1. www.pspbc.ca Adult Mental Health Module An Organized Approach to Mental Health Issues in Realistic Time Learning Session 3 www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources

2. 2 Housekeeping www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources

3. 3 Learning Session Activities 1.Sharing experiences 2.Report from coach 3.More on CBIS skills (including SAQs) 4.Cultural modifications of CBIS 5.Physician and Advocate perspective 6. Break 7. Sustainability and improvement tips 8.Community Resource Café 9..Sustainability plan 10.Wrap up, evaluations Welcome and Agenda

4. Sharing our experiences www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources

5. Questions to consider

6. Participant Feedback CBIS Skills

7. Participant Feedback ASW

8. More on using the CBIS Tools

9. Use of SAQ’s

10. 10 CBIS Skills www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources Practice 3 different skills with a partner Try one of these  Daily activities  Self talk mean talk  Grounding  Sleep hygiene  Abdominal breathing page  Anxiety-system wide explosion  Mindfulness

11. Common Steps to Using All Options www.gpscbc.ca/psp-learning/ adult-mental-health/tools-resources Identify appropriate case: PHQ9, GAD-7, DSM. PL, PLSP, SAQs Bipolar? Possible comorbid confounders? Do the DAI Explain the CBT Model – CBIS, ASW, Anxiety equation and explain SSM

12. CBIS Cultural Approaches

13. 13  How this module changed my life Dr. Egan’s Family Doc Perspective

14. 14 www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources Perspective

15. 15 Break

16. 16 www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources Tips for Sustainability

17. 17 www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources Tips for Sustainability Josefa Kontogiannis The ability of something to be maintained at length without interruption Derived from the Latin word “Sustinne” : to Hold

18. 18  Plan: Ride my bike to work Bike ride Improvement Ramp I was late I was sweaty Bike was rusty I was stiff Rain/wind Forgot soap Still late Too many hills On time!! Felt good!! I Can do this! Get up Get ready Get bike Go Fix bike Stretch Leave early Take clothes/shower at work Attempt #3 Check google for bike time Got poncho/glasses Brought shampoo Find straighter route Leave earlier Done!! Attempt # 1 Attempt # 2 Always go back to why is this important! Get exercise Save on gas & wear/tear on car Contribute to carbon footprint Promote exercise/wellness in community Lessen traffic flow by one car………

19. 19 What is your proof that this stuff works??? How will you know that what you are doing is an improvement??? My appointments will be faster Some of my patients may not need to see psychiatry My patients will progress and respond to my approach My appointments will be proactive My income will increase My MOA will have an enhanced role and a workflow in place My MOA will have an enhanced role and a workflow in place My communications with Mental Health and Addictions will improve

20. 20  Tips for Sustainability www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources Tips for Sustainability Remember why you thought this was important Remember what worked, what you liked, your quick wins Remember your role in planning how to make this work in practice Think of what your expected outcomes will be, pick 3 things

21. 21 Community Resource Cafe

22. Confirm patient population Locate tools on algorithm Begin trying out tools Review use of MH Log Sheet Confirm MOA role Billing questions/tech assistance Review Log Sheet progress Use of DAI Use of other resources Discuss optimal office flow (include MOA) Overview of aims, CBIS, ASW Bounceback and practice finding the tools (Scavenger Hunt) Log sheet/AP requirements Billing and EMR optimization Develop an action plan Share experiences (good & bad) w peers DAI role play Use of tools Log sheet/AP requirements Update action plan Share experiences Community Resource Cafe Troubleshoot issues for sustainability & improvement Sustainability Plan AP1AP2Pre-visit Month 0Month 7-8 Sustain Survey-barriers, desires Orientation to Algorithm, Review use of MH Log Sheet Location of tools on algorithm Confirm use of EMR Ongoing Support CME Post Module Reflective Questionnaire (mid-March) Plan Your Pathway

23. Thank you www.gpscbc.ca/psp-learning/adult-mental-health/tools-resources

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