AIMS Primary Care in Behavioral Health training materials

Resources & handouts from the May 8 joint NCACH/BHT AIMS Center Training on Primary Care in Behavioral Health. For any questions or assistance, contact Sara Barker at [email protected].

Session 1: Core Principles & Team Roles in Whole Person Care

• New York Times Article: The Largest Health Disparity We Don’t Talk About: https://www.nytimes.com/2018/05/30/upshot/mental-illness-health-disparity-longevity.html

Session 2: Partnering with Primary Care

• AIMS Center Making an Elevator Speech Worksheet

• Ask Me 3: Good Questions for Your Good Health: http://www.ihi.org/resources/Pages/Tools/Ask-Me-3-Good-Questions-for-Your-Good-Health.aspx

Session 3: Supporting Medical Care of people with Serious Mental Illness

• In response to the Chantix study about increased suicidality -> Varenicline, smoking cessation, and neuropsychiatric adverse events: https://www.ncbi.nlm.nih.gov/pubmed/24030388

• Reliable Internet Sources for Medical Information

  • Medline plus

  • Mayo Clinic

  • American Heart Association

  • National Center for Complementary and Integrative Health

• Five Major Steps to Intervention (The “5 A’s”) https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.html

• WA DOH Tobacco Cessation Resources: https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/HealthcareProfessionsandFacilities/ProfessionalResources/TobaccoCessationResources

• Choosing Wisely – 5 Things Physicians and Patients Should Question: http://www.choosingwisely.org/societies/american-psychiatric-association/

Session 4: Population Health & Risk Stratification

• AIMS Center Risk Stratification Exercise

• Population Management in Community Mental Health Center-Based Health Homes, SAMHSA HRSA 2014: https://www.integration.samhsa.gov/integrated-care-models/14_Population_Management_v3.pdf

• AAFP Risk Stratified Care Management Rubric: https://nf.aafp.org/Shop/practice-transformation/risk-stratified-care-mgmt-rubric

• National Council Webinar on Risk Stratification, 2018: https://www.nationalcouncildocs.net/wp-content/uploads/2018/03/CCBHC-Risk-Stratification-Webinar-March-2018.pdf

• Quick Reference Guide to Promising Care Models for Patients with Complex Needs, Commonwealth Fund 2019: https://www.commonwealthfund.org/sites/default/files/2019-03/Inventory_of_HNHC_Models_final_2.20.19.pdf

• Blueprint for Complex Care, Center for Health Care Strategies, December 2018: http://www.chcs.org/media/Blueprint-for-Complex-Care_UPDATED_030119.pdf

Session 5: Measurement Based Care – Using a Registry to Improve Client Outcomes

• AIMS Center Treat to Target Physical Health Measures Handout

• AIMS Center Physical Health Tracking Spreadsheet Quick Start Guide 

• AIMS Center Physical Health Tracking Spreadsheet –Template

Session 6: Evidence-Based Strategies  

• Medication Matters – Causes and Solutions to Medication Non-Adherence, National Council: https://www.nationalcouncildocs.net/wp-content/uploads/2018/09/medication-non-adherence-082918.pdf

• AIMS Center Behavioral Activation Action Plan Handout

• AIMS Center Behavioral Activation Ideas Handout

• New York Times Magazine, What Google Learned From Its Quest to Build the Perfect Team: https://www.nytimes.com/2016/02/28/magazine/what-google-learned-from-its-quest-to-build-the-perfect-team.html