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The National Center for Integrated Behavioral Health (NCIBH) is a HRSA-funded Academic Unit of Primary Care Training and Enhancement. The mission of the NCIBH is to prepare primary care clinicians with the expertise and leadership for integrated behavioral health care.

Do you have relevant IBH resources, curricula, or evaluation tools to share? Please send them to us at ncibh@uphs.upenn.edu.


Teaching Matters

 

This month’s thought leader is Ian Bennett, MD PhD, Professor of Family Medicine and Psychiatry at the University of Washington School of Medicine. Dr. Bennett is a physician scientist who has focused his scholarly and clinical career on the delivery of primary health services to vulnerable populations in the US and in developing countries. He is a family physician providing full spectrum primary care including obstetric, family planning, pediatric and general adult health care. Dr. Bennett has expertise in implementation science and the use of strategies to support implementation and dissemination of evidence based practices for behavioral health integration and the enhancement of mental health services in primary care settings. He is the PI of an NIH funded national randomized trial of the implementation of collaborative care for perinatal depression in health centers which includes the development of a novel depression care patient registry to support team based care for depression. He is the co-director of the Healthier Washington Practice Transformation Support Hub Resource Portal, a project of the Primary Care Innovation Lab, which makes use of a participatory design strategy for its development. 

Read the full interview...

Dr. Bennett shared advice for clinicians who are looking to advance IBH models of care:

“If you’re going to take the role of a champion, it is absolutely critical to engage a range of people at your practice that have different roles. You need to bring in nursing, behavioral health, administrators, the folks that do billing. You have to be able to bring all of them to the table and then be the champion that makes the argument of why this is important for their work using the framework of the quadruple aim because it is a really salient set of goals.”

-Dr. Ian Bennett


Making a Difference


Anna Doubeni, MD, MPH, associate professor of clinical family medicine in Family Medicine and Community Health at the Perelman School of Medicine at the University of Pennsylvania, shares with us her thoughts on the emerging educational issues for training primary care providers in integrated behavioral health (IBH), the most promising innovations, and tips for new IBH educational programs. Dr. Doubeni was named the  2017 Family Physician of the Year by the Pennsylvania Academy of Family Physicians, and  serves as the director of population health management for the department of Family Medicine and Community Health, guided by a vision to reduce health disparities and improve outcomes for the 25,000 patients served by Penn Family Care. Dr. Doubeni is actively engaged in IBH teaching initiatives in the family medicine residency department at UPenn, including an integrated primary care psychiatry clinic, and the Priority Access Program, a program designed to bridge the current dysfunctional interface between patient needs and healthcare delivery that drives superutilization.


Read the full interview...


When asked about the most pressing challenges for educational programs, Dr. Doubeni raised the issue of a need to re-conceptualize collaborative care:

“I think the biggest challenge, not limited to residents, is helping people and understanding what connected, coordinated, collaborative care truly means, and how beneficial that can be for a patient. I think it’s also really important for people of all disciplines to understand what is really beneficial about a therapeutic alliance…… Understanding how we share and collaborate within those therapeutic relationships is a challenge, but it is something that can be taught and it’s an exciting concept for the future and the development of healthcare infrastructures that understand those concepts.”

- Dr. Anna Doubeni


Resource of the Month


The Southeastern Consortium for Substance Abuse Training (SECAST) is a project designed to increase training among medical resident and advanced practice registered nursing programs in Georgia, Alabama, North Carolina, Maryland, and South Carolina. SEACAST seeks to encourage and enable residents, nurses, and other healthcare professionals to implement SBIRT in their future practices.
 

The SECSAT team has developed SBIRT curriculum modules related to alcohol misuse and abuse, prescription drug misuse and abuse, and illicit drug use and abuse. In addition, SECSAT has developed systems for implementing SBIRT processes within primary care practices. Their website features toolkits, training videos, and a number of other resources.
 

View More Resources


Spotlight


Don't miss NCIBH Advisory Board member and Chief Clinical Officer of Cherokee Health Systems Parinda Khatri, PhD, featured in last month's a New England Journal of Medicine report, Integrated Care Makes Sense — but Barriers Remain.

The report highlights findings from a NEJM Catalyst Insights Council Care Redesign Survey on the most effective means of integrating mental and behavioral health services. Dr. Khatri discusses Cherokee Health Systems’ longstanding commitment of providing primary care, behavioral health, and addiction services to the poor and uninsured in East Tennessee, as well as how the culture of integration has rapidly advanced in the last few years.  

Read More...


 


Call for Proposals in Integrated Behavioral Health in Primary Care Research


It’s not too late to apply for pilot funding from the NICBH!

In response to the current epidemic of behavioral health disorders globally, the NCIBH will fund proposals for innovative training models in IBH that target medical students, residents, and/or advanced practice nurses. IBH encompasses mental health disorders and substance use disorders. Proposals should demonstrate the potential to improve IBH education in primary care and/or inform policy that shapes primary care training endeavors. Proposals should clearly indicate how the proposed training model aligns with the educational goals of the NCIBH including:
  • Prepare primary care clinicians with the expertise and leadership for IBH
  • Design and test scalable models of inter-professional IBH training in primary care
  • Foster practice change necessary to implement successful models of IBH to enable training.
Application Deadline: April 30th, 2018

Read More...

 


What's the Buzz?

News, Conferences, and Upcoming Events

 

News

 

The Accreditation Committee for Graduate Medical Education (ACGME) has published program requirements for addiction medicine fellowships. The document provides detailed guidance on educational and clinical objectives necessary for developing and maintaining accredited educational programs in the sub-specialty.
Read More...

The United States Department of Health and Human Services released presentations from its Integrated Care Meeting, “State of the Art: Research, Models, Promising Practices and Sustaining Integrated Care.
Read More...

The Substance Abuse and Mental Health Services Administration has released a resource to highlight The Need to Focus on Individuals with Serious Mental Illness Includes the LGBT Community. 
Read More...

The Commonwealth Fund has released a publication titled, “Listening to Low-Income Patients: Mental Health Stigma Is a Barrier to Care.”
Read More...

The National Council for Behavioral Health has created a guide for primary care titled, ““Implementing Care for Alcohol and Other Drug Use in Medical Settings: An Extension of SBIRT.”
Read More...

The CDC has released a new Opioid Guideline App to help providers apply the prescribing opioids guidelines into clinical practice, as well an accompanying online training tool. 
A new paper in the Annals of Internal Medicine describes OUD MAT models of care, based on a literature review and key informant interviews.  
Read More...

The Lancet has announced a call for papers particularly aimed at researchers in primary care settings. The deadline for submissions is May 1.
Read More...

 

Events


April 11-14
Society of General Internal Medicine Annual Meeting
Where: Denver, CO | Website

April 12-15
American Society of Addiction Medicine 2018 Annual 
Where: San Diego, CA | Website

April 16-18
Patient Experience Conference 2018
Where: Chicago, IL | Website

April 23-24
Conference on Adolescent Health at University of Michigan
Where: Ann Arbor, MI | Website

April 23-25
National Conference for Behavioral Health 2018 
Where: National Harbor, MD | Website

April 24
Webinar: Integrating Clinical Care with Community Services 
Register

May 5-9
Society of Teachers of Family Medicine Annual Spring 
Where: Washington, DC | Website

May 16-19
National Conference on Health Disparities 
Where: Philadelphia, PA | Website
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Copyright © 2018, National Center for Integrated Behavioral Health, All rights reserved.

Supported by UH1HP29964 from the Health Resources and Services Administration (HRSA), an operating division of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

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