2.In the past three years, where have you received care?  Group Health Cooperative (GHC)  Access Community Health Center  UW Health  Other  I have not received care in the past three years. 3.Are you a parent or have a child under the age of 18 in your household?  Yes  No