Behavioral Health and Primary Care Integration in Ohio’s Psychiatry Residency Training

Reed, Eric; Crane, Dushka; Svendsen, Dale; Herman, Lon; Evans, Brian; Niedermier, Julie; Resch, William; Ronis, Robert J.; Varley, Joseph D.; Welton, Randy

doi:10.1007/s40596-016-0623-y

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Overall, the literature describing educational models for outpatient CL experiences is limited, with only 17 articles meeting the search criteria (Table 3). 18,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] We found 10 articles describing individual integrated care programs 18,28,31,32,34,36,38,39,42 and 2 articles providing guidelines on core competencies for integrated care for trainees. 30,40 As shown in Table 2, the educational opportunities for integrated psychiatric care ranged from colocated services and collaborative care to dedicated outpatient psychiatric clinics for the medically ill. Only 3 of the articles describe training opportunities for advanced psychiatric trainees including 2 for CL fellows and one for child and adolescent fellows.…”

Section: Resultsmentioning

confidence: 99%

“…It is important that the trainee understands the roles of various staff members in the particular clinical setting, to appreciate how the mental health intervention will be delivered in conjunction with the medical care. 37 Common questions regarding professionalism involve the handling of patient phone calls, handling of mental health emergencies, and termination (when patient is discharged from the medical clinic but continues to need psychiatric care). Coverage for the times when the trainee is not in the clinic must be clear to both the psychiatrists involved and to the clinic staff.…”

Section: Workflow and The Role Of The Psychiatrist In The Outpatient mentioning

confidence: 99%

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The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

et al. 2020

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Background: As mental health services in outpatient medical clinics expand, psychiatrists must be trained to practice in these settings. Objectives: The Academy of Consultation-Liaison Psychiatry residency education subcommittee convened a writing group with the goal of summarizing the current evidence about outpatient consultation-liaison psychiatry (CLP) training and providing a framework for CLP educators who are interested in developing outpatient CLP rotations within their programs. Method: MEDLINE (via PubMed), Embase, and PsycINFO (via OVID) were reviewed each from inception to December 2019, for psychiatric CLP services in ambulatory settings that involved residents or fellows. The CLP education guidelines were reviewed for recommendations relevant to outpatient CLP. We also searched MedEd portal for published curriculums relevant to CLP. The group held 2 conferences to reach consensus about recommendations in setting up outpatient CLP rotations. Results: Seventeen articles, 3 Academy of Consultation-Liaison Psychiatry-supported guidelines, and 8 online didactic resources were identified as directly reporting on the organization and/or impact of an outpatient CLP rotation. These manuscripts indicated that residents found outpatient CLP rotations effective and relevant to their future careers. However, the literature provided few recommendations for establishing formal outpatient CLP training experiences. Conclusions: Outpatient CLP rotations offer multiple benefits for trainees, including exposure to specific clinical scenarios and therapeutic interventions applicable only in the outpatient setting, increased continuity of care, and the unique experience of providing liaison and education to non-mental health providers. The article outlines recommendations and examples for developing outpatient CLP rotations which CLP educators can incorporate in their programs.

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Section: Resultsmentioning

confidence: 99%

Section: Workflow and The Role Of The Psychiatrist In The Outpatient mentioning

confidence: 99%

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

et al. 2020

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“…10 Several articles call for IBH training or describe existing curricula in pediatric, psychiatric, or family medicine programs. [11][12][13] A 2017 outcome study reveals that resident attitudes about collaboration and behavioral health consultants (BHC) did not significantly change as a result of a 4-week rotation in IBH and that referrals to BHCs dropped sharply after the rotation. 14 The author concludes that core competencies are necessary for designing, implementing, and evaluating IBH training programs.…”

Section: Introductionmentioning

confidence: 99%

Preparing residents to practice integrated behavioral health care: Multi-site feasibility study of a competency-based curriculum

Martin

Banks

Myerholtz

et al. 2022

Int J Psychiatry Med

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Objective Workforce development is essential for the dissemination of team-based integrated behavioral healthcare. There is limited literature on training family medicine residents to function within an integrated behavioral health (IBH) system. The purpose of this pilot study was to assess the feasibility and value of an IBH competency-based curriculum for family medicine residents across multiple programs. Methods Residency programs were recruited using professional listservs and networks to test a competency-based, multi-modal curriculum for preparing residents to practice IBH in primary care. Faculty instructors who led the workshop were invited to complete semi-structured interviews to examine the feasibility and appropriateness of the curriculum. Interview data were analyzed using thematic analysis to identify, analyze, and report patterns. Residents completed a survey of perceived IBH skill and knowledge before and after training. A paired-sample t-test was used to determine significant differences pre- and post-training. Results All five instructors completed interviews. Results suggest IBH training is valuable. Instructors gave specific feedback on online modules, implementation flexibility, and adjusting faculty development to differing levels of experience. Nineteen of forty residents (48%) completed anonymous pre-, post-, and retrospective-training surveys. Residents reported an increase in competence after training. Conclusion The results of this pilot suggest that IBH training implementation is feasible, desirable, timely, and may improve resident ability to work on an IBH team. Training should accommodate variations in program structure and faculty expertise.

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Integrated Care Education for General Psychiatry Residents in the US: a Review of the Literature

Burruss

Murray

et al. 2023

Acad Psychiatry

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Behavioral Health and Primary Care Integration in Ohio’s Psychiatry Residency Training

Cited by 3 publications

References 14 publications

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

Preparing residents to practice integrated behavioral health care: Multi-site feasibility study of a competency-based curriculum

Integrated Care Education for General Psychiatry Residents in the US: a Review of the Literature

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