Weber: Integrative Care

Question 1

What is the BPSS model?

Answer 1

Biopsychosocial Spiritual Model

Idea that ALL problems are at once biological, psychological and social.

Fueled by UNMET needs of pts and families.

Works from a systems model and encourages COLLABORATION between therapist and health professionals.

Question 2

How are relationships related to health outcomes?

Answer 2

Relationships affect each participant and creates a potential for healing to manifest.

Question 3

What are barriers to collaboration?

Answer 3

1. Disciplinary centrism (one’s own discipline is superior and more relevant)
2. Differences between disciplines (different types of information are emphasized for clinical problem solving)
3. Lack of effective collaboration (common goals are not identified)

Question 4

What are keys to successful collaboration?

Answer 4

1. Locations of service (where is your mental health provider)
2. Business arrangement
3. Relationship (rapport)
4. Common purpose
5. Paradigm (same belief system)
6. Communication (open?)

Question 5

What are the differences between mental and medical health professions?

Answer 5

Language: Medical vs. humanistic

New paradigm: biopsychosocial vs. family systems

Professional style: action/advice giving vs. process oriented/avoids advice

Session time:
15 vs. 45

Demand:
around the clock vs. scheduled session

Medications:
frequent vs infrequent

Use of family hx:
basic vs. extensive

At risk for:
somatic fixation vs psychosocial fixation

Question 6

What is the 3 world view?

Answer 6

1. Clinical (quality of care, pt driven)
2. Operational (systems, organization, communication, process improvement)
3. Financial (reimbursment, coding, billing)
   * People are trained in one discipline (speak diff languages, ask diff questions, seek diff outcomes, employ diff values and principles)

Question 7

Where do people w/ mental health symptoms seek care?

Answer 7

Pts w/ significant symptoms of depression and anxiety seek treatment solely from their PCP

Research indicates that approximately 30% of primary care visits are for psychosocial issues (depression, anxiety, alcohol abuse, somatoform disorders)

Stigma: Half of people aren’t comfortable seeing a mental health professional.

Question 8

What are barriers to care for pts w/ mental health sxs?

Answer 8

1. Compromised physical health is associated w/ behavioral health problems
2. Compromised behavioral health> physical health problems
3. Stigma of behavioral health services
4. Compartmentalized understanding of health
5. Insurance/cost offset/ACA

Question 9

What is the relationship between physical health and relational health?

Answer 9

Physical health and relational health are a BIDIRECTIONAL relationship

Relationship quality affects partners health

Physical health affects relationship quality

Question 10

What are the 4C’s of pt centered care and how do you use them?

Answer 10

1. What do you CALL your problem?
2. What do you think CAUSED the problem?
3. How do you COPE with your condition?
4. What CONCERNS do you have regarding your problem?

Question 11

What is integrated care?

Answer 11

The integration of family therapy into behavioral medicine and biomedicine creating an integrated, team-based health care delivery system.