1. Presented by: Kathleen Reynolds, LMSW ACSW The National Council for Community Behavioral Healthcare

2.  Principles of the Patient-Centered Medical Home  Personal physician  Physician directed medical practice (team care that collectively takes responsibility for the ongoing care of patients)  Whole person orientation  Care that is coordinated and/or integrated  Quality and safety (including evidence based care, use of information technology and performance measurement/quality improvement)  Enhanced access to care  Payment structure that reflects these characteristics beyond the current encounter-based reimbursement mechanisms The American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association http://www.pcpcc.net/

3.  Most articles on the medical home do not include behavioral health interventions even though they are linked to increased positive health outcomes  A large portion of psychiatric medications (~70%) are prescribed in primary care  A large proportion of primary care visits are for behavioral health issues

6.  Master’s prepared behavioral health professional (LCSW, CSW, LPC, LLP) based on reimbursement  Short term solution focused sessions  Case Management  1-3 sessions  Psychiatrist part time/Primary Care Provider  Curbside Consultation  Some evaluations  Clinic hours for PCP  Creation of a team

7.  One organization does the full range of services  Partnership models  FQHC’s & CMHC’s working together  Private Practitioners and Behavioral Health working together  Academic Medicine Centers and Behavioral Health

8.  Active Care Management Roles are emerging as key components of the team  Do disease management functions but more personal, more interactive  PCARE – Ben Druss, Emory University  Health Navigators – New role for mental health case managers

9.  Peer wellness coaches ( Warbrick - Boston)  Promatoras (Health Centers)  Peer Support Services (HARP – Loring – Stanford)

10. Kathleen Reynolds, LMSW ACSW kathyr@thenationalcouncilc.org 734-476-9879