Presenters
- Brian Sandoval, PsyD, Clinical Director, Primary Care Behavioral Health, Yakima Valley Farm Workers Clinic, Toppenish, WA
- Phillip Hawley, PsyD, WA Regional BHC Lead, Yakima Valley Farm Workers Clinic, Naches, WA
- Nargis Mozafari, PsyD, Behavioral Health Consultant, Yakima Valley Farm Workers Clinic, Yakima, WA
Summary
The ability to provide same-day warm hand-off interventions is especially important in small, rural clinics where there is often a paucity of behavioral health resources. However, remote sites are often susceptible to less than ideal staffing models due to lower patient volume and an inability to provide a financial justification for a dedicated, full-time Behavioral Health Consultant. The Yakima Valley Farm Workers Clinic, a large FQHC network in the Pacific Northwest, sought to overcome these care access barriers by creating a TeleBHC service that accommodates virtual warm handoffs and telemedicine-based consultation. In this presentation, we will share strategies for establishing a TeleBHC service, discuss lessons learned and potential pitfalls in the process, and outline practical workflow options. Our aim is to help simplify a rather complex process with the hope that other organizations will adopt TeleBHC as a viable option for care provision.
Workshop Downloads
Objectives
- Grasp the detailed process necessary to initiate a TeleBHC service, including engagement strategies, equipment needs, financial modeling, and staffing requirements.
- Understand the unique workflow, staffing, and service delivery challenges that occur during the TeleBHC process and how to effectively manage these aspects of the program
- Explain the versatility of a TeleBHC service and how to present its potential benefits to patients, providers, and health care administrators
References
- Luxton, D., Nelson, E., & Maheu, M. (2016). A Practitioner's Guide to Telemental Health: How to Conduct Legal, Ethical, and Evidence-Based Telepractice. Washington D.C.: APA.
- Serrano, N., Cordes, C., Cubic, B., & Daub, S. (2018). The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce. Journal of Clinical Psychology in Medical Settings, 25(2), 157-168.
- Shore, J. H., Mishkind, M. C., Bernard, J., Doarn, C. R., Bell Jr, I., Bhatla, R., Brooks, E., Caudill, R., Cohn, E., Barthold, J., Eppolito, A., Fortney, J., Friedl, K., Hirsch, P., Jordan, P., Kim, T., Luxton, D. D., Lynch, M., Maheu, M., McVeigh, F., Nels. (2014). A Lexicon of Assessment and Outcome Measures for Telemental Health. Telemedicine and e-Health, 20. (3) 282 - 292. doi 10.1089/tmj.2013.0357.
- American Psychological Association (2013). Guidelines for the Practice of Telepsychology. Available at: http://www.apa.org/practice/guidelines/telepsychology.aspx.
- Serrano, N. (Ed.) (2014). The Implementer's Guide To Primary Care Behavioral Health. Retrieved from: https://itunes.apple.com/us/book/implementers-guide-toprimary/id833906873?mt=11
