Transcript Getting Started in Primary Care Behavioral Health

Session F3b
Friday, October 17, 2014
Getting Started in Primary Care Behavioral Health:
Job Acquisition for Students and New Professionals
Danielle King, PsyD
Joan Fleishman, PsyD
Stacy A. Ogbeide, PsyD, MS
Travis A. Cos, PhD
Elana Maurin, PhD, MHS
Lesley Manson, PsyD
J. B. Robinson, MA
Collaborative Family Healthcare Association 16th Annual Conference
October 16-18, 2014
Washington, DC U.S.A.
Faculty Disclosure
• We have not had any relevant financial relationships
during the past 12 months.
Learning Objectives
At the conclusion of this session, the participant will be able to:
Learning Objective #1
• Identify pathways for finding Primary Care Behavioral
Health (PCBH) positions
Learning Objective #2
• Discuss helpful approaches to interviewing for a PCBH
position
Learning Objective #3
• Describe the components of an effective Primary Care
Behavioral Health program proposal
References
Fisher, L. & Dickinson, W.F. (2014). Psychology and primary care: New
collaborations for providing effective care for adults with chronic health
conditions. American Psychologist, 69, 355-363.
Hunter, C. L., & Goodie, J. L. (2012). Behavioral health in the Department
of Defense Patient-Centered Medical Home: History, finance, policy, work
force development, and evaluation. Translational Behavioral Medicine, 2,
355-363. doi:10.1007/s13142-012-0142-7
Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2009).
Building an integrated primary care service. In C. Hunter, J. Goodie, M.
Oordt, & A. Dobmeyer (Eds.), Integrated behavioral health in primary care:
Step-by-step guidance for assessment and intervention (pp. 11-20).
Washington, DC: American Psychological Association.
Miller, B. F., Brown Levey, S. M., Payne-Murphy, J. C., & Kwan, B. M.
(2014). Outlining the Scope of Behavioral Health Practice in Integrated
Primary Care: Dispelling the Myth of the One-Trick Mental Health Pony.
References
O’Donohue, W.T., & James, L.C. (2009). The primary care toolkit. Practical
resources for the integrated behavioral care provider. New York, NY:
Springer Publishing.
Robinson, P., & Strosahl. K. (2009). Behavioral health consultation and
primary care: Lessons Learned. Journal of Clinical Psychology in Medical
Settings, 16, 58-71. doi:10.1007/s10880-009-9145-z
Robinson, P., & Reiter, J. (2007). Behavioral Consultation and Primary
Care A guide to integrating services. New York, NY: Springer Publishing
Company, LLC.
Runyan, C., Robinson, P., Gould, D. A. (2013). Ethical issues facing
providers in collaborative primary care settings: Do current guidelines
suffice to guide the future of team based primary care? Families, Systems,
& Health, 31, 1-8. doi:10.1037/a0031895
Weisberg, R. B. & Magidson, J. F. (2014). Integrating cognitive behavioral
therapy into primary care. Cognitive and Behavioral Practice, 21, 247-251.
Learning Assessment
• A learning assessment is required for CE
credit.
• A question and answer period will be
conducted at the end of this presentation.
Pathways into the Workforce
Informal
• Professional Organizations and Conferences
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Collaborative Family Healthcare Association
Division 38 (Health Psychology) of APA
Society of Behavioral Medicine
American Academy of Family Physicians
• Local Networking
– Physician Networking Groups and/or Events
– Local Professional Associations
– LinkedIn Professional Networks
Introduce yourself, ask for a card, and FOLLOW UP!
Pathways into the Workforce
Formal
• Employment Listings and Websites
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Indeed.com, Monster.com, Careerbuilder.com, etc.
Association Newsletters/Websites
Dept of Veterans Affairs Jobs Website
Local Employer Job Postings
• Professional Listserves
– Collaborative Family Healthcare Association
– Division 38 (Health Psychology) of APA
– Society of Behavioral Medicine
Seek out opportunities within your own organizations!
Skills to Highlight:
Training & Experience
• Systems-oriented approach
• Knowledge related to:
– Various treatment modalities
– Behavioral and medical disorders
– Psychotropic meds (not required, but a
plus)
• Consultation/liaison skills
• SO, any health/peds psych experience
should be highly emphasized
Skills to Highlight:
Personal Characteristics
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Flexibility
Adaptability
Enthusiasm
Openness
Availability
What are they looking for?
BASICS
• Licensure/ Licensure-Eligible
• Goodness-of-Fit
– Personality fit with the job: “self-starter,” organized,
energetic, motivated, stable, efficient, stable
– Personality fit with the team: flexible, good “team player”,
not “trying to be the star of the team,” fits needs
– Population-served by the medical setting: cultural
competence, appropriate experience, demonstrated
motivation to learn more about local community
What are they looking for?
• Knowledge
– Clinical experience, Health-Related knowledge,
“Homework” related to Familiarity with PCBH
Model & Integrated Care
• Communication Skills
– Can you demonstrate you can effectively and
briefly communicate ideas/information
– Ability to be a resource/ effective educator for
providers, staff, and patients
– Conflict resolution and address difficult subjects
What are they looking for?
• Skill Competence
– Brief screening/assessment, Brief interventions,
“How can you help the providers,” EBTs,
Motivational Interviewing
– Adaptability, ethics, & critical thinking
• Demonstrated Performance
– Be prepared for panel interview, clinical vignettes,
and to share your own clinical experiences.
• Intangibles
– How can you help the clinic’s specific needs.
Questions to Ask Your
Potential Employer
– If possible, ask a mentor who works in an
integrated PCBH model for feedback and
potential questions
– Job description
– Salary
– Position funding
Robinson & Strosahl, 2009
Questions to Ask Your
Potential Employer
– What do they want from you?
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Clinical?
Teaching?
Research?
Advocacy?
All of the above?
– Are your professional goals
consistent with the position?
– Goals for PCBH implementation
Hunter & Goodie, 2012; Hunter et al., 2009
Questions to Ask Your
Potential Employer
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Patient population? High acuity?
Number of providers per clinic session
Number of patients seen per clinic session
Other integrated (or co-located) services on site?
• Referral process to other services
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Staff training?
Training for you?
Billing?
EHR?
BHC location? (the closer, the better)
Developing New Positions
• Finding an Organization
– State Primary Care Association
– National Health Service Corp
– SAMHSA/HRSA
– Networking
– Google!
Developing New Positions
• Researching an Organization
– Mission of the organization
– Stakeholders within the organization
– Size of the organization
– Current clinical programs
– State and county reimbursement structure
– Integration Programs in the Surrounding Area
Developing New Positions
• Contacting an Organization
– A Tale of Two Cover Letters
• Case Study One
• Case Study Two
Program Proposal:
Development
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Know your audience and key stakeholders
Introduce evidence for the model
Develop aims from practice specific needs
Promote clinical role
Understand organizational structure
Address implementation plan
Address financial viability and sustainability
– Direct Revenue
Program Proposal:
Development
• Business case for BH
– Indirect value
– Patient satisfaction
– PCMH
– Team based care
• Show them the
numbers
– Cost offset
– Increase access
– Population Mgmt
– Employee Wellness
– “Buy In”
• Anticipate questions
and concerns
Program Proposal:
The Pitch
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Get buy in for integrated model
Promote clinical role
Highlight evidence for value added model
Address implementation plan
Address financial viability and sustainability
Anticipate questions and concerns
Session Evaluation
Please complete and return the
evaluation form to the classroom monitor
before leaving this session.
Thank you!