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10. Public Health Psychiatry

Train psychiatrists for population impact

Brief Description

  1. Articulate roles and opportunities for psychiatrists to improve access to and quality of behavioral health services in context of Patient Centered Health Care Homes and Accountable Care Organizations.
    1. Population-based consultation for patients with common behavioral health problems in primary care and other general medical settings.
    2. Identify functions/roles/competencies of primary care psychiatrists.
    1. Categories of consultation:
    1. Direct – follow-up care, triage assessment, shared care
    2. Indirect – consult with PCP, consult with behavioral health
    3. Admin/leadership – liaison/policy, training, team
  2. Develop training opportunities, approaches, and materials to train primary care-based, public health-focused psychiatrists.
    1. Existing training programs (medical school, residency, fellowships, other post-graduate)
    2. Retraining needs (CME for current psychiatrists)
  3. Develop strategic partnerships with Professional organizations (e.g., APA Task Force on Integrated Care, APM, AACP, NCCBH Medical Directors’ group).

Opportunity (Why Now?)

  1. Behavioral health care is an important part of effective primary care.
  2. Movement towards Patient Centered Health Care Homes and Accountable Care Organizations: articulate effective and cost effective ways for psychiatrists to function in this context.
  3. Evidence base that integrated care contributes to ‘triple aim’ (improved access, quality, patient experience and lower total health care costs).
  4. Psychiatrists are a limited resource in most health care settings and need to learn to function effectively in collaboration with other providers (ARNP/PA, etc.).
  5. Interest in APA and other groups of psychiatrists in taking a leadership role in integrated behavioral health care, providing effective behavioral health services to larger populations of patients that can be reached through traditional consultation and referral models
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