Cooley/Lute: Integrated Behavioral Medicine Flashcards
Identify and articulate three (3) factors driving the Integrated Healthcare Movement.
- Extremely high prevalence of behavioral health conditions in primary care
- Most behavioral health conditions remain undetected and untreated
- Cost** of untreated behavioral health conditions is **exorbitant
- Poor follow through on referrals to outside specialty care
Discuss four (4) benefits of Integrated Healthcare
- Improved patient experience and outcomes
- Decreased healthcare expenditures
- Improved access to care
- Improved provider satisfaction
Describe what an effective integrated care team looks like.
- shared treatment space and plan
- EMR is the same
- team is ENTIRE clinical staff and often huddles before clinic to plan the day
The PCP retains full responsibility for the pt and posses the final decision making authority for the pt
Explain four (4) functions that a Behavioral Health Consultant can provide to assist a physician in his or her day-to-day practice.
- Assessment, Education, Brief Intervention, Referral
- Warm hand-offs
- Chronic illness, Mental health disorders
- Prevention
- Quality improvement and quality assurance
- Substance misuse
- Improved communication between doc and pt
What is the mnemonic for diff dx of Integrated Behavioral Medicine?
PAST MIDNIGHT
What is the RBANS test used for?
- Immediate memory: difficulty with verbal learning
- Delayed memory: retrieval of info from long term memory stores
- Visuospatial/constructional: difficulty processing and using info
- Attention: difficulties with basic attention processes and speed of info processing
- Language: difficulty with fluid use of language
What is the signifigance of the RBANS test?
***Left hemispheric stroke pt’s perfomed more poorly than right on language/verbal memory factor score
***Right stroke pt’s performed worse on visuospatial/visual memory factor score
