Activity Details
- Credit Types: CME, KBEP
- Credit Amount: 1.00
- Cost: Free
- Release: Aug 4, 2010
- Expires: Aug 3, 2013
- Estimated Time to Complete:
1 Hour(s) - System Requirements:
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Average User Rating:
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This presentation was given at the conferenced entitled, "Out of the Gate: Starting Integrated Care in Kentucky" in Lexington, Kentucky on December 4, 2009.
Parinda Khatri, PhD
Director of Integrated Care
Training Director, Psychology Internship Program
Cherokee Health Systems
Knoxville, Tennessee
Having a mental illness creates barriers to accessing adequate health care. These barriers have led to statistics that support that people with severe mental illness(SMI) are dying 25 years earlier than people the same age with no history of mental illness. Factors that contribute to this health disparity include side effects of psychotropic medications, high rates of smoking and obesity, low rates of exercise and weight management, lack of access or utilization of preventive services, poverty and social isolation. Osborn, 2007 found that people with schizophrenia have a higher risk of death from cardiovascular disease independent of medications and smoking. Sokal, et al (2004), also found that the risk for co-morbid conditions such as diabetes and lung diseases were greater in people with serious mental illness even when controlled for weight and tobacco use. Such studies confirm that people with SMI are at great risk from co-morbidities and point to the need for focused efforts that address the full spectrum of healthcare needs of people with SMI.
Integrated care methodologies have been suggested as a means to improve care for people with SMI by groups like The National Council for Community Behavioral Health Care and Cherokee Health Systems and the Collaborative Family Healthcare Association. Integrated care involves some level of collaboration between medical/primary care providers. Doherty, McDaniel and Baird (1996) described 5 levels of collaboration including:
The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.KBEP
The University of Kentucky is authorized by the Kentucky Board of Examiners in Psychology to provide continuing education for psychologists.
No staff members have any relevant financial relationships to disclose.
Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.
Faculty
Parinda Khatri, PhDDirector of Integrated Care
Training Director, Psychology Internship Program
Cherokee Health Systems
Knoxville, Tennessee
Needs Statement
Integrated or Collaborative Care is an emerging trend in healthcare designed to address the unmet needs of people who have mental health issues in primary care and people who have physical health issues with mental healthcare.Having a mental illness creates barriers to accessing adequate health care. These barriers have led to statistics that support that people with severe mental illness(SMI) are dying 25 years earlier than people the same age with no history of mental illness. Factors that contribute to this health disparity include side effects of psychotropic medications, high rates of smoking and obesity, low rates of exercise and weight management, lack of access or utilization of preventive services, poverty and social isolation. Osborn, 2007 found that people with schizophrenia have a higher risk of death from cardiovascular disease independent of medications and smoking. Sokal, et al (2004), also found that the risk for co-morbid conditions such as diabetes and lung diseases were greater in people with serious mental illness even when controlled for weight and tobacco use. Such studies confirm that people with SMI are at great risk from co-morbidities and point to the need for focused efforts that address the full spectrum of healthcare needs of people with SMI.
Integrated care methodologies have been suggested as a means to improve care for people with SMI by groups like The National Council for Community Behavioral Health Care and Cherokee Health Systems and the Collaborative Family Healthcare Association. Integrated care involves some level of collaboration between medical/primary care providers. Doherty, McDaniel and Baird (1996) described 5 levels of collaboration including:
- Minimal Collaboration involving separate systems, facilities and minimal communication
- Basic Collaboration involving separate systems, facilities but more regular communication/sharing
- Basic Collaboration Onsite involving separate systems but shared facilities and increased communication/sharing
- Close Collaboration in Partially Integrated System involving shared facilities and some shared systems with regular communication/sharing
- Fully Integrated System involving shared facilities and systems with regular communication and true team approach to care
Integrated care practices at whatever degree of collaboration work by creating partnerships between primary care physicians and behavioral specialists to meet the needs of the patient. Dr. William Elder (2008) from the University of Kentucky described the role of behavioral health in primary care and emphasized that this type of role is new and requires a distinct set of competencies which are often different from traditional behavioral health roles, but which adds value to the care given in Primary Care.
Target Audience
Physicians, PAs and ARNPs, psychiatrists, psychologist, clinical social workers, other healthcare practitioners and administrative professionalsObjectives
Upon completion of this activity, participants should be able to:- Identify the role of a Behavioral Health Consultant in Primary Care;
- Discuss the components of collaboration between primary care and mental health care providers.
Accreditation
CMEThe University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.KBEP
The University of Kentucky is authorized by the Kentucky Board of Examiners in Psychology to provide continuing education for psychologists.
Faculty Disclosure
Pahrinda Katri, PhD, (speaker and planner) has no relevant financial relationships with commercial interests and does not intend to discuss the off-label use of a product.No staff members have any relevant financial relationships to disclose.
Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.