Training the collaborative care practitioners of the future.

Abstract

To prepare family medicine residents to function in the type of practices envisioned in the Future of Family Medicine Report, a residency needs to teach the skills of collaborative practice with behavioral health providers. This requires residents to have the experience of practicing with behavioral health providers who are peers, in addition to learning from behavioral science faculty. This article describes the development of a fellowship in primary care psychology within a department of family medicine and community health as an intervention on the training of residents for collaborative practice. It also sets out the structured routines of exchange between residents and fellows, as well as between behavioral science and medical faculty members, designed to maximize the experience of and learning from collaboration.

The Relationship Between Depression and Other Psychosocial Problems in a Sample of Adolescent Pregnancy Termination Patients

“…This model is not far-fetched, given that U.S. emergency departments are increasingly incorporating screenings and referrals for women at-risk for suicide and interpersonal violence, for example (Trautman et al 2007). In addition, in the U.S., primary healthcare providers have increasingly embraced the notion of including on-site behavioral health professionals as a necessary component of comprehensive patient care (Blount et al 2006). If confirmed by further research, the current findings would strongly support the consideration of the provision of onsite mental health screening and referrals in family planning and reproductive health care settings.…”

Preparing the Workforce for Behavioral Health and Primary Care Integration

“…3,11,22 Moreover, BHCs and PCCs are infrequently trained in collaboration or practicing in interprofessional settings. 6,17 Although increasing numbers of programs are emerging offering integrated care training for students, 6,11,[23][24][25][26] medical residents, 6,11,24,27,28 or postdoctoral trainees, 3 insufficient training capacity and practical experience opportunities continue to be major barriers to supplying the workforce needed for effective behavioral health and primary care integration.…”

Integrating Behavioral and Physical Health Care in the Real World: Early Lessons from Advancing Care Together

“…In behavioral health training programs, power struggles are minimized because students are in a learning/supportive role and are acculturated into the primary care model. 42,43 Leadership influences how professional interactions unfold and whether teams are able to innovate, "fail," and try again when implementing integration. When interventions involve multiple organizations, leadership from each setting must inform the integrated care approach.…”