OPCWI Webinar SeriesBehavioral Health Preceptor Development
Proctoring Behavioral Health Professionals in Training in FQHCrsquos
Sherry Shamblin PhD PCC-S
Chief Operating Officer Hopewell Health Centers
Christine Suniti Bhat PhD LPC
Associate Professor Ohio University
ohiochcorg
1
2
Objectivesbull To understand the importance of FQHCrsquos acting as field placements
for behavioral health studentsbull To describe various roles that behavioral health professionals fill
within FQHC settingsbull To gain familiarity with the various behavioral health disciplines and
requirements of field placement sitesbull To gain an understanding of the a specific integrated training
initiative for counselors in training The Train Gain and Retain Program
bull To identify ways that participants have their clinics begin serving as field placement sites for behavioral health students
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
3
Southeast Ohio
Rural Appalachia High Poverty Rates of Mental illnesses
range from 24-41 All Counties are MPSArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
4
16 sites across 8 counties in Southeast Ohio
All counties are rural and all are located in Appalachia
140 primary care and behavioral health providers 4000 behavioral health clients and 25000 primary care patients
CARF accredited community mental health center and a Joint Commission accredited federally qualified health center
Formed through the recent business merger of Tri-County Mental Health and Counseling Services Inc and Family Healthcare Inc
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
5
OHIO UNIVERSITY COUNSELOR EDUCATION PROGRAM
Offers masterrsquos program specialization in Clinical Mental Health Counseling (CMH) amp School Counseling (accredited by CACREP) Clinical Rehabilitation Counseling (CLRC currently dually accredited by CORE and CACREP Doctoral Program in Counselor Education amp Supervision
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
2
Objectivesbull To understand the importance of FQHCrsquos acting as field placements
for behavioral health studentsbull To describe various roles that behavioral health professionals fill
within FQHC settingsbull To gain familiarity with the various behavioral health disciplines and
requirements of field placement sitesbull To gain an understanding of the a specific integrated training
initiative for counselors in training The Train Gain and Retain Program
bull To identify ways that participants have their clinics begin serving as field placement sites for behavioral health students
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
3
Southeast Ohio
Rural Appalachia High Poverty Rates of Mental illnesses
range from 24-41 All Counties are MPSArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
4
16 sites across 8 counties in Southeast Ohio
All counties are rural and all are located in Appalachia
140 primary care and behavioral health providers 4000 behavioral health clients and 25000 primary care patients
CARF accredited community mental health center and a Joint Commission accredited federally qualified health center
Formed through the recent business merger of Tri-County Mental Health and Counseling Services Inc and Family Healthcare Inc
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
5
OHIO UNIVERSITY COUNSELOR EDUCATION PROGRAM
Offers masterrsquos program specialization in Clinical Mental Health Counseling (CMH) amp School Counseling (accredited by CACREP) Clinical Rehabilitation Counseling (CLRC currently dually accredited by CORE and CACREP Doctoral Program in Counselor Education amp Supervision
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
3
Southeast Ohio
Rural Appalachia High Poverty Rates of Mental illnesses
range from 24-41 All Counties are MPSArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
4
16 sites across 8 counties in Southeast Ohio
All counties are rural and all are located in Appalachia
140 primary care and behavioral health providers 4000 behavioral health clients and 25000 primary care patients
CARF accredited community mental health center and a Joint Commission accredited federally qualified health center
Formed through the recent business merger of Tri-County Mental Health and Counseling Services Inc and Family Healthcare Inc
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
5
OHIO UNIVERSITY COUNSELOR EDUCATION PROGRAM
Offers masterrsquos program specialization in Clinical Mental Health Counseling (CMH) amp School Counseling (accredited by CACREP) Clinical Rehabilitation Counseling (CLRC currently dually accredited by CORE and CACREP Doctoral Program in Counselor Education amp Supervision
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
4
16 sites across 8 counties in Southeast Ohio
All counties are rural and all are located in Appalachia
140 primary care and behavioral health providers 4000 behavioral health clients and 25000 primary care patients
CARF accredited community mental health center and a Joint Commission accredited federally qualified health center
Formed through the recent business merger of Tri-County Mental Health and Counseling Services Inc and Family Healthcare Inc
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
5
OHIO UNIVERSITY COUNSELOR EDUCATION PROGRAM
Offers masterrsquos program specialization in Clinical Mental Health Counseling (CMH) amp School Counseling (accredited by CACREP) Clinical Rehabilitation Counseling (CLRC currently dually accredited by CORE and CACREP Doctoral Program in Counselor Education amp Supervision
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
5
OHIO UNIVERSITY COUNSELOR EDUCATION PROGRAM
Offers masterrsquos program specialization in Clinical Mental Health Counseling (CMH) amp School Counseling (accredited by CACREP) Clinical Rehabilitation Counseling (CLRC currently dually accredited by CORE and CACREP Doctoral Program in Counselor Education amp Supervision
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
6
What Behavioral Health Professions are a focus
ASSESSMENTINTERVENTION PhD Level Psychologists
PhD Level Counselors
Masterrsquos Level Counselors
Masterrsquos Level Marriage and Family Therapist
Masterrsquos Level Social Workers
CARE MANAGEMENTCOORDINATION Bachelorrsquos Level Social Workers
Bachelorrsquos Level Family Studies
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
7
Importance of Integrating Behavioral Health Services into FQHC Settings
httpwwwintegrationsamhsagovabout-usCIHS_NACHC_BH_Integration_September_19_2013_FINALpdf
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
8
Behavioral Health Needs of Primary Care Patients
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
bull About 50ndash70 of consumers consult with and seek treatment from their primary care practitioners (Curtis amp Christian 2012 Gatchel amp Oordt 2003)
bull Primary care practitioners unable to effectively attend to mental or behavioral health needs Inadequate preparation (Beacham Herbst Streitwieser
Scheu amp Sieber 2012 Ward Miller Marconi Kaslow amp Farber 2015)
Time constraints (Beacham et al Fox Hodgson amp Lamson 2012 Peek Baird amp Coleman 2009)
Uneasiness in addressing certain mental health related issues (Pratt et al 2012)
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
9
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
10
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
11
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
12
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
13
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
14
Source SAMHSA-HRSA Center for Integrated Health Solutions ndashwwwintegrationsamhsagov
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
15
Integrated Care Roles for Behavioral Health Clinicians
bull Assessors Screen for treatment or referral
bull Interventionist ndash Behavioral Health Consultant Brief psychotherapy
CBT
Solution focused
Motivational Interviewing
bull Liaisons and consultantsOACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
16
Despite the Need for Behavioral Health Clinicians Workforce Shortages Exist
HRSArsquos website lists MPSArsquos for the majority of Ohio CountiesRemaining counties have MUArsquos
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
17
Despite the Need for Behavioral Health Clinicians in Primary Care Settings Few Training Programs Provide These Skills
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
18Integrated Care Training Modalities
bull Inter-professional education
Students in health professions often have stereotypical assumptions about other health professions (Ateah et al 2011 Hean Macleod-Clark Adams amp Humphris 2006)
bull Include integrated care as a didactic course and or as part of field experience for professionals (Johnson amp Freeman 2014 McDaniel Belar Schroeder Hargrove amp Freeman 2002)
ACA Presentation Bhat Shamblin Asempapa amp Kalkan (2017) This presentation is based on a grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
ministration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
19
Basic Framework for Training Programs for Masterrsquos Level Counselors and Social Workers
Must have a field supervisor that is an Ohio licensed professional from the same discipline and who has an Ohio Supervision EndorsementMust meet weekly with this supervisor for one hour per X hours of direct serviceTraining is usually 3 semesters (1st semester fewer hours longer during final 2 semesters)Must gain increasing levels of independence through the placement such that by the end they are able to have a small independent case load
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
20
Basic Framework for Training Programs for Masterrsquos Social WorkersTypically 3 semestersMust include direct services to clients (Therapy and Care Coordination Activities)Must conduct a small research projectMust write a small grant
httpcswmftohiogov
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
21
Basic Framework for Training Programs for Masterrsquos Counselors1 semester practicum (100 hours)2 semesters internship (600 hours)Must have 50 of time spent in assessment and treatment of mental and emotional disorders under supervision of a counseling supervisorMust have 1 hour of supervision for every 20 hours
httpcswmftohiogov
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
22
OACHCOPWCI INTERNSHIPS
bull
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
23Train Gain and Retain Counselors Serving Children
Adolescents and Transitional-Age Youth in Rural Appalachia
3 year grant funded by the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
Funding amount = $56311600 Currently in Year 2 of the grant with year 3 funding awarded
Partnership between Ohio University Counselor Education program and Hopewell Health Centers Inc
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
24
Train Gain and Retain Counselors Serving Children Adolescents and Transitional-Age Youth in Rural Appalachia Purpose of Project Expand and strengthen the regional behavioral health workforce serving
children adolescents and transitional-age youth within a geographical area characterized by high poverty and higher than average behavioral health diagnoses
Increase the number of paid clinical internships for masterrsquos counselors-in-training in the Counselor Education programs at Ohio University in Athens and Chillicothe increase from 0 to 36 over a 3 year period
Strengthen an existing relationship between the Ohio University Counselor Education program and Hopewell Health Centers (HHC)
Develop a cadre of skilled counselors who can effectively serve children youth and their families in the region in inter-professional and integrated teams
Recruit counseling students who are motivated to serve this region provide them with paid internships and facilitate their employment and retention within the region
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
25Evaluation of Grant Outcomes
QUANTITATIVE ndash surveys administered at the start and end of internship for Train Gain Retain interns (a) Integrated Core Competency Self-Rating Scale - based
on SAMHSArsquos Core Competencies for Integrated Behavioral Health and Primary Care develop by team member in year 1 of the grant led by Byrne A Newer instrument developed by Bridget Asempapa for
her dissertation research ndash plan to utilize this instrument in the future
(b) The Counselor Activity Self-Efficacy Scale (Lent Hill amp Hoffman 2003)
QUALITATIVE Focus Groups with Year 1 graduates
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
26Core Competencies for Integrated CareAreas that Interns Need to Develop Further
Interpersonal Communication Collaboration amp Teamwork Screening amp Assessment Care Planning amp Care Coordination Intervention Cultural Competence amp Adaptation Systems Oriented Practice Practice-Based Learning amp Quality Improvement Informatics
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
27
Advice from our internshellip Most counseling student have received no training on working in a primary care
setting and will need help orienting to the pace the culture the lingo etc It takes a ldquovillagerdquomdashEveryone in the practice needs to be supportive Schedule your intern to observe other clinicians Itrsquos challenging and
uncomfortable for them to do this during the early weeks and it also helps them meet everyone in the practice
Donrsquot forget to introduce them to all of the support people (like front office IT electronic medical records)
Helpful to have them go through the agency orientation Students are expected to carry a small case load by the end of their internship and
will need to learn to document in electronic medical records Make sure to have everything that is needed in place for thismdashLap top training access to the same IT support that staff have available to them
Counseling interns also get credit for reading and research time Please let them know of helpful practical articles and resources that you have found useful in working with your particular clientspatients
Counseling interns like other behavioral health professionals tend to be narrative and reflective people They are often individuals who like to process things out loud It is helpful to them if you talk through your decision making processes and ask them to do the same
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
28
WHERE DO YOU BEGIN
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
29Additional resources AAP Addressing Mental Concerns in Primary Care A Clinicianrsquos Toolkit
httpwwwintegrationsamhsagov
Armstrong Pediatrics in Pennsylvania httpwwwmilbankorgpublicationsmilbank-reports32-reports-evolving-models-of-behavioral-health-
integration-in-primary-care
httpwwwmentalhealthvagovcoecih-visn2DocumentsClinicalOperations_Policies_ProceduresMH-IPC_CCC_Operations_Manual_Version_2_1pdf
INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE FOR CHILDREN AND YOUTH Concepts and Strategies
wwwintegrationsamhsagov_integrated-care-models_13_June_CIHS_Integrated_Care_System_for_Children_finalpdf
Cherokee Health Systemswwwcherokeehealthcom
University of Massachusetts Dr Blount httpwwwumassmededucipc
29OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
30References Ateah C A Snow W Wener P MacDonald L Metge C Davis Phellip amp Anderson J (2011) Stereotyping as a barrier to
collaboration Does interprofessional education make a difference Nurse education today 31(2) 208-213
Beacham A O Herbst A Streitwieser T Scheu E amp Sieber W J (2012) Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings Journal of clinical psychology in medical settings 19(4) 364-375
Blount F A amp Miller B F (2009) Addressing the workforce crisis in integrated primary care Journal of Clinical Psychology in Medical Settings 16(1) 113ndash119
Bryan C J Morrow C amp Appolonio K K (2009) Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic Journal of Clinical Psychology 65(3) 281ndash293
Center for Disease Control and Prevention (2014) CDC report Mental illness surveillance among adults in the United States Retrieved from httpwwwcdc govmentalhealthsurveillancefact_sheethtml
Curtis R amp Christian E (Eds) (2012) Integrated care Applying theory to practice New York NY Routledge
Edwards T M amp Patterson E J (2006) Supervising family therapist trainees in primary care medical settings Context matters Journal of Marital and Family Therapy 32(1) 33ndash43
Fox M A Hodgson J L amp Lamson A L (2012) Integration Opportunities and challenges for family therapists in primary care Contemporary Family Therapy 34(2) 228ndash243
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
31References
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Funderburk J S Sugarman D E Maisto S A Ouimette P Schohn M Lantinga L Strutynski K (2010) The description and evaluation of the implementation of an integrated healthcare model Families Systems and Health 28(2) 146ndash160
31OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
32References Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional
Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Garcia-Shelton L amp Vogel M E (2002) Primary care health psychology training A collaborative model with family practice Professional Psychology Research and Practice 33 546ndash556
Gatchel R J amp Oordt M S (2003) Clinical health psychology in the primary case setting Washington DC American Psychological Association
Gersh G M (2008) Counselors working in integrated primary behavioral health and the influence of professional identity A phenomenological study (Doctoral Dissertation) Available from ProQuest Dissertations and Theses database (UMI No 3340183)
Glueck B P (2015) Roles attitudes and training needs of behavioral health clinicians in integrated primary care Journal of Mental Health Counseling 37(5) 175ndash188
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
33
References Hean S Macleod-Clark J Adams K amp Humphris D (2006) Will opposites attract Similarities and differences in
students perceptions of the stereotype profiles of other health and social care professional groups Journal of Interprofessional Care 20 162ndash181
Hunter C L Goodie J L Oordt M S amp Dobmeyer A C (2009) Integrated behavioral health in primary care Step-by-step guidance for assessment and intervention Washington DC American Psychological Association
Interprofessional Education Collaborative Expert Panel (2011) Core competencies for interprofessional collaborative practice Retrieved from httpwwwaacnnche edu education-resourcesipecreportpdf
Interprofessional Education Collaborative (2016) Core competencies for interprofessional collaborative practice 2016 update Retrieved from httpwwwaacnncheedueducation-resourcesIPEC-2016-Updated-Core-Competencies-Reportpdf
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
34
References Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the
development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
Johnson K F amp Freeman K L (2014) Integrating interprofessional education and collaboration competencies (IPEC) into mental health counselor education Journal of Mental health Counseling 36(4) 328ndash344
Kataoka S H Zhang L amp Wells K B (2002) Unmet need for mental health care among US children Variation by ethnicity and insurance status American Journal of Psychiatry 159(9) 1548-1555
Kroenke K Spitzer R L Williams J B W Monahan P O amp Lowe B (2007) Anxiety disorders in primary care Prevalence impairment comorbidity and detection Annals of Internal Medicine 146(5) 317ndash326
McDaniel S H Belar C D Schroeder C Hargrove D S amp Freeman E L (2002) A training curriculum for professional psychologists in primary care Professional Psychology Research and Practice 33 65ndash72
Peek C J Baird M A amp Coleman E (2009) Primary care for patient complexity not only disease Families Systems and Health 27(4) 287ndash302
Pratt K M DeBerard M S Davis J W amp Wheeler A J (2012) An evaluation of the development and implementation of a university-based integrated behavioral healthcare program Professional Psychology Research and Practice 43(4) 281ndash287
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
35References Ray-Sannerud B N Dolan D C Morrow C E Corso K A Kanzler K E Corso M L amp Bryan C J
(2012) Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic Families Systems and Health 30(1) 60ndash71
Torrence N D Mueller A E Ilem A A Renn B N DeSantis B amp Segal D L (2014) Medical provide attitudes about behavioral health constants in integrated primary care A preliminary study Families Systems and Health 32(4) 426ndash432
Vogel M E Kirkpatrick H A Collins A S Cederna-Meko C L amp Grey M J (2012) Integrated care Maturing the relationship between psychology and primary care Professional Psychology Research and Practice 43 271ndash280
Ward M C Miller B F Marconi V C Kaslow N J amp Farber E W (2016) The role of behavioral health in optimizing care for complex patients in the primary care setting Journal of General Internal Medicine 31(3) 265ndash267
Zeiss A M amp Karlin B E (2008) Integrating mental health and primary care servicesin the Department of Veterans Affairs health care system Journal of Clinical Psychology in Medical Settings 15(1) 73ndash78
35
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
36
CounselorSocial Work CEU Sign-In
In order to provide CEUrsquos from the Ohio Counselor Social Worker and Marriage and Family Therapist Board we are required to have your signature licensure information and time inout to document your attendance Please take a few minutes to complete the following then scan and return to Marie Grady at mgradyohiochcorg Once you have completed the evaluation and returned this form you will be issued your CEU Certificate
Training Title Proctoring Behavioral Health Students in Federally Qualified Health Centers
Date March 23 2017
Name (Printed) Signature License Type License Number Time-In Time-Out
ohiochcorg
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
37
ohiochcorg
Questions
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
38
Thank you for your participation
Contact Information Christine Suniti Bhat-bhatcohioedu Sherry Shamblin-sherryshamblinhopewellhealthorg
OACHC Webinar Bhat amp Shamblin (2017) This presentation is based on funding from OACHCrsquos OPWCI as well as a grant from the Health Resources amp Services Administration (HRSA) Behavioral Health Workforce Education and Training (BHWET) Initiative
