1. COLLABORATIVE MODELS OF CARE: Making it Work ACHA 2014 Annual Meeting, San Antonio, Texas ALAN LORENZ, ANNE KEARNEY, JOY HIMMEL

2. Objectives: At the conclusion of this presentation, participants will be able to describe common barriers to collaborative care encountered in student health and mental health centers. At the conclusion of this presentation, participants will be able to describe unique opportunities for collaborative care between student health and mental health centers. At the conclusion of this presentation, participants will be able to identify their own paradigm for the mind/body connection and its role in health and illness, and identify strengths from that paradigm that contribute to collaborative care. At the conclusion of this presentation, participants will be able to describe at least one new strategy for implementing collaborative care in their current practice.

3. Outline: Introductions Key Ingredients for Collaboration: A Conceptual Framework Small Group 1 – Key Ingredients at Home Collaborative Strategies, Penn State, Altoona Collaborative Strategies, LeMoyne College Small Group 2 – Hopes, Dreams, Aspirations Large Group

4. Percepts without Concepts are blind Immanuel Kant

5. Key Ingredients for Collaboration: A Conceptual Framework Relationship Common Purpose Paradigm Communication Location of Service Business Arrangement

6. Relationship Relationship, Relationship, Relationship Developmental continuum punctuated by critical events Building Trust Building Respect Good Manners Relative Influence and Flexible Hierarchy Second Order Collaboration

7. Common Purpose Clear & Explicit Clarify Short Term and Clarify Long Term Goals Clarify for: – Professionals – Patients – Families Goals held in common/Goals that are different

8. Paradigm Relationship between Mind & Body Biopsychosocialspiritual Different is okay as long as not mutually exclusive Theory of Change & Locus of Control Field of Focus: Micro/Meso/Macro Tough to resolve disagreements rooted in different paradigms

9. Communication Language Frequency & Duration (time sense) Form Content Confidentiality

10. Location of Service Separate Together but Separate Together

11. Business Arrangement Umbrella Separate Carved in/Carved out

12. Key Ingredients Relationship Common Purpose Paradigm Communication Location of Service Business Arrangement