1. 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

2. 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.

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

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

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

6. 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.

7. Example of acknowledging feelings and affirming

8. 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)

9. 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

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

11. 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

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

13. 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?

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