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The role of care managers in collaborative care tasks and effective communication. It describes the characteristics of effective care managers and the importance of engaging caregivers and families. It also provides information on attitudes and beliefs about depression and the various treatment options available. The document emphasizes the need for effective communication between care managers and primary care providers, and the importance of identifying, initiating, tracking, and adjusting care tasks.
Typology: Lecture notes
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Patient Care Manager
Psychiatric Consultant
Other Behavioral Health Clinicians
Core Program
Additional Clinic Resources
Outside Resources
Substance Treatment, Vocational Rehabilitation, CMHC, Other Community Resources
New Roles
Patient Care Manager
Psychiatric Consultant
Other Behavioral Health Clinicians
Core Program
Additional Clinic Resources
Outside Resources
Substance Treatment, Vocational Rehabilitation, CMHC, Other Community Resources
New Roles
Indentify and Engage Patients
Initiate and Provide Treatment
Track Treatment Outcomes
Proactively Adjust Treatments
Other Care Tasks
patient
Some patients minimize symptoms / don’t
endorse depression if asked
Older adults and men more likely to minimize
or focus on somatic symptoms
Some cultures more stoic and more likely to
minimize symptoms
PHQ-9 is a tool to help identify patients
depression
Culture can play important role
Know your own attitudes & beliefs
Your beliefs are communicated to patients
changes over time
involvement
Typically we think of acting from the “inside out” (e.g., we wait to feel motivated before completing tasks)
In BA, we ask people to act according to a plan or goal rather than a feeling or internal state
FAST
FOCUS ATTENTION
Problem Definition
Realistic Patient Goal
Brainstorming
Pros and Cons
Choosing a Solution
Action Plan
Outcome Evaluation
Other
Common Augmentation
PCP
Patient (^) CM Psychiatric Consultant
Other Behavioral CliniciansHealth
Core Program
Additional Clinic Resources
Outside Substance Treatment, VocationalRehabilitation, CMHC, Resources Other Community Resources
clinical and functional status
brought to the attention of the PCP
that they see you as a pest
Patient Care Manager
Psychiatric Consultant
Other Behavioral Health Clinicians
Core Program
Additional Clinic Resources
Outside Resources
Substance Treatment, Vocational Rehabilitation, CMHC, Other Community Resources
New Roles
Care Manager
Psychiatric Consultant
Weekly consultation -review caseload -create recommendations -track outcomes
Each ≥0.5 FTE care manager = 1 hour/week with consultant
4-6 patients per hour
Indentify and Engage Patients
Initiate and Provide Treatment
Track Treatment Outcomes
Proactively Adjust Treatments
Other Care Tasks
Proactive treatment adjustment
treatments for too long
Know when to refer for consultation / get
help
Indentify and Engage Patients
Initiate and Provide Treatment
Track Treatment Outcomes
Proactively Adjust Treatments
Other Care Tasks
Only 30 – 50% of patients have a
complete response to initial treatment
50 – 70% will require at least one change
in treatment to get better
Patient Care Manager
Psychiatric Consultant
Other Behavioral Health Clinicians
Core Program
Additional Clinic Resources
Outside Resources
Substance Treatment, Vocational Rehabilitation, CMHC, Other Community Resources
New Roles
