F1 – The Many Faces of Psychiatry in Primary Care Settings

Summary

Background/Rationale: Traditional models of psychiatric care delivery have failed to keep up with patient demand. Psychiatrists offer expertise in several needed areas for population health including psychiatric diagnosis, psychopharmacology, access to specialty programming, and in helping to deal with complex medical and psychiatric patients. In primary care settings, behavioral health providers have had to adapt their approaches to the challenges and opportunities in those settings however in adding a psychiatric provider to a primary care team, there may not be awareness of the evidence based options available. We hope to introduce the audience to direct and indirect ways to leverage psychiatric care based on the literature and our own experience. We will include information on involving all psychiatric providers (not just MDs), use of telemedicine tools, the collaborative care model, project ECHO, measurement based care, and how to address financial barriers. Each of us has chosen this work at least in part because we appreciate working with a team involving behavioral health providers and primary care and as such we will highlight ways to make psychiatric providers a part of an integrated team. Our presentation will include the following components: 1. Introduction and overview 5 min Williams 2. Seeing patients – opportunities and challenges 20 min Salter 3. Indirect patient care 15 min Gibson 4. Providing education and decision support 15 min Williams 5. Plan for Suicide prevention a case example 15 min Le 6. Financial realities and recruiting 20 min Raney 7. Questions and answers 30 min Our goal is to describe models that have been tested, are being tested, and practical realities from those doing this work. This presentation is a part of organizing a Special Interest Group for psychiatric providers doing integrated care.