Who Should I Refer? VA Primary CareBehavioral Health Integration in Practice David Hunsinger, MD, MSHA Medical Director Binghamton VA Outpatient Clinic Objective Over the course of this presentation, participants will begin to consider the
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01
Who Should I Refer? VA Primary Care/Behavioral Health Integration in Practice David Hunsinger, MD, MSHA
Medical Director
Binghamton VA Outpatient Clinic<br>
02
Objective Over the course of this presentation, participants will begin to consider the broad range of clinical situations in which involvement of a Behavioral Health provider can prove helpful.<br>
03
Key Characteristics Co-located
Collaborative
Dedicated Behavioral Health (BH) Provider with schedule flexibility
Warm Handoffs<br>
04
Benefits of the Model Timely patient evaluation and assistance<br>
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There’s no time like the present….<br>
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Benefits of the Model Timely patient evaluation and assistance
A continuation of the Primary Care encounter
Eliminates the potential for ‘no show’<br>
07
Benefits of the Model Face to face introduction<br>
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Benefits of the Model Face to face introduction
Lends legitimacy and credibility
Reduces patient anxiety about the meeting
More personal<br>
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Benefits of the Model Face to face introduction
Lends legitimacy and credibility
Reduces patient anxiety about the meeting
More personal<br>
10
Benefits of the Model Reinforces ‘whole person’ focus<br>
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Mind body connection by John Hersey<br>
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Tip #1 Referrals are not just for
Urgent Problems<br>
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Urgent Problems Major depression
Anxiety
Grief reaction
Adjustment reaction
‘crying in the office’<br>
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Tip #2 Consider scripting your warm hand-off
intro<br>
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Warm Hand-Off “I work with someone whose job is to help patient’s in situations like this. If you have a few minutes, I’d like to introduce you.”
“We have someone who is a great resource for these things. Let me introduce you and you can get his/her card if you want to talk to someone about it.”<br>
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Warm Hand-Off “One of the members of your healthcare team is _________. If you have a few minutes, I’d like to introduce you so he/she can tell you a little bit about what kind of help he/she can provide you.”<br>
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Tip #3 Refer all positive
Clinical Reminder
screens
…….better yet, revise clinic flow to have these patients seen automatically<br>
