Description
According to National Institute of Mental Health data, one in every five Americans is diagnosed with a mental health illness, with an approximate of 51.5 million as of 2019 and only 41% receiving treatment1. The number was approximately half in 2017 with 27.7 million people being affected. With a steady rise in the United States population, the incidence as well as prevalence of any mental health disease is predicted and observed to grow. Behavioral health and psychiatry training positions have not expanded to meet this need; thus, patients are often managed by their primary care providers (PCP). Despite being a larger workforce by some estimates (4:1), PCPs are an already overstretched resource and not uniformly trained in behavioral health management. In our community, which faces all the above challenges in addition to socioeconomic health care disparities, this integrative model for behavioral health delivery is not a novel prototype but a major necessity. At our hospital, we recognized that the traditional referral system to a psychiatrist does not work. 50% of patients do not follow through on their referrals, and those who do never do so for more than two visits2. Additionally, the traditional referral system is fragmented with each stakeholder independently providing care with a limited focus plan, often missing a global unified approach. A unique aspect of our Integrated Care Model3 is PCP Coaching. Since PCPs play a pivotal and central role in the overall outpatient care of patients, this step aims to empower them in the treatment of common mental health disorders within their medical practice. Coaching is provided through a wide range of practice topics ranging from primary psychiatric illness to medical illness and pharmacology related to behavioral health issues. PCPs are asked about what topics in mental health they desire to learn about, and classes are held weekly. Our workshop will start with Dr Dutta identifying the primary mental health needs of the community. Dr Mitra will introduce the Bronxcare Integrated Care model and speak about its key components. This will be followed by large group discussion on how different health systems are organizing their integrated care. Subsequently, Dr Gunturu will discuss the PCP Coaching component of our Integrated Care model. This will be followed by a small group discussion to prepare an efficacy tool to evaluate the efficacy of PCP Coaching. The group will then reconvene to discuss the findings. The session will conclude with a question-and-answer session.
Format
Recorded webinar.
This content was recorded during the APA 2023 Annual Meeting.
Learning Objectives
- Understand the mental health deficits in the United States.
- Identify the PCP Coaching Model and how it works in Primary care.
- Prepare an efficacy assessment tool for the PCP Coaching Model.
Target Audience
Residents/Fellows, Psychiatrists, Psychologists
Estimate Time to Complete
Estimated Duration: 1.5 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The APA designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
- Sasidhar Gunturu, MD
- Shalini Dutta, MD
- Souparno Mitra, MD
Planners
- Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.
Accessibility for Participants with Disabilities
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Technical Requirements
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Optimal System Configuration:
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