Presenters
- Clarissa Aguilar, PhD, Director of Psychology and Training, The Center for Health Care Services, San Antonio, TX
- Yajaira Johnson-Esparza, PhD, Assistant Professor, UT-Health, Dept of Community & Family Medicine, San Antonio, TX
- Hayley Beth Van Serke, PsyD, Manager, Behavioral Health Consulting, Howard Brown Health Center, Evanston, IL
- Jonathan Novi, PsyD, Team Lead, Primary Care Mental Health Integration, Memphis VA Medical Center, Memphis, TN
- Tanya Vishnevsky, PhD, Clinical Psychologist, Natick Counseling, Warwick, PA
- Brittany Houston, PsyD, Postdoctoral Fellow, Community Health of Central Washington, Yakima, WA
- Daisy Ceja, MS, Psychology Intern, South Texas Veterans Health Care System, San Antonio, TX
- Norma Balli-Borrero, LPC Intern, Behavioral Health Consultant, University Health System
Summary
The Blueprint for Complex Care provides some key points to consider related to the ongoing development of complex care practices. Complex care is defined as “the care for people with complex health and social needs.”One key issue the Blueprint targets is the need for training and professional development programs that support implementation of evidenced based models and solutions. The Blueprint recognizes there is not an adequate supply of professionals, namely primary care & behavioral health clinicians, to provide direct services on the front lines of complex care. The Blueprint also acknowledges that the existing professional workforce is not well prepared for addressing complex care needs. Complex care requires new skills and competencies, workflows, and knowledge of how to navigate systems and formulate sequenced responses to complex comorbid needs within a team. This panel presentation aims to discuss the challenges of training BHCs, vital members of integrated care teams, in a context that requires attention to multiple, complex healthcare needs and system variables. The PCBH model is a person centered approach which focuses on increasing access to whole-person care. When the care a person receives aims to target behaviors that are responsive and indicative of health, personality, situational state, context, culture, and social determinants of health, complexity is inherent in the decision making. Using SAMHSA’s competencies for integrated care workforce, the panel will discuss the implications, challenges and frame some possible solutions, frameworks (i.e., the Four Point method; Jonsen, Siegler, and Winslade, 2010) and training tools that can help improve individual readiness for team-based integrated complex care.
Objectives
- The attendee will identify three tools that can be used in training to help a learner address complex care needs.
- The attendee will name three integrated care competencies to consider while onboarding or training in your clinical setting.
- The attendee will identify and address ethical situations typically encountered when working on an integrated primary care team.
