BUILDING AN INTEGRATED CARE TRAINING PROGRAM ANNA RATZLIFF, MD,PHD
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1 BUILDING AN INTEGRATED CARE TRAINING PROGRAM ANNA RATZLIFF, MD,PHD
2 HOW IS WASHINGTON DOING? THE STATE OF MENTAL HEALTH IN AMERICA Source: Parity or Disparity: The State of Mental Health in America (2016), Mental Health America
3 LEGISLATIVE FUNDING Early 2014 Initial presentation to legislative session about mental health integration Fall 2014 Draft proposal for Integrated Care Training Program developed March-June 2015 Senator sponsor identified, source of funding in budget negotiated July 1, 2015 Program funded and starts!
4 UW INTEGRATED CARE PSYCHIATRY TRAINING PROGRAM Funding Funded and supported by the Washington State Legislature through the Safety-Net Hospital Assessment, working to expand access to psychiatric services throughout the State of Washington. Mission The mission of the University of Washington Integrated Care Training Program (UWICTP) is to improve the health of Washingtonians by preparing a workforce to advance effective, integrated behavioral healthcare. Vision We believe there is no health without mental health and that by training psychiatrists and other healthcare providers in evidencebased integrated care, we will increase the access to effective mental health care across Washington State.
5 UW INTEGRATED CARE PSYCHIATRY TRAINING PROGRAM Education Community Partnerships
6 STRATEGIES FOR PSYCHIATRIST EDUCATION Residents Integrated care pathway Collaborative care rotation Area of distinction Fellows Integrated care fellowship Integrated care training for all fellows Continuing Education Community trainings Website Faculty Development
7 INTEGRATED CARE FELLOWS Introducing Seeta Patel and Sara Haack
8 UW ICTP DIDACTICS CONTENT Hours Subject/Content 9 Transition to Practice Integrated Care, Working with PCPs/BHPs/Pharmacists 9 Transition to Practice Liability, Continuing Education 12 Tele-psychiatry 12 Basic Collaborative Care Assessment and Treatment, Depression, Anxiety, Suicidality/Safety 6 Advanced Collaborative Care ADHD, Psychosis, Difficult Patient, Chronic Pain 6 Substance abuse/addictions, Harm reduction, MAT 21 Collaborative Care for Populations Child, Maternal/Peripartum, Geriatrics, Primary Care 6 Outliers and Other Psychosomatic 12 Public Health/Health Services 12 Quality Improvement 18 Brief Behavioral Interventions for Primary Care
9 ROTATION SCHEDULE: JULY - DECEMBER Monday Tuesday Wednesday Thursday Friday Ravenna (Denise Chang, MD) Federal Way (Dimitry Davydow, MD, MPH) Ravenna (Denise Chang, MD) Tele-psychiatry VA Implementation Didactics Federal Way (Dimitry Davydow, MD, MPH) Research Tele-psychiatry VA Quality Improvement
10 LEARNING TO LEVERAGE ECHO Telehealth Patients Reached with Specialty Knowledge & Expertise Specialist Supports Community-Based Clinician Traditional Telemedicine Specialist Manages Patient Remotely Adapted from Dr John Scott
11 UW PCAT: TELE-VIDEO ACCESS FOR COMMUNITY HOSPITALS Capitol Medical Center Support by UW psychiatrists 7 days/week Tele-video consultation from psychiatrist for ED and inpatient wards
12 UW PACC: PSYCHIATRY AND ADDICTIONS CASE CONSULTATION FREE to PCPs in WA State Starts July 7 th Available through tele-video Weekly sessions Mental health and addictions lectures Case consultation Training opportunity 12
13 BETTER MENTAL HEALTH CARE FOR MORE PEOPLE- UW PCAT NEW COLLABORATIVE CARE UW PACC
14
15 NUMBER OF PSYCHIATRISTS TRAINED 5 Psychiatry Fellows 3 Psychosomatic Medicine fellows 2 Addiction fellows 10 UW Psychiatry Residents Collaborative Care rotations 26 Faculty contributing to fellowship program Developed integrated care curriculum 51 Community-Based Psychiatrists Spring WSPA meeting Integrated Care Fellows July 1, 2016
16 INTEGRATED CARE TRAINING PROGRAM atry/education/integratedcaretraining/pages /default.aspx
COLLABORATIVE CARE: DELIVERING TEAM-BASED MENTAL HEALTH IN PRIMARY CARE SETTINGS
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