Download Integrated care: creating effective mental and primary by Anna Ratzliff, Jurgen Unutzer, Wayne Katon, Kari A. Stephens PDF

By Anna Ratzliff, Jurgen Unutzer, Wayne Katon, Kari A. Stephens

An built-in, collaborative version for extra complete sufferer care

Creating powerful psychological and first wellbeing and fitness Care Teams offers the sensible info, abilities, and scientific ways had to enforce an built-in collaborative care application and help the contributors of the care crew as they study this new, evidence-based, legislatively mandated care supply method. detailed in featuring info particularly designed for use in an built-in, collaborative care workflow, this booklet presents particular suggestions for every member of the crew. Care managers, consulting psychiatrists, basic care prone, and directors alike can ultimately get at the similar web page in regard to sufferer care by means of concerning an analogous source and using a typical framework. Written via well-known specialists with vast study, scientific, implementation, and coaching event, this ebook offers an entire method to the matter of fragmented care.

Escalating charges and federal laws increasing entry to healthcare are forcing the to transition to a brand new version of wellbeing and fitness care supply. This ebook offers counsel on navigating the alterations as a crew to supply the absolute best sufferer care.

  • Integrate actual and behavioral care
  • Use evidence-based remedies for both
  • Exploit modern know-how for sufferer management
  • Support every one member of the collaborative care team

Strong facts has established the efficacy of a collaborative care strategy for supplying psychological overall healthiness care to sufferers in a prime care environment. the sphere is quickly turning out to be, yet few assets can be found and dealing versions are constrained. This publication offers a roadmap for transitioning from conventional tools of overall healthiness care to the recent built-in version. services able to stream to the following point of care will locate Creating powerful psychological and first well-being Care Teams a useful resource.

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Additional resources for Integrated care: creating effective mental and primary health care teams

Example text

PCP: Every four to six weeks while adjusting medications, then less often. PC: Case review at least every eight weeks until improvement and more frequently if needed. Case example Mr. A reports having tolerated mirtazapine when contacted by phone a week after his initial appointment. He reports improved sleep but no change in depressed mood. The BHP/care manager provides reassuring psychoeducation that it was a good sign that he was tolerating the medication and experienced improved sleep. The BHP/care manager also explains that typical response for ❦ ❦ ❦ Working as a Team to Provide Collaborative Care 21 antidepressant treatment occurs at six to eight weeks.

A sample protocol and safety plan is included in the online materials. Team goal: Initial treatment planning Create an initial treatment plan aligned with the patient’s treatment goals and appropriate to the biopsychosocial assessment of the patient’s unique presentation. The patient should have an initial understanding of the role of each clinician in the plan, a sense that all clinicians are working together and (Continued) ❦ ❦ ❦ 18 Integrated Care with him/her to help achieve the patient’s goals, and a clear sense of how the plan addresses his/her concerns and goals.

The lifetime rate of suicide among all people with depression is about 6 percent. Rates are much lower among individuals with treated depression. Additional risk factors for suicide include: • male gender • older age • alcohol or substance abuse • history of prior suicide attempts • chronic pain • medical illness • anxiety, impulsivity, or psychotic symptoms Primary care providers (PCPs) have an important role in suicide assessment. Nearly half of patients who complete suicide have seen a PCP within ❦ ❦ ❦ 30 Integrated Care the last month.

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