From Fragmentation...Collaborative Family Healthcare Association P.O. Box 23980 Rochester, NY 14692-3980 USA

From Fragmentation

to Integration.A TRIPLE AIM IMPERATIVE

CFHA'S 16TH ANNUAL CONFERENCE

October 16-18, 2014 // Omni Shoreham Hotel // Washington DC

The CFHA Conference is presented by the Collaborative Family Healthcare Association with support from the following organizations:

Wellpoint

Rocky Mountain Health Plans Accountable Care Collaborative

Robert Graham Center

American Psychological Association

DONORS CFHA would like to thank the following individual donors, who have given over $8,000 in cash and in-kind donations since the beginning of this calendar year, to help support our conference, scholarship programs, and general fund.

Steffani G. Blackstock Kent Corso Robert A. Cushman Lauren DeCaporale-Ryan Frank Verloin deGruy Carol G. Ellstein Colleen Fogarty Russell Glasgow Christopher Lee Hunter Gene & Lisa J. Kallenberg

Parinda Khatri Paul Charles Kredow Polly Kurtz Natalie Levkovich Alan Lorenz Matt Martin Larry Mauksch Susan McDaniel Jessica Pittrizzi Purcell Andrew Pomerantz

Randall Reitz John Rolland Bill Rosenfeld Christine Runyan Neftali Serrano William Steger Laura Sudano I-Shan Yang

Collaborative Family Healthcare Association P.O. Box 23980 Rochester, NY 14692-3980 USA

Phone (585) 482-8210 Fax (585) 482-2901 [email protected]

WWW.CFHA.NET

WELCOME TO CFHA’S 16th ANNUAL CONFERENCE! It seems that everywhere you go people are talking about collaborative, integrated healthcare with new found urgency and enthusiasm these days. The many reforms occurring in our healthcare system since the implementation of the Affordable Care Act have raised national awareness about the need for behavioral health and primary care integration in order to realize the Triple Aim, and propelled us to action – lest we miss out on the emerging opportunity to make collaborative healthcare the standard of care for every person in our country.

The theme of this year’s conference “From Fragmentation to Integration: A Triple Aim Imperative” both recognizes that fragmentation in healthcare is pervasive and manifested through institutionalized barriers in our financial, operational and clinical systems, and that broad adoption and sustainability of collaborative care is fundamental to the achievement of the Triple Aim: better patient experience, better population health, and lower cost.

CFHA has been advocating for this model of care for the past 20 years. In 1994, the “Wingspread Conference” brought together the pioneers in collaborative family healthcare, which led to the creation of CFHA. The following year (1995), CFHA held its very first meeting in Washington, DC at the Omni Shoreham Hotel. It’s a happy coincidence that this year’s CFHA conference will again take place in Washington, DC at the same historic hotel.

It seems that the opportunity for the field to take the next leap has arrived. At this year’s CFHA Conference we can “leap together” by bringing CFHA members and conference attendees together with policy makers, federal agencies, and national associations to join forces in advancing the adoption and sustainability of collaborative healthcare.

We hope you’ll enjoy the conference and be informed and inspired by the plenary speakers, bring back many practical lessons and skills from the concurrent sessions and preconference workshops, and take advantage of the various opportunities for networking and fun with friends and colleagues.

Thank you for attending and bringing your ideas, experience, and energy to this promising moment in the continuing journey toward achieving proper care for people.

2014 CONFERENCE CHAIRS

Larry A. Green, MD Professor of Family Medicine Epperson-Zorn Chair for Innovation in Family Medicine and Primary Care University of Colorado Denver Department of Family Medicine

Maribel Cifuentes, RN Instructor Deputy Director, Advancing Care Together University of Colorado Denver Department of Family Medicine

#CFHA2014

Conference Chairs

Larry A. Green, MD, Professor and Epperson Zorn Chair for Innovation, University of Colorado Denver, School of Medicine, Department of Family Medicine *

Maribel Cifuentes, RN, Instructor, University of Colorado, Department of Family Medicine *

Planning Committee

Andrea Auxier, PhD, National Director of Integration, ValueOptions

Suzanne Elizabeth Bailey, PsyD, Behavioral Health Consultant, Cherokee Health Systems

Andrew Bazemore, MD, MPH, Director, Robert Graham Center *

Astrid Beigel, PhD, Mental Health Clinical District Chief, County of Los Angeles, Dept. of Mental Health

Steffani G. Blackstock, CMP, CFHA Conference Manager, Collaborative Family Healthcare Association

David Bull, PsyD, Psychologist and Behavioral Health Consultant, Cherokee Health Systems

Robert A. Cushman, MD, Chair, Department of Family Medicine, University of Connecticut School of Medicine & Saint Francis Hospital and Medical Center *

George DelGrosso, Executive Director, Colorado Behavioral Healthcare Council *

Mary Jane England, MD, Professor, Chair Ad Interim, Boston University School of Public Health, Department of Community Health Sciences *

Rebecca Etz, PhD, Assistant Professor, Co-Director ACORN, VCU - Department of Family Medicine and Population Health

Jennifer Funderburk, PhD, Clinical Research Psychologist, VA Center for Integrated Healthcare

Elisabeth Gentry, LMSW, MPH, Senior Evaluation and Program Manager, Louisiana Public Health Institute

Jeffrey L. Goodie, PhD, ABPP, Associate Professor, Uniformed Services University

William B. Gunn, Jr., PhD, Director of Primary Care Behavioral Health, Concord Hospital

Robin Henderson, PsyD, Chief Behavioral Health Officer, St Charles Health System

Jennifer Hodgson, PhD, Professor, East Carolina University

Jodi Summers Holtrop, PhD, Associate Professor, University of Colorado Denver School of Medicine

Cathy M. Hudgins, PhD, LPC, LMFT, Director, NC Center of Excellence for Integrated Care

Christopher Lee Hunter, PhD, DoD Prog Mgr for Behavioral Health in Primary Care, DoD/Defense Health Agency

Laurie C. Ivey, PsyD, Director of Behavioral Health, Swedish Family Medicine

Gene "Rusty" Kallenberg, MD, Chief, Division of Family and Preventive Medicine, University of California San Diego

Parinda Khatri, PhD, Chief Clinical Officer, Cherokee Health Systems *

Polly V. Kurtz, MBA, Executive Director, Collaborative Family Healthcare Association *

Natalie Levkovich, Chief Executive Officer, Health Federation of Philadelphia

Alan Lorenz, MD, Staff Physician, University of Rochester

Susan H. McDaniel, PhD, Dr Laurie Sands Distinguished Professor, Institute for the Family, Department of Psychiatry URMC *

Stephen P. Melek, FSA,MAA, Principal, Consulting Actuary, Milliman *

Benjamin Miller, PsyD, Assistant Professor, Director, Office of Integrated Healthcare Research and Policy, University of Colorado Denver, School of Medicine, Department of Family Medicine

Jonathan Perry, BS, Program Coordinator, Louisiana Public Health Institute

Jodi Polaha, PhD, Associate Professor, East Tennessee State University, Department of Psychology

Andrew S. Pomerantz, MD, National Mental Health Director, Integrated Care, Veterans Health Administration

Alejandra Posada, M Ed, Director of Education and Training, Mental Health America of Greater Houston

Sara Propst, PhD, Behavioral Health Consultant, Cherokee Health Systems

Jessica Pittrizzi Purcel, Project Coordinator, Collaborative Family Healthcare Association *

Jeannie Ritter, Mental Health Ambassador, Mental Health Center of Denver *

Tziporah Rosenberg, PhD, Assistant Professor, University of Rochester School of Medicine

Helen Q. Royal, LPC, Behavioral Health Director, Summit Community Care Clinic

Christine N. Runyan, PhD, Clinical Associate Professor, University of Massachusetts Medical School

Jena Saporito Fisher, PhD, Behavioral Health Consultant, Cherokee Health Systems

*2014 Conference Steering Committee

2014 CONFERENCE PLANNING COMMITTEE Many thanks to the dedicated professionals who served on this year’s CFHA Conference Planning Committee. The success of the Conference is a direct result of your guidance, vision, evaluation and outreach.

#CFHA2014

WELCOME TO WASHINGTON, DC

Washington, D.C., formally the District of Columbia and commonly referred to as Washington, "the District", or simply D.C., is the capital of the United States. The centers of all three branches of the federal government of the United States are in the District, including the Congress, the President, and the Supreme Court.

The signing of the Residence Act on July 16, 1790, approved the creation of a capital district located along the Potomac River on the country's East Coast. The states of Maryland and Virginia each donated land to form the federal district, which included the preexisting settlements of Georgetown and Alexandria. The U.S. Constitution provided for a federal district under the exclusive jurisdiction of the Congress and the District is therefore not a part of any U.S. state.

In 1791, President Washington commissioned Pierre (Peter) Charles L’Enfant, a French-born architect and city planner, to design the new capital. The L'Enfant Plan featured broad streets and avenues radiating out from rectangles, including a garden-lined "grand avenue" that is now the National Mall. The District is divided into four quadrants of unequal area: Northwest (NW), Northeast (NE), Southeast (SE), and Southwest (SW). The axes bounding the quadrants radiate from the U.S. Capitol building.

Washington is home to many national monuments and museums, which are primarily situated on or around the National Mall, between the Lincoln Memorial and the United States Capitol. The Washington Monument is near the center of the mall, south of the White House. At the east end of the Lincoln Memorial Reflecting Pool, you’ll find the National World War II Memorial, Korean War Veterans Memorial, and the Vietnam Veterans Memorial. Directly south of the mall, the Tidal Basin features rows of Japanese cherry blossom trees and the Franklin Delano Roosevelt Memorial, Jefferson Memorial, and Martin Luther King, Jr. Memorial.

The National Archives houses thousands of documents important to American history including the Declaration of Independence, the United States

Constitution, and the Bill of Rights.

Located on Capitol Hill, the Library of Congress is the largest library complex in the world with a collection of over 147 million books, manuscripts, and other materials. The iconic domed U.S. Capitol is where the business of Washington - and America - happens.

The Smithsonian Institution is an educational foundation chartered by Congress in 1846 that maintains most of the nation's official museums and galleries in Washington, D.C. The U.S. government partially funds the Smithsonian and its collections open to the public free of charge.

One of the best ways to experience Washington, DC is on foot. The city’s wide sidewalks meander past the inspiring monuments and museums found on the National Mall, as well as the intimate museums, world-class theaters and splendid gardens in the neighborhoods.

Washington, DC has one of the safest, cleanest and most efficient transportation systems in the world. Metrorail and Metrobus are the most convenient ways to get around DC. The DC Circulator travels along five specific routes designed for easy-on, easy-off access at points of interest throughout the District.

The Washington Metro is the second-busiest rapid transit system in the country. Metrobus serves over 400,000 riders each weekday and the DC Circulator bus system connects commercial areas within central Washington.

The District is also known for its medical research institutions such as Washington Hospital Center and the Children's National Medical Center, as well as the National Institutes of Health in Bethesda, Maryland. In addition, the city is home to three medical schools and associated teaching hospitals at George Washington, Georgetown, and Howard universities.

The city hosts 176 foreign embassies as well as the headquarters of many international organizations, trade unions, non-profit organizations, lobbying groups, and professional associations.

OUR EVENT HASGONE MOBILE!

#CFHA2014

Conference Objectives

Identify policy and financial reforms that will make family-centered healthcare sustainable.

Describe how clinicians, researchers, administrators, and educators can benefit from policy changes.

Define and describe the critical components of true collaborative care/integrative practice.

Describe key research questions facing the collaborative care movement.

Describe financial barriers to establishing collaborative practice and their potential solutions.

Describe three challenges to training practitioners for collaborative practice and methods to overcome them.

Identify three improvement areas from best practice models and research that can be implemented in the practice setting.

Target Audience The CFHA Conference is for medical and mental health providers including physicians, family therapists, psy-chologists, social workers, counselors, nurses, pharma-cists, dentists, dieticians, teachers, researchers, and ad-ministrators who seek collaborative solutions to the complex challenges of patient care. Individuals and or-ganizations interested in innovative and cost effective strategies for integrating behavioral health and medical healthcare delivery, improving patient outcomes, pro-fessional networking and provider training are encour-aged to attend.

Needs Assessment Many pilots of integrated care are going on across the country, and there is a growing body of data that indicates that this integrated approach is more effective, cost-effective and efficient than "dis-integrated" care. The Patient-centered Primary Care Collaborative - the major national group promoting the Patient-Centered Medical Home (PCMH) has recognized the importance of integrating behavioral health into the PCMH. The Agency for Healthcare Research and Quality has challenged all working in this area to develop an even stronger evidence base to identify which specific components of collaborative care are most important.

CFHA offers presentations that emphasize research, best practices and models for:

Providing a multidisciplinary, team-based approach to care that may go beyond medical and behavioral health integration and might incorporate other disciplines such as dentistry, nutrition and pharmacy for a more whole-person approach to care.

Successfully establishing medical (bi-directional) care in non-medical settings, such as community mental health centers, in particular for persons with severe mental illness.

Succeeding in connecting individuals to a healthcare home.

Empowering individuals and families as owners of their care.

Implementing policies and addressing reimbursement challenges that create barriers to collaborative approaches to care.

Training health care providers to work in teams in collaborative settings.

Goals

Develop the knowledge base of collaborative family healthcare;

Present and advocate for the collaborative family healthcare perspective locally, nationally and interna-tionally;

Develop programs, initiatives, educational opportuni-ties and projects that enable students, providers, ed-ucators, legislators, communities and healthcare or-ganizations to acquire knowledge, skills, relational competencies and experience applying collaborative family healthcare;

Create partnerships that will strengthen the links be-tween education, research, service and policy in the delivery of collaborative family healthcare.

CONFERENCE GOALS & OBJECTIVES

#CFHA2014

One of the greatest benefits of the CFHA Annual Conference is to stimulate thinking and share ideas about best practices in collaborative family healthcare. Networking receptions, lunches and facilitated discussion groups during the Conference offer excellent opportunities for professional interaction in a more formal setting.

CFHA LOUNGE The CFHA Lounge is a centrally-located networking space, designed for informal interaction between education sessions. It will be open throughout the Conference, hosting daily refreshment breaks, posters and exhibits.

The CFHA Lounge is located in the Blue Prefunction Room on the East Promenade of the Omni Shoreham Hotel.

THURSDAY NEWCOMERS ORIENTATION If you are a new CFHA member or are attending the CFHA Conference for the first time, this program is for you! Learn more about CFHA, get Conference tips, make friends, and meet CFHA leaders and staff. Don’t miss this informative overview on how to maximize your conference experience.

This event will begin at 4PM on Thursday in the Congressional Room on the West Promenade.

THURSDAY WELCOME RECEPTION Celebrate the 20th anniversary of CFHA, catch-up with friends and meet new colleagues at this informal opening reception.

The reception will be held in the Empire Room and Patio on the West Promenade at 5PM on Thursday evening, before the opening Plenary Session.

CFHA CAFÉ Enjoy complimentary coffee and grab a bite to eat with CFHA colleagues. An assortment of light breakfast fare will be available for purchase. CFHA will provide a $5 coupon to Conference registrants that may be applied toward a food purchase in the CFHA Cafe. (Coupons are not valid in hotel outlets.)

The CFHA Café will be open from 7AM to 8:30AM on Friday and Saturday morning in the Blue Prefunction Room.

POSTER PRESENTATIONS Poster presentations allow authors to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. There will be a different selection of posters each day.

Posters will be located in the Blue Prefunction Room.

EXHIBITS & TRAINING SHOWCASE Learn more about valuable techniques, products and services that can help in research and clinical practice by visiting this showcase.

Displays will be located in the Blue Prefunction Room.

FACILITATED DISCUSSION GROUPS Saturday’s lunch will feature facilitated discussion groups on a variety of topics. Lunch tables will be identified by the list of discussion topics included in your packet. Simply choose a topic and find a seat at the corresponding table.

Discussion Groups will be held during lunch on Saturday in Blue Room.

SPEED MENTORING Are you a student or new/early career professional? Do you have questions about how to make the most out of your future career? Come and join us at Speed Mentoring at CFHA! This interactive session will allow you to meet and talk with some of the thriving professionals in the collaborative care movement. Learn from the wisdom of the leaders who have gone before you to help your career development. Space will be limited, so be sure to sign up for this exciting event when you arrive at the Conference.

Speed Mentoring will be held during lunch on Saturday in the Blue Prefunction Room.

NETWORKING AT THE CFHA CONFERENCE

#CFHA2014

NETWORKING AT THE CFHA CONFERENCE

MORNING EXERCISE Join us for morning workouts on Friday and Saturday morning before Conference sessions. All fitness levels are welcome!

Please sign-up for your preferred activity in the registration area when you arrive at the Conference.

Run, Skip, Walk! Join the group for a run along Rock Creek Parkway but please feel free to skip or walk the route. Gather at 6:00 AM on Friday and Saturday morning in the hotel lobby.

Yoga Practice Yoga are the physical, mental, and spiritual practices or disciplines that aim to transform body and mind. Begin your day at the CFHA Conference with yoga practice. Towels will be provided in lieu of mats. Gather at 6:00 AM on Friday and Saturday morning in the Hampton Room.

Follow us on Twitter throughout the Conference at #CFHA2014

Visit www.CFHA.net Today!

Log-in to your free website account to: Update your networking profile Post your resume or CV Search career openings Post or search a grant RFP Join the conversation at our

blogs Follow @CFHA_tweet on Twitter Find conference materials Participate in a CFHA work

group

#CFHA2014

Physicians This Live activity, Collaborative Family Healthcare Association - Annual Conference 2014 - Washington DC From Fragmentation to Integration a Triple Aim Imperative, with a beginning date of 10/16/2014, has been reviewed and is acceptable for up to 19.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AAFP reserves the right to perform a post-activity audit and/or have a live monitor at any AAFP certified CME activity.

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

AAFP members may report their CME credit to AAFP without documentation at www.aafp.org.

Mental Health Professionals Continuing Education for mental health professionals is being offered through PsychoEducational Resources, Inc. (PER).

Participants may earn up to 6 Pre-Conference CE credits and up to 9.5 Conference CE credits.

PER is approved by the American Psychological Association to sponsor continuing education for psychologists. PER maintains responsibility for this program and its content.

PsychoEducational Resources, Inc. (PER) is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events (or programs) that meet NBCC requirements. Sessions (or programs) for which NBCC-approved clock hours will be awarded are identified in the program bulletin (or in the catalogue or Web site). The ACEP is solely responsible for all aspects of the program.

(Please review the sessions Not approved for NBCC clock hours at the bottom of this CE Statement.. Please note that a CE and Clock Hour are equal in terms of time. 1 CE = 1 Clock Hour).

PER is approved as a provider for continuing education by the Association of Social Work Boards, 400 South Ridge Parkway, Suite B, Culpepper, VA 22701. www.aswb.org ASWB Approval Period: 4/15/12 - 4/15/15. Social workers should contact their regulatory board to determine course approval. The following recognize the ASWB program: AK, AL, AZ, CT, DC, DE, GA, ID, IN, IA, KY, MA, MD, MI, MO, MS, MT, NM, NC, ND, NJ, OK, OR, PA, RI, SC, TN, TX, UT, VA, VI, VT, WA, WI, and WY.

PER is also an approved provider with a variety of individual state social work boards which include: the Florida Board of Licensed Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling (CE Provider Tracking #50-1657, Board Provider #351, exp. 03/31/15), the Illinois Social Work Board (159-000505), the Iowa Board of Social Work (#153), the Maryland State Board of Social Work, the Ohio Social Work Board (RSX-019601), and the Texas Board of Social Work (CS 1596).

This program meets the criteria of an approved continuing education program for social work in Arkansas.

Course meets the qualifications for continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (Provider #PCE 203).

This program meets the criteria of an approved continuing education program for social workers, professional counselors, marriage and family therapists, master's level psychologists, licensed clinical psychotherapists, and alcohol and other drug abuse counselors in Kansas.

PER is an approved provider with the Illinois Marriage and Family Therapist Board (#168-000125)

This program meets the criteria of an approved continuing education program for mental health practice and for social work in Nebraska.

This program meets the criteria of an approved continuing education program for psychologists, pastoral psychotherapists, clinical social workers, clinical mental health counselors, marriage and family therapists, and alcohol and drug abuse counselors in New Hampshire.

PER is an approved Counselor (RCX-129413) provider with the Ohio Counselor, Social Worker and Marriage and Family Therapist Board.

PER is a provider of continuing education with the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists (#98). Please note that the Board will only accept CE hours for renewal purposes that are related to the professional license that is being renewed and hours that are related to the educational requirements or subject matter that is required for licensure.

CONTINUING EDUCATION

If you require a Certificate of Attendance, please retrieve a copy at the CFHA Registration Desk before you leave the Conference.

#CFHA2014

This program meets the criteria of an approved continuing education program for social workers, professional counselors, marital and family therapists, and clinical pastoral therapists in Tennessee.

PER is an approved provider with the Texas State Board of Examiners of Marriage and Family Therapists (#130).

PER is approved as a Continuing Education Provider by the National Association of Alcoholism and Drug Abuse

Counselors (NAADAC) Provider #374 (exp. September 30, 2015). The individual sessions in this conference cover the following counselor skill groups: clinical assessment, ongoing treatment planning, counseling services, and legal, ethical and professional growth.

PER maintains responsibility for this program and its content. For additional CE information please call PER at 800-892-9249 or e-mail [email protected].

To receive CE Certification you must complete the conference evaluation, an evaluation for each session you attend, the CE Request Form, and sign in and out of each session attended. CE Certification will be mailed to you approximately 4-6 weeks after the conference.

For additional conference information please visit www.cfha.net.

The following sessions are NOT approved for NBCC Clock Hours:

Thursday, October 16

Free Early Writing Workshops for Students and Early Career Professionals: From Dissertation to Dissemination: An Interactive Writing Workshop

Friday, October 17

Concurrent Sessions, Period 1— B1a, B1b, C1, C1b, D1a, D1b, E1a, E1b, F1a, F1b, F1c, G1a, G1b, H1

Concurrent Sessions, Period 2— A2c, B2a, B2b, B2c, C2b, D2a, D2b, E2, F2b, G2a, G2b, H2a, H2b

Concurrent Sessions, Period 3— B3a, B3b, C3a, C3b, D3a, D3b, E3a, E3b, E3c, F3a, F3b, G3a, H3

Saturday, October 18

Concurrent Sessions, Period 4— D4a, D4b, D4c, E4, E4a, F4b

Concurrent Sessions, Period 5— C5b, D5a, D5b, E5b, F5a, F5b, G5a, H5

Approved number of credits for each session are noted on the Conference Schedule-at-a-Glance.

Attention Mental Health Professionals! To be eligible for CE credit, you need to:

1. Pick up a CE packet when you arrive at the Conference. The packet will contain instructions, CE summary log, evaluation forms, etc.

2. Keep track of the specific sessions you attend during the Conference on the CE summary log.

3. Complete a specified evaluation form for each session.

4. Write-in session objectives for each session on the evaluation form. You can find objectives for each session in the final Conference program or online at www.CFHA.net.

5. Record the Sign-IN and sign-OUT for each session you attend on your evaluation form.

6. Return completed evaluations and CE summary forms to CFHA before you depart from the Conference.

CFHA staff will submit participant documents to PsychoEducational Resources (PER) within 3 weeks after the Conference.

PER will mail CE certificates to participants who have completed the above requirements within 8 weeks after the Conference.

CONTINUING EDUCATION

If you have a grievance concerning this Conference, please contact Polly Kurtz, CFHA Executive Director at 303-724-6668 or [email protected].

#CFHA2014

CONFERENCE SESSIONS

TYPES OF CONFERENCE SESSIONS Plenary Sessions • There are four plenary sessions during the 2014 CFHA Conference, presented on Thursday evening, Friday morning, Friday lunch period, and Saturday morning. These sessions represent a broad scope of subjects related to the big picture of integrated care.

Pre-conference Workshops • These in-depth sessions are offered as an optional registration with additional fee on Thursday prior to the start of the Conference. These half-day workshops focus on specific or unique skills and best practices, such as orientation to collaborative care, payment and billing practices, and implementation models.

Concurrent Education Sessions • The CFHA Conference includes more than 75 presentations offering a diverse blend of topics about clinical, research, administrative, or training issues. The Conference includes five 90-minute session periods over two days and presentations vary in length:

20 minutes • 3 presentations are scheduled consecutively within a 90-minute period, per classroom

40 minutes • 2 presentations are scheduled consecutively within a 90-minute period, per classroom

90 minutes • 1 presentation is scheduled within a 90-minute period, per classroom

Facilitated Discussion Groups • Saturday's lunch will feature facilitated roundtable discussions on a variety of topics. Facilitators will engage discussion on pre-assigned topics and foster lively conversation to share thoughts and ask questions. Lunch tables will be identified by topic and participants can take a seat at the corresponding table. Boxed lunches will be provided.

Poster Presentations • Poster presentations allow authors to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. There will be a different selection of posters each day. Poster presenters will attend their displays during breaks on Friday and Saturday.

CLASSROOMS AND SEATING

Seating for all Conference sessions is on a first-come, first-served basis.

Classrooms vary in size and capacity and some sessions may reach standing-room capacity before the presentation begins.

Standing may be allowed in the classroom as long as no aisles or exit doorways are obstructed. No standing, seating or sitting on the floor will be allowed in aisles or near exit doors for safety reasons.

A Conference Schedule-at-a-Glance with classroom assignments will be provided when you check-in at the Conference. Plan to arrive early to ensure seating for your preferred sessions.

CONTENT LEVEL

Presentations are noted by the recommended level of familiarity for the desired audience:

Basic • Designed to address crucial core concepts and techniques relevant to enhancing the knowledge base

Advanced • geared for providers with 5+ years of experience delivering integrated services and/or in positions of leadership in an integrated care program. No review of basic integrated care concepts will be included.

All audiences

#CFHA2014

KEY TRACKS

Recognizing fragmentation in healthcare is pervasive and manifested through institutionalized barriers in our financial, operational and clinical system, the goal of the 2014 CFHA Conference is to advance the understanding that broad adoption and sustainability of collaborative care is fundamental to the achievement of the *Triple Aim: better patient experience, better population health, and lower cost.

KEY TRACKS Education sessions at the 2014 CFHA Conference are designated by 7 key track areas, and aligned with components of a system that would fulfill the Triple Aim:

Key Track 1 • Focus on Individuals and Families

Consumer/patient engagement in organizational policy, planning, delivery of care, evaluation, and training.

Jointly planned and customized care at the level of the individual and family.

Enabling individuals and families to better manage their own health.

Key Track 2 • Redesign of Primary Care Services and Structures

Overcoming barriers to planning and implementation of integrated care.

Interdisciplinary, team-based approaches for a more whole-person approach to care.

Multi-sector partnerships to support the provision of integrated care.

Key Track 3 • Prevention and Health Promotion

Strategies aimed at the prevention and early intervention of mental health problems.

Health promotion and disease-management support interventions for smoking cessation, healthy eating, exercise, and reduction of substance abuse.

Key Track 4 • Sustainability and Cost Control

Implementing policies and payment mechanisms that promote sustainable models of collaborative care within publicly and privately funded centers/organizations.

Documented changes in cost of healthcare by adoption of an integrated model of care delivery.

Key Track 5 • System Integration

Strategies to develop, nurture and reward champions, providers and leaders in collaborative care.

Systems for ongoing learning and improvement.

Systems for breaking down barriers to sharing health records among providers.

Systems for sustainable governance and financial structures.

Key Track 6 • Education and Training

Inter-professional training approaches.

Orientation and training for providers and staff to an integrated care setting - including providing medical care in non-medical settings.

Key Track 7 • Research and Evaluation

Research oriented presentations that include approaches to program evaluation, quality improvement, outcomes assessment, extraction and use of data from electronic health records, qualitative and quantitative methodologies.

*The Triple Aim framework was developed by the Institute for Healthcare Improvement in Cambridge, Massachusetts (www.ihi.org).”

YOUR INVOLVEMENT MATTERS

Connecting disciplines, creating dialogue, and promoting solutions for integrated, collaborative care.

WE ARE:

Physicians, patients, clinicians, educators

nurses, behavioral health professionals, family

members, social workers, advocates, and

researchers who are passionate about im-

proving the way healthcare is practiced.

To learn more about membership options, go to www.cfha.net.

WE BELIEVE :

• Patients, families, communities, and

healthcare provider systems are equal

partners in the healthcare process.

• In healthcare delivery designed to treat

the whole person—mind, body, family,

and community.

• We are each other’s best teachers and

resources in collaborative, integrated

care.

http://www.cfha.net/

#CFHA2014

Thursday, October 16, 2014

8:30AM to 12 PM Pre-Conference Workshops • Advance registration required; additional fees apply

PC1: “Resolving Ambiguity: Tools for the PCMH Team to Use in Addressing Privacy and Other Ethical Issues”

Congressional Room

PC2: “The Primary Care Behavioral Health Model (PCBH) of Service Delivery: Key Strategies in Operations, Practice, Program Evaluation and Payment”

Hampton Room

1PM to 4PM

PC3: “The Primary Care Behavioral Health Model (PCBH) of Service Delivery: Clinical Skills, Effective Interventions and Clinical Pathways”

Hampton Room

1 PM to 4PM Free Interactive Writing Workshop for Students and Early Career Professionals • Advance registration required

Congressional Room

2 PM to 6PM Conference Registration & Check-in If you have any questions about the Conference, please ask any of the friendly staff and volunteers at the Conference Registration & Information Desks. Check the Bulletin Board for announcements or schedule changes, and post a note to connect with colleagues during the Conference.

Blue Prefunction

4 PM to 5PM Newcomers Orientation & Networking Session If you're attending the CFHA Conference for the first time, this program is for you! Learn more about CFHA, get Conference tips, make friends, and meet CFHA leaders and staff. Don’t miss this informative overview on how to maximize your conference experience.

Congressional Room

5 PM to 6PM CFHA 20th Anniversary Reception Celebrate the 20th anniversary of CFHA, catch-up with friends and meet new colleagues at this informal opening reception.

Empire Room & Patio

6 PM to 8 PM Conference Welcome & Plenary Session “Economics, Delivery System Reform, and Behavioral Health Integration: Don’t Be Left Behind” Richard G. Frank, PhD, Deputy Assistant Secretary, Office of Disability, Aging and Long-Term Care Policy/Office of the Assistant Secretary for Planning and Evaluation (ASPE)

Blue Room

8 PM Evening on your own

Pre-Conference Workshop • Advance registration required; additional fees apply

AGENDA

ATTENTION CFHA CONFERENCE ATTENDEES:

The Collaborative Family Healthcare Association is offering a comprehensive new

membership option to academic institutions. Training Program Memberships are de-

signed to provide learning experiences which cultivate clinical proficiency, enrich

knowledge of integrated, collaborative practice and theory, and advance career pro-

spects.

become exposed to various models of inte-

grated, collaborative care.

connect with seasoned professionals and

other leaders in the field through mentorship

programs, special interest groups, our active

listserv discussion forum, and conference

programming.

attend multiple networking events designed

to facilitate career advancement.

receive full member benefits: annual confer-

ence registration discounts, complimentary

subscription to Families, Systems, and Health,

access to “members only” events and con-

tent, and much more!

Why a Training Program Membership is

Important to Your Program: A Training Program Membership provides an enhanced opportunity for the students in your program to:

Training Program Membership Packages:

Tier I- Includes (1) Professional Membership and up to (10) Student Memberships

Tier II- Includes up to (3) Professional Memberships and up to (15) Student Memberships

Tier III- Includes up to (5) Professional Memberships and up to (20) Student Memberships

www.cfha.net

#CFHA2014

Thursday, October 16, 2014 6PM to 8PM

Plenary Session 1:

“Economics, Delivery System Reform, and Behavioral Health Integration: Don’t Be Left Behind”

Richard G. Frank, PhD Deputy Assistant Secretary, Planning and Evaluation (ASPE), U.S. Department of Health and Human Services

Dr. Richard Frank directs the Office on Disability Aging and Long-Term Care Policy. He is a health economist whose research has focused on economic issues related to mental health and substance abuse policy. Prior to joining ASPE, he was the Margaret T. Morris Professor of Health Economics at Harvard Medical School. He also served as editor of the Journal of Health Economics. Dr. Frank was elected to the Institute of Medicine in 1997. He recently co-authored the book "Better but Not Well" (Johns Hopkins University Press, 2006), which examines the history of mental health policy in the United States since 1950.

Content Level: All audiences

Session Length: 75 minutes

0.0 PER credit

PLENARY SESSIONS

LEARN ABOUT CFHA’S NEWEST MEMBERSHIP OPTION:

The Collaborative Family Healthcare Association is offering a new membership type designed for

business groups/organizations (non-profits, FQHCs, community mental health centers, insurance

payers, private medical/behavioral health practices, etc.) interested in enrolling multiple individu-

als in CFHA. Learn how a Corporate Membership will provide your employees with the skills and

training necessary to become a proficient workforce in the growing field of integrated, collabora-

tive care!

Access to multiple collaborative platforms in

which ideas and resources are exchanged through our active Discussion Listserv, Spe-cial Interest Groups and Committees

Advanced training in sustainable models of

integrated, collaborative care through our webinars, annual conference and weekly blog series

Networking opportunities to connect with like

-minded professionals from across disci-plines and institutions

Annual conference registration discounts and

group membership exhibit table pricing

Why a CFHA Corporate Membership is

Important to Your Organization’s Employees:

Corporate Membership Packages:

Tier I– Member benefits for up to (10) Individuals

Tier II– Member benefits for up to (15) Individuals

Tier III– Member benefits for up to (20) Individuals

www.cfha.net

#CFHA2014

6 AM to 7:15 AM Morning Exercise • Please sign-up for your preferred activity in the registration area when you arrive at the Conference. All fitness levels welcome.

Run, Skip, Walk! Join the group on a 3-mile run on Rock Creek Parkway but please feel free to skip or walk the route.

Meet in Hotel Lobby

Yoga Practice Yoga are the physical, mental, and spiritual practices or disciplines that aim to transform body and mind. Begin your day at the CFHA Conference with yoga practice. Towels will be provided in lieu of mats.

Hampton Room

7 AM to 8:30 AM CFHA Café • Cash-and-Carry Breakfast Enjoy complimentary coffee and grab a bite to eat with CFHA colleagues. An assortment of light breakfast fare will be available for purchase. CFHA will provide a $5 coupon to Conference registrants that may be applied toward a food purchase in the CFHA Café. (Coupons are not valid in hotel outlets.)

Blue Prefunction

7:30 AM to 5 PM CFHA Lounge • Exhibits and Posters The CFHA Lounge and is designed to promote informal networking between education sessions. The CFHA Lounge will host beverages during breaks and includes a showcase of technology, products, equipment, and services for use in the healthcare profession. Poster presentations allow author(s) to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. Posters will be on display during each refreshment break and there will be a different selection of posters each day.

Blue Prefunction

8 AM to 10 AM CFHA Awards and Plenary Session 2

“Mental Health Promotion and Prevention in Primary Care: An Idea Whose Time Has Come”

William R. Beardslee, MD, Judge Baker Children’s Center, Gardner-Monks Professor of Child Psychiatry, Harvard Medical School

Blue Room

10 to 10:30AM Refreshments in CFHA Lounge • Exhibits and Posters Blue Prefunction

10:30 AM to 12 PM Concurrent Education Sessions, Period 1 • Sessions A1a-H1

Each 90-minute period will feature 8 classrooms of simultaneous presentations. Seating for all Conference sessions is on a first-come, first-served basis. Arrive early to ensure seating for your preferred sessions.

Refer to Schedule At-a-

Glance

12 PM to 1:15PM Lunch Program • Plenary Session 3

“Transforming Primary Care Practices in Pursuit of the Triple Aim: How Great Leadership Can Make or Break the Deal”

Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC)

Blue Room

7 AM to 5 PM Conference Registration, Membership & Information Desk

If you have any questions about the Conference, please ask any of the friendly staff and volunteers at the Conference Registration & Information Desks. Check the Bulletin Board for announcements or schedule changes, and post a note to connect with colleagues during the Conference.

Blue Prefunction

7:30 AM to 5 PM Continuing Education Information Have a question about CE credit during the Conference? Please visit the CE Information Desk for answers.

East Registration

AGENDA Friday, October 17, 2014

#CFHA2014

1:30 PM to 3 PM Concurrent Education Sessions, Period 2 • Sessions A2a-H2b Seating for all Conference sessions is on a first-come, first-served basis. Arrive early to ensure seating for your preferred sessions.

Refer to Schedule-at-a-

Glance

3 PM to 3:30 PM Refreshments in CFHA Lounge • Exhibits and Posters Blue Prefunction

3:30 PM to 5PM Concurrent Education Sessions - Period 3 • Sessions A3a-H3 Seating for all Conference sessions is on a first-come, first-served basis. Arrive early to ensure seating for your preferred sessions.


Glance

3:30 PM to 7 PM CFHA Board of Directors Meeting Forum Room

Evening CFHA Committees & Special Interest Groups • Informal Get-Togethers

Families and Health SIG—5:15 PM

PCBH SIG—6:15 PM

Early Career Professionals—8 PM

Refer to Bulletin Board for times and

locations

7 PM to 10 PM

Enjoy a night of moonlight merriment aboard Old Town Trolley Tours. A professional tour guide will take you right to some of the city’s most popular monuments and let you see the city in a different light, stopping at the U.S. Marine Corps War Memorial (iconic Iwo Jima flag raising statue), the FDR Memorial and the Lincoln Memorial. Along the way, you’ll be transported back in time as you ride along the same streets the presidents have traveled, and hear historical tales and anecdotes about the city’s fascinating history.

Meet at 6:45 PM in Blue

Prefunction

Monuments by Moonlight Trolley Tour • Limited capacity; advance tickets required

Friday, October 17, 2014

#CFHA2014

Friday, October 17, 2014 8AM to 10AM Plenary Session 2: “Mental Health Promotion and Prevention in Primary Care: An Idea Whose Time Has Come” At the conclusion of this presentation, participants will be able to:

Discuss the basic findings from the Institute of Medicine report on the prevention of mental illness.

Identify the opportunities in the prevention of depression in both adolescents and parents based on recent research. Opportunities to link this to primary care practice will be highlighted.

Explain about the opportunities and challenges in terms of broad scale implementation of mental health promotion and prevention practices under the ACA and implementation of mental health parity regulations.

William R. Beardslee, MD Preventive Intervention Project at Judge Baker Children's Center, Prevention of Depression Study; Academic Chairman, Department of Psychiatry, Harvard Medical School

Dr. William Beardslee was appointed to the faculty at the Harvard Graduate School of Education in 1988. His long-standing research interest has centered on the development of children who are at risk due to severe parental mental illness and focuses on the ways in which self-understanding helps individuals cope with adversity. His early work describes civil rights workers and how they were able to endure and indeed significantly change the South. He studied resilience in survivors of cancer and in children of depressed parents that led to the development of effective public health interventions for families facing depression, and a ten year randomized trial examination of the two strategies which showed that they were safe and led to lasting gains. This approach has since received high ratings in the National Registry of Effective Programs and is being disseminated widely in Finland, Norway, Costa Rica, and in programs in this country.

Dr. Beardslee is currently directing a long-range study at Judge Baker funded by the National Institutes of Mental Health (NIMH) that explores the effects of clinician-facilitated, family-based preventive intervention. This research is designed to gauge the impact of direct intervention and measure its ability to enhance resilience and family understanding for children of parents with affective disorder.



1.5 PER credit

PLENARY SESSIONS

CONCURRENT EDUCATION SESSIONS Period 1: Friday, October 17, 2014 10:30 AM to 12 PM

CFHA 16TH ANNUAL CONFERENCE OCTOBER 16-18, 2014 • WASHINGTON, DC U.S.A.

A1a: The Case for Utilizing Psycho-educational Multiple Family Groups (MFGs) in Medical Settings: Our 25-Year Experience with the Ackerman Institute MFG Model

Although MFGs have been enjoying increasing popularity in medical settings, they still remain very much underutilized. To take up this challenge, for the past 25 years we have been implementing a manualized version of an MFG in a wide variety of clinical settings, including community hospitals, a tertiary care cancer center, and out-patient settings. Join us for a whirlwind review of our MFG experiences, and a discussion of why this model can be so effective and has been so positively endorsed by participating families.

Peter Steinglass, MD, President Emeritus, Ackerman Institute for the Family Clinical Professor of Psychiatry, Weill-Cornell Medical College; Talia Zaider, PhD, Assistant Attending Psychologist, Memorial Sloan-Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences

At the conclusion of this presentation, participants will be able to:

describe the rationale for utilizing MFGs in medical settings list the major components of the Ackerman Institute chronic illness MFG protocol identify appropriate clinical settings and clinical populations for utilization of the Ackerman MFG model

Key Track 1 • Content Level: All audiences • Session Length: 40 minutes

A1b: Engaging Families to Improve Health Outcomes in Diabetes Care

Based on innovative models, this presentation will describe ways that providers can work with families living with diabetes across both community and tertiary care environments. Participants in this interactive session will be able to: 1) describe multiple ways that providers partner with families to better manage health, 2) identify how these collaborative efforts can lower diabetes-related health care costs, and(3) apply these skills in their own professional and community networks to target a broad range of chronic health conditions.

Max Zubatsky, PhD, LMFT, Post-Doctoral Fellow,Chicago Center for Family Health; John Rolland, MD, MPH, Clinical Professor, Department of Psychiatry and Behavioral Neuroscience, University of Chicago Pritzker School of Medicine; Tai Mendenhall, PhD, LMFT, Assistant Professor in Family Social Science, University of Minnesota


identify and define specific ways that professionals can engage with families and patients living with diabetes outside of primary care settings

describe how collaborative partnerships with patients and families can lead to improved health outcomes and reduced healthcare costs

apply these clinical principles across one's own professional and community-based environments and with diverse chronic disease populations




B1a: Telehealth and Primary Care

This presentation will review and discuss multiple uses for telehealth service delivery within the context of primary care settings. A strong focus on integrated care models, multidisciplinary teams, and collaboration among health care providers and community organizations and stakeholders is included. Drs. Lesley Manson and Robynne Lute collectively have 12 years of experience as behavioral health providers using telehealth services in primary care settings. This experience spans the use of such services with pediatric and adult populations, including the seriously mentally ill as well as rural and indigent populations. Telehealth has received strong empirical support with respect to efficacy, and is an effective means for increasing service delivery and service integration.

Lesley Manson, PsyD, Assistant Professor, Licensed Clinical Psychologist, Arizona State University Doctor of Behavioral Health Program; Robynne M. Lute, PsyD, Assistant Professor, Licensed Clinical Psychologist, Coordinator of Primary Care Psychology,Forest Institute; Norman Bell, MD, Pediatrician, Open Door Community Health Centers


identify at least three benefits of using telehealth technology to assist in Triple Aims objectives list at least three empirically supported uses of telehealth for behavioral health care needs identify, define, and discuss multiple forms of telehealth service provision


B1b: Telehealth Behavioral Health Consultation Services: Implementation Strategies and Challenges The delivery of behavioral health consultation services in primary care via telehealth is a feasible, cost-effective model that can improve patient outcomes by providing access to remote sites where behavioral health resources are limited. Behavioral health consultants (BHCs) from Cherokee Health Systems will discuss strategies and challenges for implementation in addition to issues related to workflow, infrastructure and technology.

Jean Cobb, PhD, Psychologist and Behavioral Health Consultant, Cherokee Health Systems; J. David Bull, PsyD, Psychologist and Behavioral Health Consultant, Cherokee Health Systems


increase awareness of how telehealth behavioral health consultation services can achieve the Triple Aim by helping to reduce costs, improve patient experience and population health, and reduce barriers to access care

gain understanding of an effective clinical model that implements telehealth behavioral health consultation services in integrated primary care settings

discuss challenges and recommendations for successful implementation of telehealth behavioral health consultation services




C1a: Trail Blazers. Peer Support in Integrated Health Care: The T&T Experience (Tennessee and Texas)

This presentation will explore the practices of peer support utilized to build and sustain their activities in primary care and mental health settings. Attendees will gain both an understanding of the key components of peer support and practical information for how to implement similar peer support programs within their organizations.

Rick Ybarra, MA Program Officer, Hogg Foundation for Mental Health; Stephany J. Bryan, Program Officer and Consumer & Family Liaison, Hogg Foundation for Mental Health; Suzanne Bailey, PsyD, Clinical Psychologist and Behavioral Health Consultant, Cherokee Health Systems


define at least three challenges and strategies to address challenges identify at least three policy opportunities to advance peer support in primary care settings list three resources to help organizations plan and implement peer support in their settings


C1b: Initial Examination of Characteristics of High-Utilizers of an Established Behavioral Health Consultation Service

The primary care behavioral health (PCBH) model is designed to provide population-based care from a generalist perspective. Good model adherence implies that 85-90% of patients are seen four times or fewer in a given year (Robinson & Reiter, 2007). To date, there has been little work examining the remaining 10-15% of patients, and particularly the high utilizers of such services. The purpose of this talk is to examine characteristics of high-utilizing patients of an established behavioral health consultation (BHC) service during a six-year time span (2007-2013). Basic demographics, including diagnoses, will be explored. Additional characteristics will include analyses related to involvement with other aspects of our BHC team, including consulting psychiatry, care management and/or AODA (spell out) care. An analysis of a subset of patients will explore the potential overlap between high-utilizers of the BHC service and medically complex patients.

Meghan Fondow, PhD, Behavioral Health Consultant, Access Community Health Centers; Elizabeth Zeidler Schreiter, PsyD, Behavioral Health Consultant, Access Community Health Centers; Chantelle Thomas, PhD, Behavioral Health Consultant, Access Community Health Centers; Ashley Grosshans, LCSW, Behavioral Health Consultant, Access Community Health Centers


summarize the basic characteristics of patients of an established BHC service describe characteristics of high utilizing patients of the BHC service describe the program accommodations (i.e. consulting psychiatry, care management, health promotions, etc.),

and the function for a high-utilizing patient population

Key Track 4 • Content Level: Advanced • Session Length: 40 minutes



D1a: The Search for the Holy Grail: Economic Impact Data of Hospital and Emergency Department Utilization

Data obtained from all of the hospital systems in Madison, Wisconsin, will be presented showing utilization patterns of 12,000 primary care patients over 10 years; for some who have a medical home with a community health center that uses the primary care behavioral health model. In addition, the presenters will discuss the challenges associated with obtaining this data as a model for how others may be able to replicate the study, as well as the reasons for obtaining the data as a means of developing a rationale for contracting for incentive payments from insurers.

Neftali Serrano, PsyD, Chief Behavioral Health Officer, Access Community Health Centers; Meghan Fondow, PhD, Behavioral Health Consultant, Access Community Health Centers


describe the process by which system-wide utilization data may be acquired list the results of a study showing primary care utilization patterns of patients with mental health diagnoses in

hospital and specialty care systems discuss how utilization data can be used to develop contracts with insurers that reflect the benefit of integrated

care realized in the integrated medical home


D1b: Successes and Challenges with the Expansion of Open Access Scheduling for Behavioral Health Across Integrated Care Settings

While capitated payment models are emerging, most behavioral health clinicians in primary care continue to work under fee-for-service models. As such, "no-shows" and late cancelations become both real and indirect costs for behavioral health providers in terms of productivity and lost opportunity to meet the needs of other patients. Last year at the CFHA conference, this team presented pilot data on an open access appointment scheduling system that demonstrated a 10% increase in BHC service utilization/ availability. Since then, we have launched this scheduling system in three additional and diverse integrated primary care clinics across the nation. We will present BHC service utilization data and discuss the lessons learned from each site.

David RM Trotter, PhD, Assistant Professor, Texas Tech University Health Sciences Center, Department of Family and Community Medicine; Daniel Mullin, PsyD, Assistant Professor UMass Medical School, Department of Family Medicine and Community Health; Christine Runyan, PhD, Associate Professor, UMass Medical School, Department of Family Medicine and Community Health; James Anderson, PhD, Co-coordinator of Behavioral Science, Family Medicine Residency, Hennepin County Medical Center; Jeanna Spannring, PhD, Primary Care Behavioral Health Fellow, UMass Medical School, Department of Family Medicine and Community Health


describe differences between medical and behavioral health no-show rates describe the expansion of an open access schedule system for BHCs into a diverse set of primary care health

centers articulate three lessons learned from open access scheduling in three integrated health systems

Key Track 4 • Content Level: Basic • Session Length: 40 minutes



E1a: Leadership Practices and Behaviors that Support Integrated Care

Organization leaders play a critical role in creating systems and environments that foster and support integrated care. In this presentation we share leadership practices that we observed among leaders in integrated clinics and heard key informants identify as central to creating strong integrated systems. We contrast how leadership manifests in practices that are just beginning to integrate care with those with years of experience providing population-based integrated primary and behavioral health care.

Deborah J. Cohen, PhD, Associate Professor, Department of Family Medicine, Oregon Health & Science University; Rose K. Gunn, MA, Research Associate, Department of Family Medicine, Oregon Health & Science University;


identify leadership behaviors and practices that facilitate the development of systems and teams capable of delivering integrated care

identify common challenges and barriers that leaders and organizations face in implementing integrated care describe specific leadership practices and behaviors that enable integrated care and move practices toward

achievement of the Triple Aim


E1b: Designing Clinical Space for Integrated Care

An increasing number of health care organizations are implementing models of integrated behavioral health and primary care as a part of routine, patient-centered care. Layout of space in these clinics can present challenges to successful integration or serve to strengthen these models. In this presentation, we highlight the qualities of a clinic's physical layout that facilitate or hinder collaboration among healthcare professionals. We describe which characteristics promote the interaction among primary care clinicians, behavioral health providers, and ancillary staff to support integration; thereby enhancing patient experience of care. We show how different spatial arrangements can influence team dynamics, and share examples of how primary care practices adapt their spaces to better support collaboration among professionals.

Rose K. Gunn, MA, Research Associate, Department of Family Medicine, Oregon Health & Science University; Jennifer D. Hall, MPH, Research Associate, Department of Family Medicine, Oregon Health & Science University; Deborah J. Cohen, PhD, Associate Professor, Department of Family Medicine, Oregon Health & Science University


identify spatial configurations that support collaboration and coordination of integrated teams identify spatial configurations that present barriers to integration discuss the tension that exists between designing space that supports teamwork and that allows for private,

focused care; and describe how sites address these tensions




F1a: The Development of a Collaborative Model that Improves Outcomes and Reduces Costs, while Providing Care Recommendations for Children and Adolescents with Complex Medical, Psychological and Developmental Problems

This presentation is designed to assist those in attendance to develop and sustain a service delivery model that is based on multidisciplinary collaborative care. This interactive session is ideal for participants embarking upon or refining their collaborative approach to providing care for children and adolescents. Each participant will leave with an implementable model and forms for immediate use in his/her own practice. The collaborative format has been developed and used by the Child and Adolescent Program Enrichment Services (CAPES) team over the past four years. Standardized forms are utilized by the CAPES team to collect and analyze data regarding the effectiveness of the program.

Mary E. Rineer, PhD, Director, Child and Adolescent Program Enrichment Services (CAPES); Danny W. Stout, PhD, Statistician (CAPES volunteer) Child and Adolescent Program Enrichment Services (CAPES); Michael J. Sannito, PhD, LPC, Family Therapist Child and Adolescent Program Enrichment Services (CAPES); Christopher M. G. Puls, MD, Child Psychiatrist Child and Adolescent Program Enrichment Services (CAPES)


describe a model of collaborative multidisciplinary care appropriate for complex cases involving children and adolescents

describe the development of a multidisciplinary collaborative team and the utilization of a multidisciplinary intake form

describe and select strategies for the collection of data on the efficiency and productivity of this model and metrics to measure and document change and the benefits of the multidisciplinary model of collaborative care


F1b: Playing by the Rules: Integrated Care's Impact on Quality of ADHD Management

This talk reviews simple roles and procedures that increase adherence to standards of care. The presentation will compare outcome data on physician perceptions of ADHD management, match to standards of care based on data from electronic medical record, and clinical outcomes for ADHD patients from integrated primary care clinics with patients from non-integrated primary care clinics. Outcomes include percentage of standards met, percentage of patients referred for behavioral therapy, percentage of patients prescribed medications, and rates of diagnosis of ADHD (all variables compared between IPC clinics and traditional primary care clinics).

Tawnya J. Meadows, Pediatric Psychologist, Geisinger Health System; Shelley J. Hosterman, Pediatric Psychologist, Geisinger Health System


identify simple data collection procedures to measure outcomes related to standards of care compare ADHD outcomes in three domains between integrated and comparison sites identify procedures implemented to impact standards of care adherence




F1c: A Penny Saved Is a Penny Earned: Pharmacy and Behavioral Health Cost Savings in Pediatric Integrated Primary Care (IPC) Clinics

Studies demonstrate cost offset from integration of behavioral health and primary care in adult populations and specific areas of population health. However, few studies evaluate cost-offset in the pediatric population. This study shares financial outcomes from a three-year pediatric IPC pilot program within the Geisinger Health System. Current data indicate significant savings in pharmacy and behavioral health costs for patients served in IPC clinics verses the overall patient population. This presentation will discuss strategies used to measure cost offset, review findings and facilitate a discussion of implications and generalizability.

Paul Kettlewell, Pediatric Psychologist, Geisinger Health System; Tawnya J. Meadows, Pediatric Psychologist, Geisinger Health System; Shelley J. Hosterman, Pediatric Psychologist, Geisinger Health System; Vanessa Pressimone, Post-doctoral Fellow, Geisinger Health System


identify data collection procedures to measure outcomes on cost offset describe pharmacy savings found, and discuss possible reasons for this result list two plausible reasons why per member per month behavioral health costs were lower in IPCs versus

standard primary care clinics


G1a: Getting Unstuck: A Strategy that Works for Patients, Practices, and Health Systems

We've all heard it: "I can't do that;" "We're too busy;" "We can't afford it." In our work at all levels…-individual, practice and system, we've encountered people and organizations that are "stuck." Through our experience with patients, we have implemented an evidence-based model of brief treatment that works to help get them "unstuck" and moving again toward a lifestyle they value. The same treatment principles can be adapted to move integration forward within a practice or within a health system. During this presentation, participants will learn the key concepts of a brief treatment model. They will then learn how the same techniques can be used to help a medical practice or health system enhance integrated care.

Mary Jean Mork, LCSW, Program Director, MaineHealth; Melissa Cormier, LCSW,Clinical Program Manager, Maine Mental Health Partners; Cynthia Cartwright, MT, RN, MSEd, Program Manager, MaineHealth


identify phrases that indicate when patients, practices, or systems are stuck describe key concepts of a brief treatment model for patients adapt and use a brief treatment model for practice and system change




G1b: Integration in Practice: Tracking the Transformation

Elements of practice redesign have been identified, which support quality improvement and practice transformation that are building blocks for sustainable integration and achieving the Triple Aim. The integration of primary care and behavioral health represents sophisticated practice transformation, requiring practices to be attentive to underlying elements of quality improvement. The Comprehensive Primary Care Monitor (CPCM), a self-administered practice tool, accounts for how these elements of practice transformation are applied and support integration; while simultaneously helping practices to self-assess, prioritize their work and monitor progress. This working session will demonstrate how this tool has been used in practice settings, and engage participants to adapt it to their own.

Stephanie Kirchner, MSPH, RD, Practice Facilitation Program Manager, University of Colorado, Department of Family Medicine; Kyle Knierim, MD, Instructor, Practice Transformation Research, University of Colorado, Department of Family Medicine; Perry Dickinson, MD, Professor University of Colorado, Department of Family Medicine


describe how ongoing quality improvement and change management are crucial in supporting behavioral health integration in a primary care setting

identify how the CPCM could be utilized in their own settings to supporting ongoing integration efforts discuss how elements of the CPCM align with essential practice transformation and support practice self-

assessment.


H1: Debating Integrated Care's Unresolved Issues

There is no better locale than Washington, DC for integrated care's brightest minds to hash out our field's most pressing controversies: 1) Susan McDaniel vs. Paul Simmons: Does the PCMH require a physician to be the team leader? 2) Alexander Blount vs. Jeff Goodie vs. Andrew Pomerantz: Should the first hire for an integrated clinic be a care manager, therapist, or psychiatrist? 3) Barry Jacobs vs. Ben Miller: Is a PCMH or super-utilizer approach more likely to achieve the Triple Aim? 4) Laura Sudano vs. Shelina Foderingham vs. Kyle Horst: What are the most awkward moments in integrated care settings? We will strive for robust empiricism, but might settle for strong rhetoric where we lack solid data. Regardless, you will leave informed of the latest science and most relevant policy advances.

Moderated by Randall Reitz, PhD, Director of Behavioral Sciences, St. Mary's Family Medicine Residency; and Jodi Polaha, PhD, Associate Professor of Psychology, East Tennessee State University


elucidate whether physicians should always be PCMH team leaders or if leadership should be based on individual and institutional qualities

make the scientific and operational case for hiring a care manager, therapist, or psychiatrist for a clinic adding integrated care services

describe pros and cons of the PCMH and super-utilizer models and to gauge which one would be more likely to accomplish the Triple Aim in their setting


750 First Street, NE | Washington DC 20002 | www.apa.org/journals

APA JOURNALS®

Publishing on the Forefront of Psychology

Offi cial Journal of the Collaborative Family Healthcare Association

www.apa.org/pubs/journals/fsh

Published quarterly, beginning in March2013 JCR Impact Factor®: 1.039

Families, Systems, & Health® is a peer-reviewed, multidisciplinary journal that seeks to develop

the knowledge base of a systemic approach to healthcare that integrates mind and body;

individual and family; and communities, clinicians, and health systems while considering cost-

effectiveness and distributive justice. The journal’s scope includes the following three domains:

(a) family functioning, (b) systems thinking, and (c) health. The journal provides a forum to

examine clinical and program innovation, health policy, research, and evaluation of training.

Editors: Colleen T. Fogarty, MD, MSc, and Larry Mauksch, MEd

#CFHA2014

PLENARY SESSIONS

Friday, October 17, 2014 12 PM to 1:15 PM

Plenary Session 3: “Transforming Primary Care Practices in Pursuit of the Triple Aim: How Great Leadership Can Make or Break the Deal” At the conclusion of this presentation, participants will be able to:

Identify three characteristics of great leadership which can assist in facilitating practice transformation.

Describe two ways in which behavioral health integration is instrumental to a successful patient-center medical home.

Describe how various elements required in the PCMH model impact the three goals of the triple aim.

Marci Nielsen, PhD, MPH Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC)

Marci Nielsen, PhD, MPH, joined the PCPCC as Chief Executive Officer in 2012. Prior to the PCPCC, Dr. Nielsen served as Vice Chancellor for Public Affairs and Associate Professor at the University of Kansas School of Medicine’s Department of Health Policy and Management. Dr. Nielsen was appointed by then-Governor Kathleen Sebelius as first Executive Director and Board Chair of the Kansas Health Policy Authority (KHPA). She worked as a legislative assistant to U.S Senator Bob Kerrey (D-Nebraska), and later served as the health lobbyist and assistant director of legislation for the AFL-CIO. She is a board member of the American Board of Family Medicine, and former member of the Health Care Foundation of Greater Kansas City, TransforMED LLC and the Mid-America Coalition on Health Care. She was also a committee member for the Institute of Medicine’s Leading Health Indicators for Healthy People 2020 and Living Well with Chronic Illness: A Call for Public Health Action.

Early in her career she served as a Peace Corps volunteer working for Thailand’s Ministry of Public Health and served for six years in the US Army Reserves. Dr. Nielsen holds an MPH from the George Washington University and a PhD from the Johns Hopkins School of Public Health.



0.0 PER credit

CONCURRENT EDUCATION SESSIONS Period 2: Friday, October 17, 2014 1:30 to 3 PM


A2a: Self-Management for Persons with Serious Mental Illness in a Patient-Centered Behavioral Health Home

Patient-centered behavioral health homes provide integrated behavioral and physical healthcare by addressing risk factors that lead to premature mortality in persons with serious mental illnesses. The presentation describes a peer or case manager-led model for self-management for key wellness areas, namely; healthy weight, smoking cessation, increasing physical activity, improving sleep, stress reduction, taking medications effectively, and keeping up with behavioral and physical healthcare.

Jaspreet S. Brar, MD, PhD, Senior Fellow, Western Psychiatric Institute & Clinic and Community Care Behavioral Health; Melissa Rufo, CPRP, Training Coordinator, Community Care Behavioral Health; Suzanne Daub, LCSW, Senior Consultant, National Council for Behavioral Health


describe the key features of a self-management program describe the roles of a health navigator in supporting and facilitating self-management in a behavioral health

home describe the roles of a person with serious mental illness in a behavioral health home that emphasizes self-

directed care


A2b: Primary Care Services for Persons with Serious Mental Illness: Moving Towards Clinical Systems Integration and Financial Sustainability

It is well known that individuals with serious mental illness (SMI) experience significant medical comorbidity and early mortality, dying on average 10-25 years earlier than the general population due to often treatable or preventable medical illnesses. The SMI population often lacks access to quality primary care, and relies on emergency department services as their main source of primary care that results in avoidable health care costs and poor continuity of care for management of chronic medical conditions. Consistent with the Triple Aim, there have been increasing efforts to integrate primary care and behavioral health care safety net services for this population to: 1) increase patient access to primary care services that are tailored to unique psychiatric and medical needs, 2) decrease reliance of emergency room services as the main source of primary care and reduce inappropriate, often more expensive medical care, and 3) increase patient psychiatric and medical outcomes including patient engagement. This presentation will briefly describe the evolution of primary care services embedded with a large urban community mental health center, lessons learned in the integration process, as well as clinical and economic outcomes. Presenters will engage the audience in a discussion regarding the necessary clinical, operations, systems, and financial steps needed in creating "healthcare neighborhood" for this vulnerable population; and working within an accountable care framework.

Jeanette Waxmonsky, PhD Director, Community Mental Health Integration Colorado Access


identify the challenges and lessons learned from integrating primary care services with a mental health center for persons with SMI

describe how primary care integration for the SMI population meets the objectives of the Triple Aim list the clinical, operational, and financial steps /considerations needed within one's own organization to

provide integrated primary care and behavioral health services for persons with SMI




A2c: Integrating Behavioral Health Services into the Public Health Centers of Philadelphia

Lacondria Simmons serves as behavioral health consultant (BHC) at four ambulatory health centers operated by the Philadelphia Department of Public Health, attending different clinics on different days of the week. She discusses BHC work with HIV+ patients in settings very different from the academic medical centers where our other BHCs work. The clinic environment can be especially difficult for HIV positive patients who often require added support to manage psychosocial aspects of the disease. When large healthcare systems lack a strong behavioral health presence, patients may fail to get the support needed. This has major implications for treatment adherence and cost management, as poor treatment outcomes contribute to higher long-term costs. Integrating mental health services into public health clinics (PHCs) presents unique challenges that are different from other medical organizations.

Lacondria Simmons, PhD, Drexel University College of Medicine and Behavioral Health Consultant at the Ambulatory Health Centers - Philadelphia Department of Health


compare PHCs and academic medical centers as settings for treating HIV+ patients describe the special challenges for medical providers and BHCs at public health clinics discuss how a BHC service assists both medical providers and patients in the public health clinic setting


B2a: Quality Control and Fidelity to Primary Care Behavioral Health Model of Service Delivery: Programmatic Behavioral Health Consultant Training in a Large Federal Healthcare System

This presentation will provide an overview of the systematic training program for behavioral health consultants in a healthcare system providing care for more than three million individuals. We will discuss the development and use of expert trainers, and review the benchmarks for training behavioral health consultants to work as fully integrated primary care team members. This presentation is relevant to practice managers, supervisors, administrators and behavioral health providers. Ensuring fidelity to evidence-based service delivery has implications for patient and provider experience of care, population health impact and healthcare cost.

Christopher L. Hunter, DoD Program Manager for Behavioral Healthin Primary Care, Defense Health Agency; Kent A. Corso, Program Manager, Behavioral Health in Patient Centered Medical Home,National Capital Region Medical Directorate


list the core competencies behavioral health consultants need for consistent primary care-appropriate behavioral health service delivery

describe the types of policies/standard operating procedures needed to ensure consistent training and monitoring of service delivery over time

describe the competencies and skills needed for expert trainers




B2b: Mapping New Territory: Implementing the Primary Care Behavioral Health (PCBH) Model in Homeless Shelter Clinics

This presentation will discuss the implementation of the primary care behavioral health (PCBH) model within a homeless clinic (HHH-Healthcare for the Homeless of Houston). Demographics, outcome data (e.g., patient factors associated with behavioral health consultation), challenges for implementation in a homeless population, and implications for clinical practice will be discussed.

Stacy Ogbeide, PsyD, MS, Healthcare for the Homeless-Houston, Instructor, Dept. of Family & Community Medicine, Baylor College of Medicine; David S. Buck, MD, MPH, Professor, Department of Family & Community Medicine Baylor College of Medicine President & Founder, Healthcare for the Homeless Houston; Jeff Reiter, PhD, ABPP HealthPoint Community Health Centers,


discuss the unique needs of homeless clinics and strategies for tailoring the PCBH model to this population with comorbid health conditions

describe the clinical and systems challenges to implementing the PCBH model in a homeless clinic explain the basic, descriptive data for a new PCBH service in a homeless clinic; including preliminary clinical

outcomes, descriptive patient data, most common conditions treated, and others


B2c: The Use of Standardized Patients to Assess Behavioral Health Consultant Core Competencies

To promote fidelity to behavioral health consultation (BHC) practice in the incumbent workforce, Health Federation of Philadelphia (HFP) developed a novel methodology to assess BHC performance. The HFP team created a typical primary care case, and the Philadelphia College of Osteopathic Medicine trained standardized patients to simulate the intervention. The HFP team observed and rated BHC competencies using assessment tools developed for this project. Ratings were used to inform individual professional development recommendations and training priorities for the network of behavioral health practitioners. Findings also serve as an evaluation tool to assess the impact of the network learning community on the development of fidelity to and mastery of BHC competencies.

Natalie Levkovich, CEO Health Federation of Philadelphia; Suzanne Daub, LCSW Clinical Director, Primary Care Behavioral Health Network, Health Federation of Philadelphia, Senior Consultant, The National Council for Behavioral Health; Neftali Serrano, PsyD, Chief Behavioral Health Officer Access Community Health Centers


describe the novel methodology for assessing BHC core competencies identify the BHC competencies that were assessed list the application of findings for quality improvement




C2a: Integrating Positive Psychology Interventions into HIV Care

Positive psychology is a field of psychological study and treatment that focuses on wellbeing and self-enhancement, rather than the treatment of ailments. HIV patients, especially those in underserved populations, are in need of interventions that create resiliency, are easily integrated into existing lifestyles and promote self-efficacy. Positive psychology interventions work well within the behavioral consultation model, as they provide empirically supported interventions that empower both patients and providers alike to manage their own health and focus on wellbeing.

Bryce Carter, PhD, Clinical Director, Drexel University Medical Center, Behavioral Health Consultant,Hospital of the University of Pennsylvania


define positive psychology and wellbeing Understand better at least three subjects of positive psychology that best fit with the BHC model identify at least three positive interventions that are applicable to their own work


C2b: Integrating Behavioral Health Consultation into HIV Care Clinics

Beginning in the fall of 2011, Drexel University College of Medicine hired and trained six behavioral health consultants (BHC) to be placed six HIV clinics in Philadelphia. The project was supported by the AIDS Activities Coordinating Office of the Philadelphia Department of Health with grant funds from SAMSHA as part of the federal inter-agency 12 cities program to concentrate resources for HIV/AIDS prevention and treatment services in the cities with the largest numbers of HIV+ individuals. The project represents the first time (to our knowledge) that BHC services have been made available in HIV clinics. Our overview looks at rationale, policy, planning, hiring, training, and lessons learned from more than two years in the field.

Bryce Carter, PhD, Clinical Director of the Project and Behavioral Health Consultant at the Hospital of the University of Pennsylvania; Victor Lidz, PhD, Professor, Department of Psychiatry, Drexel University Medical Center and Project Director; Ed Carlos, MSW, LCSW, Behavioral Health Consultant, Partnership Comprehensive Care Practice, Drexel University College of Medicine


compare the roles of BHCs at FQHCs and at infectious disease clinics in academic medical centers discuss the behavioral health needs of the populations of patients in HIV primary care as compared with

those of FQHCs critique the expectation of concrete health benefits to be gained by establishing BHC services at HIV primary

care clinics




D2a: Integrated Treatment of Child Obesity and Overweight in the Primary Care Pediatric Setting

The Healthy Kids Program at Evans Army Community Hospital is a fully integrated, evidence-based, collaborative approach to treating childhood obesity and overweight that includes a pediatrician, a psychologist, the patient, family members, and a dietician. The team works together to identify, assess, educate, and motivate children and families to develop healthy lifestyle behaviors that lead to improved health outcomes, currently tracked and measured in our clinic through an ongoing performance improvement research project. The program combines current American Academy of Pediatrics (AAP) recommendations for medical treatment of obesity, as well as several evidence-based behavioral interventions (including motivational interviewing), eventually leading to improved patient outcomes.

Timothy Marean, MD, Pediatrician, Department of Medicine, Pediatrics, Evans Army Community Hospital; Jennifer Fontaine, PsyD, Psychologist, Department of Medicine, Pediatrics, Evans Army Community Hospital


identify current AAP guidelines for assessment and treatment of pediatric obesity list three motivational interviewing techniques to use with families needing to adopthealthy lifestyle

behaviors, but having difficult doing so identify the steps involved in screening for comorbid conditions of obesity, such as diabetes, hyperlipidemia

and fatty liver disease


D2b: Well-Child Visits: A Platform for Prevention and Early Intervention

In an effort to improve early identification and intervention of mental health (i.e., anxiety and depression) and physical health (i.e., tobacco and substance use and obesity) conditions in adolescents, Cabin Creek Health Systems (CCHS), an FQHC in rural WV, created a wellchild visit "standing order" for behavioral health providers. This presentation will describe the screening tool used, lessons learned from implementation, and data from these screenings. It will also include a discussion of evidence-based interventions for common health-related and mental health conditions.

Alicia L. Smith, PsyD, Behavior Health Consultant Cabin Creek Health Systems; Jennifer J. Hancock, PsyD, Behavior Health Consultant Cabin Creek Health Systems


Learn how to implement behavioral health screenings during wellchild visits identify common behavioral and health promotion diagnoses seen in a rural primary care clinic Learn more about evidence-based interventions for common health-related and mental health conditions




E2: Super-Utilizer, Team-Based, Cross-Setting Care: The Future of Healthcare Cost Reduction

The super-utilizer approach of intensive team-based care and care coordination, created by Dr. Jeffrey Brenner, has been embraced by healthcare providers and systems around the country as an effective means for reducing unnecessary hospital and ER admissions for our most medically and psychosocially complex patients. This workshop will describe two super-utilizer programs, for middle-aged and frail elderly patients, launched by the Crozer-Keystone Health System in suburban Philadelphia to illustrate data analysis, patient selection, team processes and outcome evaluation techniques. Examples of patient cases and program designs will be provided.

Barry J. Jacobs, PsyD, Director of Behavioral Sciences, Crozer-Keystone Family Medicine Residency Program


identify the key components of the super-utilizer approach for reducing healthcare costs describe the integrated team composition and processes of super-utilizer programs understand the implications of super-utilizer programs for developing tiered care for chronically ill patients


F2a: Promoting Mindful Clinical Interaction while using Electronic Technologies: A Group Training to Improve Patient Experience

This workshop was developed with funding from the Arnold P. Gold Foundation to address the fast-paced training and increasingly technical environment in healthcare that seems to encourage more interface with computers and monitors than with patients and families. The stressors and time demands of primary care provide additional incentives to become data-focused to the potential or actual exclusion of relationship-focused activity. This focus on technology and data can interfere with patients' and clinicians' experiences with relationship-centered care. Using techniques from the literature on patient-centered EHR use combined with mindfulness techniques and self-reflection, the presenter developed a workshop broadly applicable across discipline of origin to assist us in improving patient-centered clinical skills while using electronic health records.

Colleen T. Fogarty, MD, MSc, Associate Professor University of Rochester Department of Family Medicine


recognize the importance of dialogue and training to promote the patient-centered use of electronic health records in clinical encounters

list recommended clinician behaviors that promote patient-centeredness while using an electronic health record

Discuss the use of 55 word stories as a self-reflective activity in clinical education




F2b: Turning Fragmented Comments into Integrated Conversations: Addressing Sexuality and Spirituality in Clinical Care

The topics of sexuality and spirituality often elicit strong reactions from patients, families and providers. This workshop will provide a framework for understanding and responding to these reactions so that patients can have a better experience and professionals can facilitate more effective care. Exploration of the provider's own reactions, as well as evidenced-based patient care, will be presented.

Claudia Grauf-Grounds, PhD, LMFT, Professor, Marriage and Family Therapy, Director of Clinical Training & Research, Seattle Pacific University; Tina Schermer Sellers, PhD, LMFT, Clinical Professor Marriage & Family Therapy, Director of Medical Family Therapy, Seattle Pacific University, Clinical Faculty University of Washington Family Medicine


listen and respond more effectively to patient concerns surrounding sexuality and/or spirituality describe how clinical conversations about sexuality and spirituality can fit into evidenced-based patient care discuss the importance of the provider’s own reactivity to the topics of sexuality and spirituality in providing

high quality clinical care


G2a: Implementing a Primary Care Behavioral Health (PCBH) Model of Care: How Do You Evaluate It?

In our current financial climate, the most common request administrators or clinicians have to deal with after implementing a new model of care or program is: SHOW ME THE EVIDENCE/DATA. This information is often then used to decide various fates of the entire program and/or staff. This is a significant and sometimes daunting task when employing a new model of integrated healthcare, such as the PCBH model of care because it impacts multiple levels within the healthcare system. Most frontline providers/supervisors rarely come to their positions with extensive knowledge in program evaluation. This workshop is designed to help convince you that YOU CAN DO IT, and that it does not need to cause any anxiety or pain in the process.

Jennifer Funderburk, PhD, Clinical Research Psychologist, VA Center for Integrated Care; Robyn Fielder, PhD, Postdoctoral Fellow VA Center for Integrated Healthcare; Gregory Beehler, PhD, Research Psychologist VA Center for Integrated Healthcare; Zephon Lister, PhD, Assistant Clinical Professor; Director of Collaborative Care Program, Department of Family & Preventive Medicine, University of California San Diego; William Sieber, PhD, Director of Research, Associate Director Collaborative Care, UCSD Division of Family Medicine; Gene Kallenberg, MD, Executive Director, Division of Family and Preventive Medicine, Department of Family & Preventive Medicine, University of California San Diego; Melissa Baker, PhD, Behavioral Health Consultant HealthPoint; Tawnya J. Meadows, Pediatric Psychologist, Geisinger Health System; Shelley J. Hosterman, Pediatric Psychologist, Geisinger Health System


define program evaluation describe one theoretical framework that can help guide program evaluation describe the various components of conducting a program evaluation of a PCBH model of care




G2b: Evidence-based? Prove It! Real World Strategies for Showing that Your Work Works

Do you want to demonstrate the significance or vaIue of your integrated program? In this presentation, four researchers will tell their stories about how they collected good data in "real world" clinic settings. Practical recommendations will be provided for getting started in program evaluation in a way that will impact not only your developing program, but also the field of integrated care. The audience will have the opportunity to frame its own questions, and to begin developing methods with feedback.

Jodi Polaha, PhD, Associate Professor, Psychology, East Tennessee State University; Jennifer Funderburk, PhD, Clinical Research Psychologist, VA Center for Integrated Care; Andrea Auxier, PhD, National Director of Integration, ValueOptions; Jeff Goodie, PhD, Associate Professor, Department of Family Medicine, Uniformed Services University;


describe methods for building an interprofessional research team in integrated care discuss strategies for collecting meaningful data in a way that is time- and energy-efficient (fits into workflow) articulate a specific aim, team make-up, and methods that can fit their clinic setting


H2a: CFHA Policy Agenda

This interactive session will allow participants to review in detail the CFHA Policy Agenda and to exchange ideas about how it can be used for advocacy at organizational, professional and/or jurisdictional levels. The aim of the session is to give those who wish to advance the implementation of integrated care, particularly in the primary care setting, an opportunity to think collectively and learn about strategies that can be applied within each participant’s sphere of influence as well as to inform future iterations of the policy as the realities of healthcare evolve.

Natalie Levkovich, Chief Executive Officer, Health Federation of Philadelphia; Andrew S. Pomerantz, MD, National Mental Health Director, Integrated Care, Veterans Health Administration; Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC)




H2b: Selling Integration: How we Convinced our Community to Invest in the Future

The truth about integration is that it is not one thing. Any organization thinking about creating an "integrated" care system needs to understand the philosophies of your organization or agency, what you can afford and the make up of your patient popuilation. On reflection, our integration preparation completely lacked in this regard. Learn from the team in Central Oregon who set out on a mission to integrate behavioral health in 2010; and successfully integrated primary care, pediatrics, internal medicine and obstetrics along with inpatient units (i.e., the neonatal intensive care unit). They were able to convince hospital and clinic leaders, payers and a community to adopt integrated care as the standard of practice throughout the region and as a key component of the coordinated care strategy in the region.

Kristin Powers, LCSW, Manager, Health Integration Projects, St Charles Health System; Robin Henderson, PsyD, Chief Behavioral Health Officer, St Charles Health System


identify the key components needed to convince community leaders that integrated behavioral health can assist in meeting Triple Aim metrics

discuss the importance of engagement of clinic staff, patients and families in the development and implementation of new models of care

list key strategies that worked and did not work during the implementation of integrated behavioral health in primary care and other settings




A3a: A Six-Session Evidence-based Protocol for the Treatment of Individuals with Chronic Pain in an Integrated Primary Care Setting

This six-session, culturally flexible, individual protocol utilizes evidence-based interventions taken from the literature on the treatment of chronic pain from cognitive behavioral therapy (CBT) and ACT (spell out) perspectives. For the presentation, a session-by-session explanation will be reviewed with the support of practical handouts. We will also discuss how to facilitate the implementation of this protocol in a primary care setting, and how to facilitate collaborative team support (physician and ancillary providers) following the intervention.

Abigail Lockhart, Integrated Primary Care Psychology Fellow, The Colorado Health Foundation; Laurie Ivey, Director of Behavioral, Health Swedish Family Medicine; Samantha Monson, Psychologist, Denver Health Medical Center


learn a brief, six-session individual treatment intervention that can be implemented by behavioral health providers in integrated care settings

describe how to facilitate improved communication with the patient's primary care provider and other PCMH treatment providers to promote collaborative models of care

identify strategies for recruiting patients in a primary care setting


A3b: Neurofeedback in Collaborative Primary Care

This presentation will cover the process of introducing and implementing an evidence-based complementary therapy into the collaborative primary care setting. The discussion will present the issues and aspects of facilitating such a service using Peek's Three World View ( clinical, operational, and financial). Additionally, specific barriers, such as physician attitudes, will be discussed in terms of how to identify and rectify said barriers of implementation to ensure sustainability of the service.

Lisa Black, UCSD Family Medicine; William Sieber, UCSD Family Medicine; Jenee James, UCSD Family Medicine; Zephon Lister, UCSD Family Medicine


identify the factors that facilitate and/or hinder implementation of an evidence-based complementary therapy (i.e., neurofeedback)

describe methods to integrate new services into a collaborative primary care setting discuss options to rectify barriers of implementation of new services




A3c: Provider Perspectives of Medically Unexplained Illness and Medically Unexplained Symptoms

Patients who present with medically unexplained illnesses or medically unexplained symptoms (MUI/S) tend to be higher utilizers of healthcare services and have significantly greater healthcare costs than other patients, which adds stress and strain for both the patient and provider. Through a systematic review of the literature and a qualitative phenomenological study, we found that providers often experience a lack of confidence in their ability to effectively treat patients with MUI/S, as well as frustration surrounding their encounters with this group of patients. Additional resources, such as mentorship and collaboration with behavioral healthcare professionals, could assist providers in feeling confident in their ability to provide effective care and acquire confidence in their abilities to treat patients with MUI/S.

Jennifer Harsh, PhD, LMFTA, Clinical Research Coordinator, Duke Cancer Patient Support Program Duke Cancer Institute; Jennifer Hodgson, PhD, LMFT, Professor, East Carolina University


discuss the gaps in the literature from providers' perspectives of working with patients who present with MUI/S identify resources that may assist providers with increasing their confidence and decreasing frustration

surrounding their work with patients with MUI/S explain the benefits of utilizing training tools that focus on MUI/S in medical education programs and trainings


B3a: Behavioral Health Integration in Solo and Smaller Primary Care Practices: Findings from a Pilot Study

Integrating behavioral health and primary care is key to achieving the Triple Aim of improved patient experience, improved population health and reduced cost.To date, there have been few studies of integrated care in smaller, primary care practices. One key to progress is to gain a better understanding of the current state of integration, especially in solo and smaller practices. In this presentation we present findings about integrating care from a pilot survey of primary care physicians in solo and smaller practices.

Vasudha Narayanan, MA, MBA, MS, Associate Director Westat; Benjamin F. Miller, PsyD, Department of Family Medicine, University of Colorado School of Medicine; Paul Weinfurter, MSPH, Sr. Study Director Westat; Garrett Moran, PhD, Vice President Westat


Better understand the current state of behavioral health integration in solo and small primary care settings identify areas within their own practices that may present barriers to integrating behavioral health as identified

by the pilot study




B3b: Engaging the Sick Patient: Using Hospitalization to Establish Care in an Outpatient Clinic

This presentation aims to address the Triple Aim of this year's conference by proposing how the health systems that participated in our project have benefited from the inpatient/outpatient coordination of both medical providers and behavioral health consultants. Allowing the behavioral health consultants (BHCs) to engage with patients when they have been admitted to an inpatient unit improves patient experience through establishing care. Doing so also provides for improved population health. Positing that BHC engagement decreases the number of re-hospitalizations, we will suggest it will also reduce cost, considering the ACA changes concerning reimbursement for subsequent hospitalizations.

Nicholas Madsen, MSW, LCSW, Drexel University College of Medicine and Behavioral Health Consultant at Presbyterian Medical Center of Philadelphia


discuss how BHCs can engage patients while hospitalized describe the benefits of establishing care during hospitalization identify potential areas for concern with this integration


C3a: Actualizing Our Vision: An Innovative Approach to Engaging Care Team Members in Patient-centered Medical Home (PCMH) Self-Management Support

One of the challenges of PCMH implementation is to keep primary care providers and care team members truly engaged in health care transformation versus just "checking the box" to acquire NCQA recognition. This presentation will explore how Yakima Valley Farm Workers Clinic was able to operationalize our organization's mission, vision, and values; and integrate them into evidence-based skill training. We will describe how we adapted concepts from motivational interviewing to create a patient-centered culture in our clinics, and move providers beyond a "checking the box" mentality.

Brian E. Sandoval, PsyD, Primary Care Behavioral Health Manager, Yakima Valley Farm Workers Clinic; Juliette Cutts, PsyD, Primary Care Behavioral Health Consultant and Training Lead, Yakima Valley Farm Workers Clinic, Salud Medical Center


describe how connecting training with organizational mission can make the difference between checking boxes and true transformation

discuss how using a multi-modal approach can empower patients and their providers to participate in patient centered care

identify strategies for leveraging behavioral health consultants, as well as data, to drive transformative change




C3b: Building a Team Over Time and Space: Strategies for Enhancing Behavioral Health Consultants (BHC) Collaboration across Clinics in a Large Geographic Area

Establishing a network of BHCs across two states while developing a sense of teamwork can be daunting. At Yakima Valley Farm Workers Clinic (YVFWC), we have developed a process for quickly on-boarding and integrating new BHCs to effectively work as a cohesive team. By leveraging core-competencies, technology, and a model of distributed leadership; our method has helped us maintain fidelity to the PCBH model, while also creating a platform for ongoing professional development and improved clinical services.

Brian E. Sandoval, PsyD, Primary Care Behavioral Health Manager, Yakima Valley Farm Workers Clinic; Brian Chao, PsyD, Primary Care Behavioral Health Consultant, Yakima Valley Farm Workers Clinic, Rosewood Family Health Center; Juliette Cutts, PsyD, Primary Care Behavioral Health Consultant, Yakima Valley Farm Workers Clinic, Salud Medical Center


identify how core competencies facilitate BHC on-boarding, professional development, and PCBH model fidelity define the distributed leadership model and its impact on population health, BHC engagement, and burnout

reduction discuss strategies for using technology to facilitate collaboration and service delivery across a large geographic

area


D3a: What Do I Do with this Family?: Healthcare Innovations Using a Relational Lens

This interactive workshop will offer a synthesis of contemporary advancements in healthcare using a relational lens through medical family therapy (MedFT) training, research, policy, and financial models. Presenters will highlight and draw from their recentlypublished text, Medical Family Therapy: Advanced Applications, wherein established and rising leaders across multiple disciplines have contributed cutting-edge knowledge about how to make the Triple Aim a reality in the ways that we prepare for, organize, practice, fund, and sustain care. From new trainees to seasoned practitioners, educators, administrators, and policy makers, participants will walk away with newfound energy and resources to take part in this exciting evolution.

Tai J. Mendenhall, PhD, LMFT, CFT Assistant Professor, Couple & Family Therapy Program / Family Social Science Adjunct Professor, Family Medicine & Community Health University of Minnesota, Twin Cities; Jennifer L. Hodgson, PhD, LMFT Professor, Medical Family Therapy Program / Child Development and Family Relations Adjunct Associate Professor, Internal Medicine, Family Medicine, & Psychiatry East Carolina University


describe ways that MedFTs can respond to the Triple Aim's focus on population health articulate ways that MedFTs can respond to the Triple Aim's focus on patients' experiences describe ways that MedFTs can respond to the Triple Aim's focus on cost reduction




D3b: "I Think Something Might Be Wrong with Max": How Expert MedFTs Share Biomedical Information with their Physician Collaborators

Behavioral healthcare providers may acquire important biomedical information about health habits and emergent or chronic medical conditions from their patients; however, many withhold this information from collaborating physicians because of concerns about scope of practice, professional boundaries, or even the physician's response. In this presentation, you will hear exploratory research about how expert MedFTs developed their own ways of sharing medical information with physician colleagues, what processes they used (alongside factors that impacted these processes), and what patient, professional, and personal outcomes resulted. The presenters and the audience will then brainstorm next steps to use these findings to improve collaborative training and clinical care.

Mary T. Kelleher, MS, LMFT, Faculty Chicago Center for Family Health; Tai J. Mendenhall, PhD, LMFT Assistant Professor Department of Family Social Science University of Minnesota, Twin Cities


understand the importance of the unrestricted flow of all relevant patient information between behavioral healthcare practitioners and physician collaborators to improve patient experiences

describe the processes used by expert MedFTs to share biomedical information with physician collaborators, and how they were developed

identify gateways and barriers to a successful biomedical information-sharing process


E3a: Promoting Health through Interdisciplinary Substance Use Consultation in Primary Care

The prevalence of substance use disorders existing in the primary care patient population has been cited up to 20 percent (Mersey, 2004); however, these estimates often largely under-represent the number of patients using substances, illicit and/or prescribed, problematically. The detection, treatment, and management of these patients in primary care settings is influenced by multiple factors: patient’ level of motivation, insurance coverage, and various other psychosocial/environmental variables. A description of the development and evolution of a substance use interdisciplinary "health promotions" consult clinic embedded within a federally qualified health center will be provided. This talk will also identify how this clinic specifically addresses typical treatment barriers and implementation challenges, while leveraging the primary care behavioral health model. Additionally, we will discuss patient demographics, participation prevalence, access to treatment timelines, primary care provider satisfaction, and innovative technological applications.

Chantelle Thomas, PhD, Behavioral Health Consultant, Access Community Health Care Center; Elizabeth Zeidler, PsyD, Behavioral Health Consultant, Access Community Health Care Center; Meghan Fondow, PhD, Behavioral Health Consultant, Access Community Health Care Center


describe the evolution and implementation of the health promotions clinic, including clinic pathways that inform patient care flow and provider feedback

define the role of the behavioral health team as it relates to referral and day–today operations of the health promotions clinic

identify clinic, provider, and patient characteristics best served by this model




E3b: To the Rescue: Implementing Naloxone Rescue and Other Harm Reduction Strategies for Drug Abusing Patients

Drug overdose death rates in the United States have tripled since 1990. Deaths due to prescription painkiller deaths frequently involve alcohol or at least one other drug. Primary care providers are often on the front line in caring for patients with illicit and prescription drug misuse. Teaching providers about harm reduction principles is crucial. Implementation of harm reduction strategies, such as Naloxone rescue and controlled substance letters of concern, by the integrated health team is essential to provide appropriate care for these at-risk patients in the patient-centered medical home.

Patricia M. McGuire, MD, Director of Psychiatric Education Psychiatrist, Integrated Behavioral Health, UPMC St. Margaret Family Medicine Residency


assess evidence about risks of illicit and prescription drug abuse examine a model curriculum to teach harm reduction principles integrate harm reduction strategies into the patient centered medical home


E3c: Reducing Substance Use During Pregnancy and Neonatal Abstinence Syndrome: An Integrated Approach to OB-GYN

Rates of maternal opiate abuse and the resulting Neonatal Abstinence Syndrome (NAS) in infants have risen exponentially over the past several years, resulting in serious and deleterious consequences for both maternal and child health status, quality of life, and functioning; as well as cost of post-natal inpatient and outpatient care. Effective treatment models for this staggering public health concern will be a critical component of achievement of Triple Aim goals, particularly for this at-risk population. This presentation will provide an overview of an integrated behavioral, OB-GYN, and primary care model of care delivery of addiction during pregnancy and early childhood development in an inner city women's health clinic within Cherokee Health Systems, a comprehensive community healthcare organization in East Tennessee. Clinical and operational components of the implementation, as well as outcomes of an initial program evaluation, will be reviewed.

Eboni Winford, PhD, Behavioral Health Consultant Cherokee Health Systems; Suzanne Bailey, PsyD, Behavioral Health Consultant Cherokee Health Systems; Kara Johansen, PhD, Pediatric Behavioral Health Consultant Cherokee Health Systems


define NAS and identify its symptoms describe the impact of NAS on infant and maternal quality of life, as well as health care costs associated with

treating infants with NAS describe an integrated mental health/medical model of addiction at Cherokee Health Systems for pregnant

women with substance addictions




F3a: Defragmenting Clinical Systems in Achieving the Triple Aim: Examining How to Strengthen Professional Identity Inherent in Integrated Care

Professional identity drives the development of work force, commitment to goals and objectives, and the extent to which an organization like CFHA flourishes. However, many clinicians have simply "found" their way in terms of professional identity and roles within primary care, and tend to struggle with divergences between their identified disciplines and the roles in which they find themselves within an integrated care model. Behaviorists who strongly identify with their roles as a primary care provider within integrated care will inherently be a driving force in achieving the objectives of the Triple Aim Model. The aim of the session will be to address how training programs, corporations, and national associations like CFHA can foster professional identity through a lively panel discussion representing various disciplines working in integrated care models. The intent would be to offer up some solutions and ideas leading to improved professional identity, thereby positively impacting the cost, outcomes, and effectiveness of patient care as intended by the Triple Aim model.

Thomas W. Bishop, PsyD, Assistant Professor of Family Medicine, Director of Behavioral Medicine, Quillen College of Medicine/ETSU; Jodi Polaha, PhD, Associate Professor of Psychology East Tennessee State University; Ajantha Jayabarathan, MD, Director, Central Halifax Innovative Health Clinic Family Physician, Capital District Department of Family Practice Certificate & Fellow, College of Family Physicians of Canada Assistant Professor, Faculty of Medicine, Dalhous; Randall Reitz, PhD, Director of Behavioral Sciences, St. Mary's Family Medicine Residency; Diana L. Heiman, MD, Associate Professor of Family Medicine, Family Medicine Resident Director, Quillen College of Medicine/ETSU


examine the struggles in balancing the professional roles of one's discipline while functioning within an integrated care model

obtain insights into how training sites, corporations, and national organizations can foster stronger professional identity as a behavioral health care provide.

identify how having a strong professional identity as a behavioral health care provider leads to achieving the objectives of the Triple Aim model


F3b: Getting Started in Primary Care Behavioral Health: Job Acquisition for Students and New Professionals

This presentation aims to equip students and new professionals with tools to obtain employment in the collaborative care workforce. Attendees will gain practical information and resources for job acquisition in a primary care behavioral health (PCBH) setting. Topics include finding and interviewing for a PCBH position with a special emphasis on using program proposals and business plans to create new PCBH positions.

Danielle King, PsyD, Behavioral Health Consultant, Tampa Family Health Centers; Joan B. Fleishman, PsyD, Primary Care Behavioral Health Fellow, University of Massachusetts Medical School; Elana Maurin, PhD, MHS, Assistant Professor, American School of Professional Psychology at Argosy University, Washington, DC; Stacy Ogbeide, PsyD, Behavioral Health Consultant, Healthcare for the Homeless of Houston, Instructor, Department of Family and Community Medicine, Baylor College of Medicine; Travis A. Cos, PhD, Public Health Management Corporation, Care Clinic -Behavioral Health Consultant, Adjunct Instructor, La Salle University,Department of Psychology


identify pathways for finding PCBH positions discuss helpful approaches to interviewing for a PCBH position describe the components of an effective PCBH program proposal




G3a: Beyond the Exam Room: Leveraging Perinatal Data to Increase Father Involvement and Improve Maternal-Child Health Outcomes

With the proliferation of electronic medical records (EMRs), providers have increased opportunities to leverage EMR data to improve health outcomes among the populations for whem they care. This presentation will describe the results of research that examined perinatal health data to identify predictors of low father involvement, which is often associated with poor maternal-child health outcomes. Participants will learn how the perinatal data contained in an EMR can be leveraged to proactively identify and intervene with at-risk populations.

Mark D. Thomas, PhD, MPA, Manager, Health and Analytics, Battelle Memorial Institute


identify data elements within EMRs that can be leveraged to identify patients at greater risk for low paternal involvement/poor maternal-child health outcomes

define data elements that could be added to those currently being collected by their EMR, enabling them to increase the health system's ability to identify and address drivers of poor maternal-child health outcomes

describe ways in which providers in the medical and social service systems can collaborate to improve maternal-child health outcomes


G3b: Engaging Latinos into Depression Treatment in Integrated Primary Care: Why the WarmHandoff May Not Be Best

The warm-handoff is widely considered a best-practice to help engage patients into care in integrated primary care settings, but does it work as an engagement strategy for Latinos with depression? Results from a mixed methods study show that this is not necessarily so, and that, in fact, multiple factors impact the effectiveness of the warmhandoff and subsequent treatment uptake. These factors include the quality of the physician-patient relationship, matching treatment explanation to patient's explanatory model of depression, and linguistic and environmental barriers to care. Core components of effective implementation of the warm handoff referral will be outlined and discussed in the context of reducing mental health disparities, improving the patient experience, and decreasing no-show rates and treatment drop-out.

Elizabeth Horevitz, MSW, PhD, NIMH Post-Doctoral Fellow, Clinical Services Research Training Program, Department of Psychiatry, University of California, San Francisco


describe the potential of the warm handoff as an engagement strategy, and its importance in reducing service utilization disparities among Latinos

identify the difference between ideal and real-world implementation of the warmhandoff, and understand how this may negatively affect follow-up to care

describe how cultural tailoring and case management are critical components of the referral process in integrated settings




G3c: Practice Modification to Embrace Multiculturalism: Balancing the Individual and the Evidence

The fast-paced, population-based structure of predominate integrated care models can pose issues when accommodating the diverse backgrounds and presentations of patients seen in primary care. Specific challenges and current solutions from two high-volume federally-qualified health center practices will be presented; focusing on the way language, culture, socioeconomic status, and wellness paradigms impact service delivery and patient experience. Audience members will be engaged in an evidence-based discussion about their own practices’ challenges and solutions to foster an environment of collective learning around practice modification and research.

Samantha Pelican Monson, PsyD, Clinical Psychologist, Denver Health; Kimberly Lomonaco, PsyD, Clinical Psychologist, Denver Health


describe the impact of multicultural patient presentations on current integrated primary care models identify viable solutions to preserve efficiency and population-based care, while embracing patient diversity cite relevant evidence to support practice innovation that incorporates multiculturalism


H3: Measuring Integration: An Empirical, Lexicon-based Approach

Peek's Lexicon of Collaborative Care has an enormous impact – consistent vocabulary to describe collaborative care. The lexicon gives us a tool to observe similarity and differences at the practice level. This leaves the challenge of translating observation and discussion into validated measurement. A tool is needed that serves practice improvement and research at the same time. Existing measures are generally not theory-driven nor psychometrically evaluated, and they are not constructed in an electronic medium for ease of administration, scoring and aggregation. We will present a live demonstration of the web-based Vermont Integration Profile (VIP) developed by a national group of clinicians, administrators and researchers; and review validation efforts and current applications.

Rodger Kessler PhD, ABPP, Assistant Professor, University of Vermont College of Medicine, Clinical Associate Professor, Nicholas A. Cummings Doctorate in Behavioral Health, Arizona State University; Andrea Auxier PhD, Director of Integration, Value Options Health Care; C.R. Macchi, Clinical Assistant Professor,Clinical Associate Professor, Nicholas A. Cummings Doctorate in Behavioral Health, Arizona State University; Daniel Mullin PhD, Assistant Professor, University of Massachusetts Medical School; C. J. Peek, Professor, University of Minnesota School of Medicine


identify three reasons for a validated measure and profile of integration discuss the translation of the Peek lexicon into the VIP dimensions and elements elaborate the psychometric properties of the VIP


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#CFHA2014

6 AM to 7:15 AM Morning Exercise • Please sign-up for your preferred activity in the registration area when you arrive at the Conference. All fitness levels welcome.

Run, Skip, Walk! Join the group on a 3-mile run on Rock Creek Parkway but please feel free to skip or walk the route.

Meet in Hotel Lobby

Yoga Practice Yoga are the physical, mental, and spiritual practices or disciplines that aim to transform body and mind. Begin your day at the CFHA Conference with yoga practice. Towels will be provided in lieu of mats.

Hampton Room

7 AM to 8:30 AM CFHA Café • Cash-and-Carry Breakfast Enjoy complimentary coffee and grab a bite to eat with CFHA colleagues. An assortment of light breakfast fare will be available for purchase. CFHA will provide a $5 coupon to Conference registrants that may be applied toward a food purchase in the CFHA Café. (Coupons are not valid in hotel outlets.)

Blue Prefunction

7 AM to 4 PM Conference Registration, Membership & Information Desk

If you have any questions about the Conference, please ask any of the friendly staff and volunteers at the Conference Registration & Information Desks. Check the Bulletin Board for announcements or schedule changes, and post a note to connect with colleagues during the Conference.

Blue Prefunction

7:30 AM to 3:30 PM Continuing Education Information Have a question about CE credit during the Conference? Please visit the CE Information Desk for answers.

Mental Health Professionals! If you require a CE certificate, return your completed CE Packet here before you depart from the Conference.

East Registration

7:30 AM to 3:30 PM CFHA Lounge • Exhibits and Posters The CFHA Lounge and is designed to promote informal networking between education sessions. The CFHA Lounge will host beverages during breaks and includes a showcase of technology, products, equipment, and services for use in the healthcare profession. Poster presentations allow author(s) to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. Posters will be on display during each refreshment break and there will be a different selection of posters each day.

Blue Prefunction

8:30 AM to 10 AM Plenary Session 4

“Implementation, Evaluation, and Getting to the Triple Aim” Russell Glasgow, PhD, MS, Visiting Professor, Department of Family Medicine, and Associate Director, Colorado Health Outcomes Program, University of Colorado School of Medicine Deborah Cohen, PhD, Associate Professor, Department of Family Medicine, Oregon Health & Science University

10:30 AM to 12 PM Concurrent Education Sessions, Period 4 • Sessions A4a-H4b Seating for all Conference sessions is on a first-come, first-served basis. Arrive early to ensure seating for your preferred sessions.


Glance

AGENDA Saturday, October 18, 2014

#CFHA2014

1:30 PM to 3 PM Concurrent Education Sessions, Period 5 • Sessions A5a-H5 Seating for all Conference sessions is on a first-come, first-served basis. Arrive early to ensure seating for your preferred sessions.


Glance

3 PM to 3:30 PM Refreshments in CFHA Lounge • Exhibits and Posters Blue Prefunction

3:30 PM to 4:30 PM Conference Wrap-up Session Please join CFHA leaders for a brief wrap-up to the 2014 CFHA Conference. Share your experiences and offer suggestions to help us plan future Conferences.

Hampton Room

Mark your calendars! COLLABORATIVE FAMILY HEALTHCARE ASSOCIATION

17TH ANNUAL CONFERENCE

OCTOBER 15-17, 2015 Portland Marriott Downtown Waterfront

Portland, Oregon U.S.A.

12 PM to 1:15 PM Speed Mentoring for New Professionals • Box Lunch

This interactive session allows students and new professionals to meet with leaders in the collaborative care movement and ask questions to help your career development.

Blue Prefunction

12 PM to 1:15 PM Facilitated Discussion Groups • Box Lunch

Lunch tables will be identified by the list of Discussion Topics included in your packet. Simply choose a topic and find a seat at the corresponding table.

Blue Room

Saturday, October 18, 2014

#CFHA2014

Saturday, October 18, 2014 8:30 to 10 AM Plenary Session 4: “Implementation, Evaluation, and Getting to the Triple Aim” At the conclusion of this presentation, participants will be able to:

Describe the need for practical approaches to implementation and evaluation of integrated care models.

Discuss how the RE-AIM approach helps to focus on integrated care as population health, and can be used to monitor quality improvement.

Provide examples of how practical evaluation has informed practice improvement efforts, and Triple Aim goals.

Russell E. Glasgow, PhD, MS Visiting Professor, University of Colorado School of Medicine, Department of Family Medicine, Associate Director of the Colorado Health Outcomes Program

Dr. Russell Glasgow was most recently deputy director of implementation science at the Division of Cancer Control and Population Sciences at the U.S. National Cancer Institute. He is a behavioral scientist who has worked on many transdisciplinary research questions including worksite health promotion, primary care based interventions, and community-based prevention programs involving community health centers and Native American tribes. He has researched issues ranging from smoking prevention and cessation to chronic illness management, patient-provider communication, use of interactive technologies in health care, quality improvement and guidelines adherence. He has published over 400 scientific articles and received the Society of Behavioral Medicine Award as Outstanding Scientist. Dr. Glasgow is particularly interested in patient-centered and team based intervention approaches for complex, sticky problems. For example, developing feasible and efficient ways to assist primary care in dealing with the wide range of health behavior, mental health and other risks faced by their patients or in helping patients with multiple chronic conditions manage their conditions and navigate the complex systems of illness care silos with which they have to contend. His more recent work has focused on public health issues of enhancing the reach and adoption of evidence-based programs, using the RE-AIM planning and evaluation model.

Deborah Cohen, PhD Associate Professor, Department of Family Medicine, Oregon Health & Science University

Dr. Deborah Cohen has been developing her skills in qualitative methods for more than 20 years, and has spent more than a decade studying primary care practices, with a focus on clinician-patient communication, practice change and improvement and health information technology use. Dr. Cohen has expertise in a range of qualitative methods and approaches, including interviewing, observation, and conversation analysis. She is a highly skilled analyst and has experience supervising qualitative teams in data collection, management and analysis of qualitative and mixed methods data. Dr. Cohen uses her qualitative expertise on mixed methods teams to look at how improvements are implemented in primary care practices, to identify what changes are made, and to compare the effectiveness of observed practice change on process and outcomes measures. She has been a Principal Investigator on several federal and foundation funded grants, leading mixed methods teams to understand and tackle the complicated problems related to implementing and disseminating new innovations and important quality improvements in primary care practice. Her work has focused on comparing the effectiveness of approaches for improving preventive services, health behavior and behavioral and mental health care in the primary care setting.



1.5 PER credit

PLENARY SESSIONS

CONCURRENT EDUCATION SESSIONS Period 4: Saturday, October 18, 2014 10:30 AM to 12 PM


A4a: What's Next? Advancing Healthcare from Provider-centered to Patient-centered to Family-centered

With equal parts real-life application and hopeful idealism, this session presents the recent history and near future of healthcare's evolution. We outline the strengths and limitations of the paradigm shift toward patient-centeredness, and make the case that the full vision of "moving from fragmentation to integration" will only be achieved in a model that places family at its core. Direct application to care planning, care coordination, and health information technology provide take-home value.

Kaitlin Leckie, MS, Medical Family Therapy Fellow, St. Mary's Family Medicine Residency; Randall Reitz, PhD, Director of Behavioral Sciences, St. Mary's Family Medicine Residency; Peter Fifield, MA, Behavioral Health Services Manager, Families First Health and Support Center; Keith Dickerson, MD, Faculty Physician, St. Mary's Family Medicine Residency


compare the increasingly complex levels of Engel's biopsychosocial model with the evolution of healthcare, and explore the implications for advancing healthcare to the next level: family-centered care

critically analyze provider- and patient-centered approaches, and justify the need for family-centered practice explore the potential for improved patient experience and population health through the presenters' proposed model

of family-centered care


A4b: Putting Family at the Heart of the Collaborative Healthcare Team

Family caregivers play essential roles as hands-on care providers, care coordinators and treatment effect observers for America's burgeoning numbers of chronically ill patients. Yet few collaborative care models embrace patients' family members as full-fledged team members. In this workshop, we will outline five ways for family members to be effectively integrated into healthcare and social service interventions from gaining recognition in the patient chart to granting access to professionals' treatment notes to practicing shared decision-making.--

Barry J. Jacobs, PsyD, Director of Behavioral Sciences Crozer-Keystone Family Medicine Residency Program


teview research findings on the effects of family caregivers' actions on patient treatment outcomes fescribe common, positive and negative attitudes of healthcare and social service professionals toward patients'

family members felineate five ways to effectively integrate family caregivers into collaborative healthcare and social service teams




B4a: Improving Primary Care Access and Coordination through Screening, Brief Intervention and Referral to Treatment (SBIRT) and Mental Health Screening in the Emergency Department

Fragmentation of care occurs when patients enter the healthcare system through multiple and uncoordinated doors, including the emergency department (ED) that serves as de facto primary care for many. Meeting the Triple Aim will require primary care redesign and integration across the entire healthcare system. This presentation will present findings from a project that implemented substance misuse and mental health screening and referral in the ED, using an SBIRT model. The notable innovation was developing a process to establish the high proportion of patients who did not have a PCP with a new PCP, in settings with embedded behavioral health, as well as to communicate the screening results. Findings on screening processes, results, and the impact of PCP linakges will be presented.

Tina Runyan, PhD, ABPP, Clinical Associate Professor, University of Massachusetts Medical School, Dept. of Family Medicine and Community Health


articulate how and why inappropriate ED use drives up healthcare costs and proliferates fragmentation of care become familiar with the data regarding substance misuse and unmet behavioral health needs as they present to the

ED understand a process by which SBIRT was expanded to include primary care engagement and mental health screening

in one ED and then used to facilitate linkages back to primary care providers to improve coordination of care


B4b: Expanding Behavioral Health Integration: Consultative Psychiatry and Immediate Access to Behavioral Health Consultants (BHCs)

In response to a continued need to redefine how customers/owners access behavioral health services, Southcentral Foundation has expanded on their model of behavioral health integration. Following the success of integrating BHCs into their medical clinics, a similar model was adapted in an immediate access BHC position, allowing for brief intervention services in both medical and behavioral health clinics. The addition of co-located and consultative psychiatry has also allowed for more comprehensive primary care behavioral health services.

Melissa Merrick, LCSW, CDC I - Administrator, Southcentral Foundation; Brian McCutcheon, Administrator, Southcentral Foundation


understand the difference and value between co-located and consultative psychiatry discuss the role of a BHC working in a medical clinic and behavioral health clinic, and practical aspects of this model in

relation to participants work settings identify next steps to consider in implementing a co-located and consultative psychiatry model, and in expanding BHC

roles beyond a medical clinic setting




C4a: Why Primary Care Needs Integrated Behavioral Health to Achieve the Triple Aim: Institute for Healthcare Improvement (IHI's) Approach

In this session, we will present data showing that controlling for socio-demographic, contextual, and other factors; behavioral health/primary care integration can achieve the Triple Aim for patients with comorbid behavioral health and medical needs. We will describe data analyses showing that patients receiving behavioral health care in primary care experience better outcomes for their physical and behavioral health issues, an improved experience of care and lower per capita costs. Participants will learn how to make the case for integration at their organizations. Finally, we will describe some of the IHI's approach to and ongoing work on integration.

Mara Laderman, MSPH, Research Associate, Institute for Healthcare Improvement; Benjamin Miller, PsyD, Assistant Professor, University of Colorado - Denver


learn about the Triple Aim benefits of primary care-behavioral health integration use analyses of health plan and outcomes data to make the case for integration at their organization describe IHI's approach to behavioral health integration


C4b: Suicide Prevention: A New Focus and New Solutions for Integrated Primary Care

We now know that half of all individuals who complete suicide saw a primary care provider in the month before ending their lives. With 38,000 lives lost to suicide in 2011, more must be done. Thankfully, tools and resources are now available for integrated primary care settings to address this major healthcare problem. The session will include an overview of the emerging Zero Suicide in Healthcare initiative, with particular attention to its implementation in an integrated primary care system (Institute for Family Health). We will also share the resources that are now available to help other settings and systems to do this work.

Michael F. Hogan, PhD, Co-Chair, Zero Suicide Advisory Committee, National Action Alliance on Suicide Prevention; Virna Little, SciD, Vice President, The Institute for Family Health


identify the scope of suicide as a preventable health problem identify two screening tools with demonstrated sensitivity to predicting suicidality and utility for integrated primary

vare settings list at least three elements of suicide care that can be implemented in integrated primary care settings




D4a: Claiming a Seat at the Table: Strategies to Promote Behavioral Health Integration in Healthcare Reform

This time of dramatic healthcare system change presents an opportunity to include behavioral health in redesigned financial and structural frameworks. This presentation draws from concrete examples in Maine and Texas to examine means to ensure behavioral health is effectively integrated into a healthcare system increasingly focused on managed care and accountable care organizations.

Becky Hayes Boober, Senior Program Officer, Maine Health Access Foundation; Rick Ybarra, MA, Program Manager, Hogg Foundation for Mental Health


explain three strategies for including behavioral health in planning for healthcare reform articulate Triple Aim benefits for embedding integrated behavioral health/ primary care into new health care system

structures, such as accountable care organizations and managed care systems identify at least one policy opportunity in their home states, and select relevant strategies to use to address that

opportunity


D4b: Promoting Integrated Care through the Redesign of a State Healthcare System

This session will outline the process by which North Carolina policy makers and a wide variety of stakeholders from consumers to providers to payers, used Medicaid reform as a platform to transform the entire healthcare system and promote integrated care. These efforts used the goals of the Triple Aim to drive the plan for primary care medical homes that integrate behavioral health and I/DD expertise in addition to other healthcare systems across the state.

Courtney M. Cantrell, PhD, Acting Director, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services Policy Advisor for Integrated Care NC Department of Health and Human Services; Cathy M. Hudgins, PhD, Director, Center of Excellence for Integrated Care


describe the policies and payment mechanisms that promote sustainable models of integrated care within public and privately funded systems of care

evaluate the changes in costs of healthcare through the adoption of integrated care models identify the barriers that need to be addressed to develop and deliver sustainable, successful integrated care systems




D4c: Time to Transform: Oregon Unites to Develop Expert Consensus Regarding Collaborative Practice Standards

As a part of the Person-centered primary care home, behavioral health is the missing link in healthcare that will drive improved outcomes. While the ingredients for successful integration are known, behavioral health in primary care must formally define itself in the healthcare landscape to ensure that patients and the system reap maximal benefit. Primary care medical practice is defined and understood, traditional mental health practice is defined and understood; as such primary care behavioral health practice must become defined and understood to impact patient and system outcomes. Oregon integrated behavioral health leaders have developed an advisory group for the state' transformation aims. The group is developing statewide expert consensus regarding essential ingredients of integration to ensure that state efforts to integrate these professionals results in improved patient outcomes and effective system transformation, especially in the coordinated care organizations.

Julie Oyemaja, PhD, Multnomah County Health Services; Robin Henderson, PsyD, Chief Behavioral Health Officer, St Charles Health System; Brian Sandoval, PsyD, Director, Behavioral Health, Yakama Valley Farm Workers Clinics; Mary Peterson, PhD, Dean, George Fox University


identify the key components of integrated behavioral health essential to person-centered primary care homes in a model agnostic

discuss the importance of setting statewide standards of care within the context of primary care before standards are imposed from the mental health system

describe the difference between practice and standards


E4: From Wingspread 1994 to CFHA 2014: What's the Same or Different for Collaborative Care: A Historical Review of Records and Reflection on What this Means Going Forward

The "Wingspread Conference" of collaborative family healthcare pioneers in 1994 led to the creation of CHFA and its first meeting in 1995 at the Omni Shoreham. It also set perhaps the first national agenda for the field. Ten years later, a set of "next developmental steps for the field" was generated at the CFHA meeting that reflected reality in 2004. Now we are in 2014 with timely "next developmental steps for the field" to formulate and take. This session reviews these three "data points" on the issues and agenda for the field, and leads participants to reflect on what has changed or not, where there has been progress or not, and what that means for us going forward.

C.J. Peek, PhD, Associate Professor, Dept of Family Medicine and Community Health University of Minnesota Medical School; Macaran A. Baird, MD, MS, Professor and Head, Dept of Family Medicine and Community Health University of Minnesota Medical School; (Discussant): Lauren DeCaporale, PhD, Post-doctoral fellow, Institute for the Family University of Rochester


trace the evolution of pressing issues and articulated national agenda or "next developmental steps" for the field between 1994 and 2014

identify what has been accomplished or is well underway, and what stubborn areas remain that require concentrated attention today

describe important steps that the field and CFHA can take now to move things forward based on an understanding of this history




F4a: Massachusetts Primary Care Payment Reform: Progress Report on a Transformation

Massachusetts Medicaid is in the process of transforming the payment mechanism for primary care. The new bundled payment approach is based on a model of integrated behavioral health, along with quality metrics and shared cost savings. The program is starting with 30 organizations representing 50 practices across the state. The transformation to bundled payments gives a per member per month payment based on the level of behavioral health in the practice: basic PCMH, PCMH plus primary care behavioral health, or these services plus specialty behavioral health services including psychiatry. This is a fast and dramatic change for most practices.

Alexander Blount, EdD, Director, Center for Integrated Primary Care University of Massachusetts Medical School; Christine Johnson, PhD, Practice Transformation Expert Center for Health Policy and Research, University of Mass. Medical School


distinguish three kinds of non-fee-for-service payment approaches for primary care describe a tiered approach to funding behavioral health in primary care describe the likely transformation that will occur in their states in relation to Medicaid over the next few years


F4b: Cost Assessment of Collaborative Healthcare

This presentation will discuss the creation of a tool to assess the cost of integrating mental health, behavioral health and substance use services into primary care. This tool was developed with a multidisciplinary team to better understand how much integration costs. This tool will be valuable for practices at the beginning stages of assessing whether to integrate care, as well as other quality improvement initiatives for more established integrated practices. The policy implications of assessing the cost of integration with this tool will also be discussed.

Shandra M. Brown Levey, PhD, Instructor, University of Colorado; Emma C. Gilchrist, MPH, Professional Research Assistant, University of Colorado; Warren Pettine, Medical Student, University of Colorado; Benjamin F. Miller, PsyD, Assistant Professor, University of Colorado


describe a novel approach to calculating the cost of integration discuss the benefits of a multidisciplinary team in developing integrated care initiatives identify the policy implication of assessing cost for integrated care




G4a: Adapting Evidence-based Interventions for Anxiety for Use in Integrated Primary Care Settings

Symptoms of anxiety are prevalent and burdensome among primary care patients. Although evidence-based, high-dose interventions exist for specialty care; few anxiety interventions have empirical support specifically for use in the brief, time-limited format (e.g., 1-4, 15-30 minute sessions) typical of primary care settings. Using illustrative case studies, this presentation will review the rationale for and techniques involved in a variety of evidence-based interventions for anxiety that can be adapted for use in primary care; including psycho-education, relaxation training, cognitive restructuring, exposure, and behavioral activation. This presentation is geared toward clinicians, and will provide tools to enhance everyday clinical practice (e.g., handouts, apps and internet resources).

Robyn L. Fielder, PhD, Postdoctoral Fellow, Center for Integrated Healthcare, Syracuse VA Medical Center; Jennifer S. Funderburk, PhD, Clinical Research Psychologist, Center for Integrated Healthcare, Syracuse VA Medical Center


describe the rationale for selecting particular anxiety interventions describe the main techniques involved in a variety of brief interventions for anxiety identify several practice tools to support use of brief anxiety interventions


G4b: Patients with Anxiety Symptoms Seen by VA and USAF Integrated Behavioral Health Providers: Comorbid Symptoms and Brief Interventions

This presentation will provide a glimpse into the real-world presentation and treatment of anxiety in primary care. Using survey data from 56 VA and U.S. Air Force integrated behavioral health providers (BHPs) reporting on 209 patients, we will examine the: 1) most common comorbid symptoms among patients presenting with anxiety, and2) types of brief interventions used. We will discuss the implications for clinical practice (e.g., selecting interventions to target anxiety and comorbid symptoms) and future research (e.g., developing evidence-based brief interventions). This presentation is relevant to BHPs, supervisors and administrators pursuing the Triple Aim because treating anxiety symptoms can help improve patient experience and population health while reducing health care costs.

Robyn L. Fielder, PhD, Postdoctoral Fellow, Center for Integrated Healthcare, Syracuse VA Medical Center; Jennifer S. Funderburk, PhD, Clinical Research Psychologist, Center for Integrated Healthcare, Syracuse VA Medical Center; Christopher L. Hunter, PhD, ABPP, CDR, United States Public Health Service, DoD Program Manager for Behavioral Health in Primary Care Patient-Centered Medical Home Branch, Clinical Support Division Defense Health Agency


list the most common comorbid symptoms and diagnoses among patients with anxiety describe the types of brief interventions BHPs are using for patients with anxiety discuss the implications of the results for clinical practice and future research in integrated primary care




H4a: Primary Care Clinician Stress and Psychological Flexibility

This presentation attempts to help primary care clinicians (PCPs and nurses) and their behavioral health consultant (BHC) colleagues better address the problem of stress and burnout among providers of primary care. Participants will learn about tools and methods to enhance their ability to talk about resiliency with PCMH team members. Participants will also have an opportunity to develop a personal strategy for building resiliency based on the cognitive-behavioral therapy model called acceptance and commitment therapy (ACT). The presentation will include data about relationships between primary care provider stress level and psychological flexibility.

Debra A. Gould, MD, MPH ,Clinical Assistant Professor, University of Washington School of Medicine Faculty, Central Washington Family Medicine Residency Program; Michael Aquilino, LMPC, Behavioral Health Consultant Central Washington Family Medicine; Patricia J. Robinson, PhD, Director of Training and Program Evaluation, Mountainview Consulting Group


Name six core psychological processes that support clinician resiliency describe specific exercises designed to enhance resilience among PCMH team muUse tools to self-assess (or assist

PCC colleagues) level of burnout, sources and magnitude of stress and level of psychological flexibility


H4b: Stress, Psychological Flexibility, and Behavioral Health Satisfaction: An Assessment and Intervention Study with Primary Care Providers

This presentation will review and discuss a two-part study conducted with primary care providers within Federally Qualified Health Centers. Phase one was an online 8-minute survey provided to primary care providers to assess stress, psychological flexibility and satisifcation with behavioral health program. Phase two included an intervention week where selected providers and his/her panels were followed by a behavioral health consultant for one full-week to increase collaboration and impact provider stress level. The intervention providers were assessed by the same initial survey both pre and post-intervention, as well as additional data and qualitative measures were collected that will be presented.

Melissa Baker, PhD, Behavioral Health Consultant HealthPoint; Bridget Beachy, MA, Behavioral Health Consultant Columbia Valley Medicine; David Bauman, MA, Behavioral Health Consultant Columbia Valley Medicine; Ann Wilson, PsyD, Behavioral Health Consultant HealthPoint; Kirsten Tiernan, MA, Behavioral Health Consultant HealthPoint


discuss the relationship between primary care provider stress and psychological flexibility, and define psychological flexibility

discuss the impact of BHC services on primary care provider perception of stress discuss the strengths and weakness of a closed-schedule BHC model and impact on collaboration with primary care

providers and primary care providers' experience of stress


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DISCUSSION GROUPS Saturday, October 18, 2014 – 12 PM to 1:15 PM – Blue Room

CFHA 16TH ANNUAL CONFERENCE • OCTOBER 16-18, 2014 OMNI SHOREHAM HOTEL • WASHINGTON, DC U.S.A.

One of the greatest benefits of the CFHA Annual Conference is to stimulate thinking and share ideas about best practices in collaborative care. Saturday’s lunch period will feature facilitated discussion groups on a variety of topics. Lunch tables will be identified by the discussion topics listed below. Simply choose a topic and find a seat at the corresponding table.

Boxed lunches will be provided for your convenience. Tables that are not designated by a topic are free for open discussion.

1. Health Network Integration AIMing for Behavioral Health at Every Point of Care Facilitated by Jamie Bongiovi

2. Integrated Behavioral Health: A Lifespan Model in the Bronx Facilitated by Rahil Briggs

3. The Evolution of a Training Program within the Primary Care Behavioral Health Model Facilitated by Meghan Fondow

4. "Here's what I do": Role definition within an interdisciplinary, late life, supportive healthcare team Facilitated by Monica Frazer

5. Nebraska Legislative Bill 556: Pilot Project in Children's Behavioral Health – A Joint Effort Facilitated by Kathryn Menousek

6. Optimize Outcome by Increasing Patient Adherence to Treatment Plans Facilitated by Neal Morris

7. Key Strategies in Making the Best Post-Hospitalization Site Based Teams Facilitated by Craig Pfaffl

8. Advanced Skills for the Primary Care Behavioral Health Consultant Facilitated by Jeff Reiter

9. Training Up BHCs: Perspectives from Advanced Trainees Facilitated by Catherine Rowe

10. Implementing a Family Centered Care Curriculum for Inpatient Oncology Staff Facilitated by Talia Zaider

11. Developing a Collaborative Private Practice with Medical Partners Facilitated by Paul Kredow

12. Promoting Successful, Sustainable Integrated Care Practices through a Comprehensive Assistance Approach Facilitated by Cathy Hudgins

13. The Business of Integration: How Six Different SHAPE Practices Make It Work Facilitated by Emma Gilchrist

14. Bi-directional Integration / Health Homes Facilitated by Jeanette Waxmonsky

15. 2015 CFHA Conference in Portland, Oregon Facilitated by Robin Henderson

16. Telehealth / Telemedicine Facilitated by Jeff Ellison

CONCURRENT EDUCATION SESSIONS Period 5: Saturday, October 18, 2014 1:30 to 3 PM


A5a: What Can Behavioral Health Providers Do? Improving Primary Care of Dementia Through Integration

Awareness of the importance of integrating brief assessment to detect cognitive decline during annual examinations of older adults into primary care (PC) is growing, due in part to provisions associated with the Medicare annual wellness visit. However, rates of detection of dementia in primary care remain low. This presentation will provide a brief overview of timely research findings, and facilitate discussion of relevant clinical practice applications for behavioral health providers (BHPs) in primary care. Presenters will engage the audience in discussion about ways BHPs can support the identification of undetected dementia, with particular attention to integrating validated brief screening tools to assess for cognitive impairment into routine clinical practice, partnering with families to address management of dementia and co-morbid conditions and collaborating with medical providers.

Laura O. Wray, PhD, Director, Education/Clinical Core Veterans Affairs VISN 2 Center for Integrated Healthcare; Christina L. Vair, PhD, Psychology Post-Doctoral Fellow Veterans Affairs Advanced Fellowship Program in Mental Illness Research and Treatment VA Center for Integrated Healthcare, Western New York Healthcare System


recognize warning signs and risk factors for dementia in older primary care patients discuss ways to improve detection of dementia in primary care describe evidence-based strategies to improve recognition of dementia in primary care, including description of

validated screening tools that can be readily integrated into primary care assessment for dementia


A5b: Senior Weak: Improving Professional Expertise in Integrated Care for Older Adults

The American population is rapidly aging, but few physical or mental health clinicians have particular expertise in providing integrated care for the complex medical, cognitive, psychological and social needs of older adults. In this workshop, we will identify the key components for educating professionals and improving elder care through presenting three innovative programs--a university-based, interdisciplinary training program; a community-based, dementia-focused psychoeducation and support program; and a healthsystem-based program of team-based care coordination for high-utilizing, frail elderly patients.

Barry J. Jacobs, PsyD, Director of Behavioral Sciences Crozer-Keystone Family Medicine Residency; Lauren DeCaporale-Ryan, PhD, Family Geropsychologist & Senior Instructor Depts of Psychiatry, Medicine, & Surgery University of Rochester Medical Center; Ian M. Deutchki, MD, Assistant Professor, Departments of Family Medicine and Geriatrics University of Rochester; Janelle Jensen, MS, LMFTA, Care Consultant, Alzheimer's Association-Western and Central Washington Chapter


describe the challenges to the American healthcare system of our rapidly aging population with increasing prevalence of chronic diseases

identify the key components for educating mental and physical health clinicians in family-oriented healthcare for older adults

describe three innovative, educational and clinical care programs in senior healthcare




B5a: How to Crash the Party: Bringing Behavioral Health Specialists (BHSs) to the Care Coordination Team

Care coordination of complex patients in primary care has traditionally focused on physical health and chronic illness. This workshop will discuss strategies for BHSs to become active and valued members of care coordination teams through: role clarification, acknowledgement of differing expectations, development of foundational supports for the work and other lessons learned. Participants will be encouraged to leave the workshop with an action plan focused on increasing behavioral health involvement in care coordination in their agencies or programs.

Mary Jean Mork, LCSW, Program Director Mental Health Integration, MaineHealth and MaineHealth Partners


identify key functions and roles of a coordination team describe strategies to involve BHSs as members of the care coordination team identify challenges experienced in their work environment around care coordination efforts


B5b: FastTrack: Psychiatrist as Consultant Has Triple Impact on Patient-centered Medical Home

Fast Track is a collaborative solution to access challenges for psychiatric treatment. Using the shared electronic medical record for effective, real-time communication, the psychiatrist functions as consultant providing assessment and treatment planning. The primcare care provider (PCP)maintains responsibility for management. The model uses both face-to-face interaction and remote access through telemedicine. Fast Track reduces fragmentation and improves outcomes by providing prompt access to psychiatric intervention within the medical home, and educates PCPs while lowering costs of care.

Susan D. Wiley, MD, Vice Chairman, Psychiatry, Lehigh Valley Health Network Associate Professor of Psychiatry, Morsani School of Medicine, University of South Florida


describe the key elements of this program recognize the challenges to implementing FastTrack and strategies to implement a similar program in their own

settings recognize the value that Fast Track offers to patients and their PCPs




C5a: We Need a Bigger Boat! Expanding the Integrated Team to Meet Triple Aim Goals

Vulnerable populations often have poor health outcomes due to life stressors that fall outside the expertise of medical or mental health providers. By expanding the integrated care team to include legal services, job training, case managers, patient educators, community health navigators and dentists; primary care clinics can go a long way to achieving triple aim goals. These additional services can also reduce frustration and burnout among integrated providers who are otherwise left dealing with the fallout from unaddressed problems.

Tillman Farley, MD, Executive Vice President for Medical Services, Salud Family Health Centers, Associate Professor, Dept of Family Medicine University of Colorado, Denver


discuss ways in which the social determinants of health can be addressed in primary care clinics list ways in which legal problems can negatively affect health describe a model of integrated dental care in primary care practice


C5b: Top-Down and Bottom-Up Strategies for Building a Robust Integrated Service

To initiate and sustain an integrated primary care service, both "top-down" and "bottom-up" approaches are needed. The top-down approach refers to the use of financial and clinical outcomes data that generates buy-in from administrators, while the bottom-up approach involves using the right clinical model to win support from primary care providers. Services that ignore one approach or the other are likely to falter. This presentation will equip attendees with the information they need for both approaches to help ensure development of a robust integrated primary care service.

Jeff Reiter, PhD, ABPP, Lead, Behavioral Health Consultation Service HealthPoint Community Health Centers; Lesley Manson, PsyD, Clinical Assistant Professor, Arizona State University Nicholas A. Cummings Doctor of Behavioral Health Program


identify strategies that may enable reimbursement of an integrated primary care service describe financial (e.g., cost-offset) and clinical outcomes data that supports integration of primary care and

behavioral health recognize the challenges of primary care that an integration model must address to be successful




D5a: Roles and Responsibilities of Behavioral Science Faculty within Family Medicine Residencies on Inpatient Medicine Teaching Service

There is limited research on the roles behavioral science faculty (BSF) fill on inpatient medicine teaching services in family medicine residencies. This session will focus on current research about the roles and responsibilities of BSF and behavioral science fellows on inpatient medicine teaching service, and review the curriculum offered in such settings.

Laura Sudano, Medical Family Therapy Intern, UCSD Family Medicine; Keith Dickerson, MD, Faculty Physician, St. Mary's Family Medicine Residency; Mary Talen, PhD, Director, Primary Care Behavioral Health, Northwestern University Family Medicine Residency; Tina Runyan, PhD, Associate Director of Behavioral Science, University of Massachusetts Medical School; Jeanna Spannring, Primary Care Psychology Fellow, University of Massachusetts Medical School


recognize what roles BSF fill on inpatient family medicine teaching services identify BSF responsibilities within each respective role on inpatient family medicine teaching service settings explore participants' integration of BSF on inpatient medicine teaching services, and learn how others have

integrated their own inpatient medicine teaching services


D5b: Where Have They Been and Where Are They Going? Advanced Psychology Trainees Reports on Preparation for Practice in Integrated Care

Behavioral and mental health needs are often identified and treated in primary care (PC), though few formal graduate or post-graduate training opportunities exist to equip psychologists with the specific skills necessary for successful practice in such settings. A notable gap in the growing literature on PC psychology is a description of the perspective of advanced psychology trainees. This presentation will provide a brief overview of the findings of a national survey of psychology pre-doctoral interns and postdoctoral fellows, including descriptive information about graduate and post-graduate training experiences; and self-report on a measure of fidelity and model adherent behaviors in PC. The presenter will engage the audience in discussion about potential implications of the findings and strategies for developing and disseminating useful training resources for behavioral health providers in PC.

Christina L. Vair, PhD, Psychology Postdoctoral Fellow, Veterans Affairs Advanced Fellowship Program in Mental Illness Research and Treatment, VA Center for Integrated Healthcare, Western New York Healthcare System; Gregory P. Beehler, PhD, MA, Clinical Research Psychologist, Veterans Affairs VISN 2 Center for Integrated Healthcare


describe the self-assessment ratings of model adherent behaviors of advanced psychology trainees in integrated primary care, and compare and examine relationships between demographic and training background to model adherence.

characterize the self-report of psychology trainees’ knowledge and skill for providing behavioral health in primary care, access to resources to provide behavioral health in primary care, and interest and preference for types of training resources

contemplate useful ways to integrate trainee perspectives into program and resource development for supporting the integrated care behavioral health provider work force

Key Track 7 • Content Level: • Session Length: 40 minutes



E5a: Homebased Primary Care: An Interdisciplinary Model of Care in the Department of Veterans Affairs

This presentation describes the Department of Veterans Affairs' interdisciplinary, integrated model of in-home care known as home-based primary care (HBPC). HBPC provides comprehensive, longitudinal care for veterans with complex and chronic medical, social, and behavioral conditions. This care model is associated with reduced hospital and nursing home admissions and overall decreased costs, as well as improved patient satisfaction. The application of HBPC in a rural area will be illustrated, including discussion of challenges, barriers, and successes.

Mandy McCorkindale, PsyD, Clinical Psychologist, Home Based Primary Care Central Arkansas Veterans Healthcare System; Julie Ruple, PharmD, CGP Clinical Pharmacy Specialist, Home Based Primary Care Central Arkansas Veterans Healthcare System


describe the need for cost-effective, patient and family centered HBPC services for the geriatric population describe an integrated, primary care model for in-home care involving team members from a wide range of

disciplines; including MDs, APNs, RNs, social workers, psychologists, dietitians, rehabilitation therapists and pharmacists

discuss the role of the psychologist in promoting a whole-person approach to the management of patients with complicated medical/mental health problems, as well as providing education and consultation to the interdisciplinary team


E5b: Lessons from VA Integrated Care Implementers Part 2: Secrets of Successful Programs

Mental health professionals are integrated into primary care clinics in nearly all VA medical centers and large community-based outpatient clinics. At the 2013 CFHA meeting, we presented a review of the VA experience addressing resistance to integrated care. In contrast early in 2014, we convened representatives from the most successful VA integrated care teams together with national leaders for a one and one-half day meeting. VA clinicians and administrators from 12 sites across the country participated. Our purpose was to distill the critical ingredients for integration success. These "secrets" of successful teams will be disseminated throughout the VA. We will share our findings with the audience and engage in an interactive session where participants can discuss how these key ingredients of integration might apply in any setting.

Laura O. Wray, PhD, Director, Education/Clinical Core, VA Center for Integrated Healthcare; Andrew S. Pomerantz, MD, National Mental Health Director, Integrated Services Office of Patient Care Services, Mental Health Veterans Health Administration VA Central Office (VAC0)


describe critical factors reported by successfully integrated teams discuss common challenges faced when attempting to integrate mental health services into primary care, and

how these challenges might be overcome understand how lessons learned at a variety of VA sites during program implementation efforts can be applied

to other health care systems




F5a: Promoting Learning Communities to Support Integration, Innovation, and Impact

Maine Health Access Foundation, Hogg Foundation for Mental Health, and Mental Health America of Greater Houston have a long history of supporting learning communities (LCs) as a tool to promote professional development, best practices and collaboration for integrated health care. This interactive presentation will explore best practices of LCs. Attendees will learn about key components of LCs, and gain practical information about implementing LCs. Data from evaluation reports will be included.

Rick Ybarra, MA, Program Officer Hogg Foundation for Mental Health; Becky Hayes Boober, Ph,D, Senior Program Officer, Maine Health Access Foundation; Alejandra Posada, MEd, Director of Education and Training, Mental Health America of Greater Houston


describe at least three examples of LC structures that lend themselves to varying contexts (e.g., geographic context)

define at least three barriers and strategies to address such challenges identify at least three opportunities to advance LCs.


F5b: Joining Forces to Create Momentum to Overcome Policy Barriers to Integration

This presentation delineates key integrated health care policy issues and how they can be addressed at the state and regional levels through: 1) the work of integrated care learning communities in North Carolina and New England, 2) a New England learning network of state health, behavioral health and public health directors, and 3) New England regional directors of SAMHSA and HRSA. This interactive presentation will include lecture, an interactive panel and large and small group discussions to help participants: 1) identify issues around policy reform, systems’ issues, reimbursement, privacy, education and training, workforce development and other barriers to integration; 2) understand the utility of joining forces with regional partners to influence policy and systems; and 3) develop skills and identify partners and opportunities for taking action in one's own region to mobilize forces to address integration barriers

Julie Schirmer, LCSW, Director Behavioral Health Education, Department of Family Medicine, Maine Medical Center; Bill Gunn, PhD, Director Behavioral Health Education, Dartmouth/Concord Family Medicine Residency Program; Robert A. Cushman, MD, Chair, Departments of Family Medicine, University of Connecticut School of Medicine & Saint Francis Hospital and Medical Center; Brenda Harvey, MSEd, Executive Director, New England States Consortium Systems Organization; A. Kathryn Power, MEd, Regional I Director, Substance Abuse and Mental Health Services Administration (SAMHSA)


identify issues around policy reform, systems issues, reimbursement, privacy, education and training, workforce development and other barriers to integration

understand the utility of joining forces with regional partners to influence policy and systems develop skills, identify partners and opportunities for taking action in one's own region to mobilize forces to

address integration barriers




G5a: An Approach to Fragmentation: Applying Aspects of Translational Research to Spread the Word about the Benefits of Collaborative Healthcare and Increase the Application of the Field's Knowledge Base

Healthcare research is often fragmented. The research of collaborative healthcare is fragmented by our different professional disciplines and our different journals and organizations. One evidence-based path to integration of our field’s research is knowledge translation principles. For collaborative healthcare to make the move from knowledge fragmentation to integration we must identify, disseminate and integrate appropriate new research about our field regardless of who creates it or where it is published. Application of these principles will allow the collaborative healthcare field to disseminate and implement new, evidence-based aspects of the Triple Aim (improved patient experience, reduced cost, and improved population health) into practice.

Peter Rainey MS Medical Family Therapy Fellow Chicago Center for Family Health; Kate Rowland MD, MS University of Chicago and Advocate Illinois Masonic & Editor-in-Chief of PURLs


describe the current state of evidence in collaborative healthcare define knowledge translation (KT) and describe how KT principles can be applied to overcome the

fragmentation of the collaborative healthcare field's knowledge base that limits its dissemination describe the evidence for and explain common barriers to the science of dissemination and implementation


G5b: Repaving the Road: Addressing the Challenges of Conducting Outcome Research in Primary Care

The purpose of this presentation is to discuss the barriers associated with conducting outcomes research within integrated behavioral health practices in primary care settings. The key points to be discussed in this presentation include providing an overview of current research protocols and designs used in primary care, increasing the flexibility of research protocols and designs beyond symptom reduction, understanding the challenges of performing and disseminating research in primary care settings, and replicating research protocols in a variety of ambulatory care settings.

David Bauman, PsyD, Post-Doctoral Resident Central Washington Family Medicine at Community Health of Central Washington; Bridget Beachy, Post-Doctoral Resident, Central Washington Family Medicine at Community Health of Central Washington


explain the importance of conducting and disseminating research in primary care settings discuss the types of research designs that can be appropriate for primary care identify the challenges that occur with conducting research in primary care, as well as ways to address the

barriers associated with the research process




G5c: Evaluation of a Motivational Interviewing Course for Healthcare Providers

This presentation will report the results of an evaluation of a course in motivational interviewing (MI) for 40 healthcare providers. Each student provided a pre- and post- work sample of his/her use of MI consisting of a simulated patient encounter with an acting patient. These work samples were coded by a reliable coder for consistency to MI spirit and technique. Findings to be reported include the differences in MI competency among students completing the course online and those completing the course inperson. In addition, the relationship between student's self-reported MI competency and objective measurement of MI competency, will be reported.

Daniel Mullin, PsyD, Assistant Professor, Center for Integrated Primary Care, University of Massachusetts Medical School


describe the content and structure of evidence-based training in motivational interviewing describe the motivational interviewing treatment integrity coding system and the role of objective, reliable

coding in training healthcare providers describe the differences between self-reported and objective measurement of behavior change counseling

skills


H5: Turning Information to Action: Gathering User Perspective for Design of the Interactive AHRQ Academy Web Portal

The AHRQ Academy for Integrating Behavioral Health and Primary Care has established many excellent resources in tools available on its web portal. But users and potential users of web portals typically experience a gap between "information" and action, being able to use and act on website information. This session engages CFHA members – people who know the practical needs of the field – as a "design team" for interactive web-portal and community-building features to narrow the gap between information and acting on it.

Alexander Blount, EdD, Director, Center for Integrated Primary Care, University of Massachusetts Medical School; Neil Korsen, MD, MS, Medical Director, Behavioral Health Integration, MaineHealth; Ben Miller, PsyD, Director, Office of Integrated Healthcare Research and Policy, Department of Family Medicine, University of Colorado School of Medicine; C.J. Peek, PhD, Associate Professor, Department of Family Medicine and Community Health, University of Minnesota Medical School


describe at least two major components of the AHRQ Academy web portal and how these are intended to unify and advance the field

list the kinds of gaps that potential users (gathered together in this presentation) experience between kinds of information on the web portal and taking specific action in their practices

express the kinds of developmental steps for the field that the Academy portal or other resources will probably need to address over the next five years


EXHIBITORS & TRAINING SHOWCASE


Please visit these displays in the CFHA Lounge on Friday and Saturday during the Conference.

Agency for Healthcare Research and Quality

540 Gaither Road, Rockville, MD 20850 301-427-1364 www.ahrq.gov The Agency for Healthcare Research and Quality’s (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work with the U.S. Department of Health and Human Services (HHS) and other partners to make sure that the evidence is understood and used. Cherokee Health Systems

2018 Western Avenue, Knoxville, TN 37921 (865) 934-6725 www.cherokeetraining.com Cherokee Health Systems is both a FQHC and CMHC in East Tennessee that has offered a primary behavioral health integrated care model for nearly 40 years. Cherokee staff provides consultation and technical assistance on the clinical model, operations, sustainability, collaborations and administration. Stop by our booth to learn more. Pearson (Innerview) 5601 Green Valley Drive Bloomington, MN 55437 952-681-3670 https://www.innerviewmed.com/ Innerview® is a mental health clinical decision support system for integrating mental health and primary care based on a first-person narrative created by the patient. Innerview collects, organizes and automates mental health evidence to support diagnosis, treatment planning and monitoring of 20 mental health syndromes commonly seen in primary care. Innerview brings scalable technology to practices that can be shared across the care continuum.

Innerview: Meaningful Conversation Meaningful Data Meaningful Use.

EXHIBITORS & TRAINING SHOWCASE


Telehealth Services

4191 Fayetteville Road, Raleigh, NC 27603 800-733-8610 www.telehealth.com TeleHealth Services is the leading provider of solutions to hospitals for patient entertainment, education and engagement. We offer an array of advanced technologies, plus extensive service, installation, and financing options. Call 800-535-2459 or visit www.telehealth.com

TRAINING SHOWCASE

Arizona State University

500 North 3rd Street M/C 3020 Phoenix, AZ 85004 602-496-1354 www.asu.edu

The Arizona State University Doctor of Behavioral Health online degree program prepares students with the medical literacy, evidence-based intervention, and business entrepreneurial skills to accomplish the triple aim of improving patient health care experiences, expanding reach to address population health issues, and reducing service delivery costs. Students in the program are trained to become health care leaders in primary care settings where they effectively address the changes occurring in an evolving health care marketplace through new integrated care models. The internship is designed to provide students with the experience of working on a multidisciplinary, integrated primary care team using central medical records, collaborating with other providers in treatment planning and interventions, and sharing the responsibility of improving outcomes.

POSTER PRESENTATIONS


Friday, October 17, 2014 – 7:30 AM to 3:30 PM

Poster presentations allow authors to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. There will be a different selection of posters each day. Posters will be on display in the Blue Prefunction Room and presenters will attend their displays during breaks on Friday and Saturday.

1. Using Group Medical Visits to Improve Care of Patients with Chronic Symptoms of Lyme Disease

Submitted by James Anderson

Group medical visits improve patients' access to their personal physician, patient and provider satisfaction and financial efficiency. We will discuss implementing group visits for patients with chronic symptoms of Lyme Disease, a condition that is often difficult to diagnose and manage and leaves patients feeling isolated and unsupported in the medical community. We will compare group visits for this patient population to more common group visit models for diabetes, weight management and chronic pain. We will present data on group census numbers, patient satisfaction, and provider satisfaction. Attendees will leave with a sufficient understanding of the roles of the physician, behaviorist, and support staff in providing shared medical appointments to replicate this in their settings.

2. Youth Health Resiliency Scale: A Tool for Fostering Student Self-Advocacy

Submitted by Kathy Bradley-Klug

The Youth Health Resiliency Scale is a new measure of health literacy and resiliency for teens and young adults with chronic health conditions. The purpose of the scale is to help practitioners better understand ways to promote positive outcomes for these youth, such as social connectedness and optimism. In addition to reviewing the development of the Youth Health Resiliency Scale, presenters will share the scale with attendees and highlight its specific applications. Attendees will also learn how information from the scale can be used to facilitate interdisciplinary collaboration in integrated healthcare practice and across other settings. This poster will be presented by Kathy Bradley-Klug and Courtney Lynn.

3. Creating and Sustaining a Training Program in Integrated Behavioral Health Psychology

Submitted by Cindy Carlson

This symposium will present an innovative graduate training program in integrated behavioral health psychology (IBHP) that features interprofessional education and collaboration, family centered care, and Spanish-speaking workforce development. Presentations will also focus on how the program ensures sustainability of training opportunities in IBHP through the establishment of partnerships at multiple levels and collaborative research.



4. A Lattice of Care: Promoting the collaboration of an array of behavioral health practitioners to improve child and family health in a primary care setting

Submitted by Patricia Gerrity

A physical trauma can happen in a matter of seconds but it changes the lives of patients and their families forever. Medical Family Therapists, as well as other behavioral health specialists, must understand the complexity and unpredictability that comes with navigating through these traumatic experiences. This poster highlights how Medical Family Therapists serve an important role during these difficult times through their focus on the human connection with patients and families. The author shows how working from a Chaos Theory framework is useful to Medical Family Therapists when supporting patients and families who have been through physical trauma. A case study example and a Chaos Diagram are included in the poster to support this assertion.

5. Overcoming barriers to collaborative care in Appalachia: An empirical study

Submitted by Jeffrey Ellison

Decades of research have shown that there are significant advantages to maintaining close communicative and collaborative relationships between primary care and behavioral health providers. Fiscal, structural, and systemic barriers, however, often restrict the degree to which such interprofessional collaboration can occur. In the present study of Appalachia, the authors examined relationships between primary care clinics' characteristics (e.g., clinic type, rurality, and clinic size), barriers to using increased collaboration (i.e., fiscal, structural, and systemic) , and the level/type of collaboration used at a particular clinic. In this presentation, the authors will review the results of this innovative study and will explore how these regional findings may be used to inform implementation efforts more broadly.

6. Psychosocial Services: Increasing Awareness and Accessibility

Submitted by Jennifer Harsh

Staying up to date with available psychosocial resources and connecting patients with the appropriate service can be a challenge for many healthcare providers. Creating new, innovative strategies to assist providers in quickly locating appropriate psychosocial resources for patients is needed. We created a web-based tool and associated education program, based on biomedical and psychosocial provider feedback, that addresses this challenge. The decision-tree style tool can improve patients’ care experience by helping their medical providers link them with resources that can meet their unique needs. Additionally, with increased awareness of available psychosocial services, medical providers may feel more confident in referring patients to services that can attend to patient distress, which can improve medical outcomes, and, in turn, decrease long-term healthcare costs.

7. Participant module selection in telephonic counseling at Denver Health Medical Center

Submitted by Ivy Donaldson

Brief psychotherapy is effective in reducing symptoms of depression and anxiety (Green, Frank, Butwell, and Beck, 2007). However, people who are in need of psychotherapy often face barriers to receiving treatment [(financial issues, social stigma, and self-stigma) Graham, Griffiths, Tillotson, and Rollings, 2013]. A cutting edge approach to reducing barriers to mental health is telephonic counseling. The Behavioral Health and Wellness team at Denver Health Medical Center has implemented a Telephonic Counseling program for Depress and Anxiety (TCDA). The TCDA program offers evidence-based interventions to its participants. An innovative aspect of this program is that participants choose the type of therapy they feel will be most helpful for them from among 11 different therapy modules. Participants may work on up to 3 modules during the 10 session counseling program. In this poster, we will present data on how often each therapy module is selected and pre-post outcome changes for each module.



8. Integrated Care: Results from small practice implementation

Submitted by Mary Peterson

Integrated care pilot for small practice was grant-funded by Independent Physicians' Association. Post-doctoral resident developed program and achieved significant results within 6 month implementation. Implementation process and specific results will be shared.

9. The Trainees' Perspective on Training in an Integrated Care Setting

Submitted by Molly Stenner

The experience of Masters Level training in an integrated mental health/medical setting will be discussed from the perspective of the trainee. Topics will include: integrated training with resident-physicians, supervision issues, boundaries between patient/physician/therapist, and potential training gaps. Presenters are Masters Level trainees in an integrated care setting.

10. Medical Residents' Experiences Training with Integrated Behavioral Health

Submitted by Patrick Hemming

Authors: Patrick Hemming, MD, MPH; Rachel Levin MD, MPH; Joseph Gallo, MD, MPH Integration of behavioral health services into primary care settings is increasingly common in practices both in the United States and abroad. Integrated Behavioral Health (IBH) models are being established in practices with residents training for primary care fields. The educational outcomes associated with practising IBH, where residents work collaboratively with professionals from mental and behavioral health fields are not well known. To examin teh education impact of IBH, we sought out practices with IBH. Throught the Collaborative Care Research Network, a practice-based research network overseen by the American Academy of Family Physicians, four IBH residencies were consented to participate in a survey of residents and faculty members regarding their practic model, and experiences. The aims of the survey are to evaluate potential associations between residents' level of exposure to IBH and such outcomes as attitudes toward IBH, conidence in managing select behavioral health conditions, and greater satisfaction in practice. The survey asks residents to rank the quality of learning that comes from collaboration with behavioral providers by comparison with other educational metods of teaching behavioral health. It is anticipated that with this information, residencies implementing IBH will be better able to identify features of interprofessional practice that should be used in the training of the collaborative primary care physicians of the future.

11. The Ethics of Community-Based Participatory Research

Submitted by Ruth Nutting

Author: Ruth Nutting, MA, MFT. Much of our contemporary thinking in regards to professionals’ roles and practices has been based on a hierarchical model. In the last third of the 20th century, the collaborative model emerged to deconstruct traditional patterns of hierarchy in order to engage families as active, empowered participants in the services they receive. Through community-based participatory research the collaborative model focuses on creative partnership to increase population well-being. This poster will highlight the historical overview of action research as well as participatory action research. Following this overview, focus will turn to the tenets of the citizen health care model and community-based participatory research. Specific interest will be given to the ethics of community-based participatory research, and the need for this type of research to increase in order to obtain the achievement of Triple Aim: better patient experience, better population health, and lower cost.



12. Integration of Psychology Services into an Academic Medical Home: The Nemours Experience

Submitted by Cheyenne Hughes-Reid

An estimated 75% of children with psychiatric problems are seen in primary care (Williams, Klinepeter, Palmes, et al., 2004). The primary care physician plays a critical role in navigating services for children throughout their development in terms of acute health problems, chronic health conditions, and behavioral and developmental health. In fact both the American Academy of Pediatrics and Affordable Care Act recommend that all pediatricians routinely assess all domains of development, including both physical and behavioral functioning. Moreover, the integration of behavioral health into primary care practices theoretically increases access to psychological services for children in a timely and cost effective manner in order to ensure family-centered care. The purpose of this poster is to describe the model of integrated care at Nemours, a pediatric health network in Delaware associated with a pediatric hospital. There are ten community primary care clinics and one continuity clinic based at the hospital. Psychology has been integrated within the primary care clinics since 2002 with the inception of the HRSA Graduate Psychology Education Program. Initially 2 psychologists and 3 psychology residents were integrated across 3 primary care clinics. Today, the HRSA grant is in its fifth funding cycle. For the upcoming 2014-2015 training year, there will be eleven licensed psychologists, two postdoctoral fellows, and eight predoctoral psychology residents placed within integrated care clinics within Nemours. Two of these residents will be completing our inaugural Integrated Behavioral Health track and will develop expertise and skills specific to integrating psychology within primary care. With increasing psychology coverage, we now have the capacity to provide care in all ten Nemours clinics. Psychology staff and primary care staff share an electronic medical record, physical space, and support staff, creating a unified care network for families. Since 2012, Nemours has been working toward NCQA designation for family-centered medical home, and psychology has been a key member of the care team. As part of the movement toward medical home, system-wide initiatives have successfully been implemented across practices which focus on conducting routine developmental screening of young children and more recently, regular screening for adolescent depression. This poster aims to disseminate the Nemours model of integrated care focusing on expansion, training, and patient-centered care. Preliminary data extracted from the electronic medical record indicate the families referred to psychology are seen an average of 20 days from the date of the referral, with a range of 0-70 days. Primary care physicians at Nemours refer children and adolescents to psychology for a wide variety of presenting concerns. Predominant referrals include ADHD (22%), behavior problems (28%), anxiety (6%), depression (4%), school problems (4%), and stress/adjustment (4%). Not surprisingly, 14% of the referrals included children/adolescents who had multiple concerns. PCPs also referred to psychology for a variety of health concerns (7%) which included pain, sleep problems, toileting difficulties, seizures, asthma, weight loss/gain, concussion, Bells Palsy, and epilepsy. The remaining referrals (8%) did not indicate a reason for referral. Lessons learning and future vision of further developing the integrated care model at Nemours will be discussed.



13. Tobacco Cessation Intervention in an Integrated Primary Care Setting

Submitted by Stephanie Murtaugh

The 2008 updated publication of the Evidence-Based Clinical Practice Guideline for Treating Tobacco Use and Dependence by the US Public Health Service specifically recommends that health care institutions execute system-level changes designed to promote the assessment and treatment of tobacco use. Pittsburgh Mercy Family Health Center (PMFHC), a program of Pittsburgh Mercy Health System (PMHS) is a community based, integrated, patient centered medical home imbedded within a large behavioral health center that has implemented a rigorous tobacco cessation protocol, under the direction of the centers Medical Director, J Todd Wahrenberger, MD, and Consulting Psychiatrist/Medical Director of Tobacco Cessation, Brenda Freeman, MD. While open to the public, PMFHC was developed to meet the special needs of its large seriously mentally ill (SMI) and homeless population. Fully 70% of persons served fall into the highest risk categories with many complex social, emotional and health needs. While 20% of the adult public in the US smokes it is well known that individuals suffering from mental illness purchase 44% of all cigarettes in the United States. Within PMFHC, 49% of our patients use tobacco products and 67% of those individuals have SMI. To address the special needs of this complex population a rigorous tobacco cessation protocol has been implemented. 100% of all patients are screened for tobacco use. All members of the team (medical staff, front office, medical assistants, care managers, etc.) are trained in motivational strategies to â€œ ask, advise, assess and assistâ € with tobacco cessation. In addition to approaching patients in a proactive fashion, we use medications, NRTx and Tobacco cessation specialists to leverage proven strategies in a best practice fashion. The poster presented will review our protocol, intervention strategies, and outcomes.

14. The Sibling Support Demonstration Project

Submitted by Heidi Pattz

The Sibling Support Demonstration Project, developed at the Eunice Kennedy Shriver Center at UMass Medical School, and implemented at Cambridge Health Alliance, is a mental health care initiative that serves siblings and their parents/caregivers. Project goals are: To increase sibling resiliency and decrease trauma during and following a child's psychiatric hospitalization; to increase parental awareness of how siblings may be affected and facilitate effective coping strategies; to help restore family stability following a psychiatric hospitalization; reduce readmission rates; and to increase awareness among medical practitioners in the delivery of family-centered mental health care. Interventions include sibling support groups led by medical trainees, and parent/caregiver education groups facilitated by parent mentors.



15. Barriers, Successes, and Role Development: Content Analysis of a Family Therapist as a Member of a Team-Based, End-of-Life Healthcare Delivery Model.

Submitted by Stephanie Trudeau-Hern

Team-based healthcare delivery has been gaining momentum throughout various healthcare settings. Typologies of care delivery models vary in composition based on professional license, trajectory of illness, scope of practice, and systemic or organizational factors. Family Therapists are one type of behavioral health provider that are showing up in various healthcare settings and being utilized in innovative ways to improve practice modalities. Family therapists operating on teams are becoming an effective way to reach patients and families who are impacted by the complexities of chronic illness. What is not clear is how a family therapist operates within a team-based setting where the composition of the interdisciplinary team has been untested. This research paper aims to do just that. Qualitative content analysis was used to track one family therapists role development on an interdisciplinary late life healthcare team. This paper will highlight one central United State urban healthcare system’s approach to using team based care as a proxy to connect with a population of late life patients and their caregivers. This study focuses specifically on the family therapist and looked to explore, understand, and describe that clinician’s role on the care team. The data used for this study were 52 weeks of transcribed audio recording taken at weekly intervals from the family therapist on the team. All team members, clinical and non-clinical had opportunities to participate in weekly recordings. Participation was voluntary and semi-structured; participants were encouraged to address questions pertaining to their role, working with patients, caregivers and other health providers. They were also given opportunity to discuss other topics of their choice. Length of submitted transcripts varied from one to five pages. Using the iterative process of content analysis, themes were generated that highlight the family therapists’ role development specific to clinical, operational, and team domains. Initial finding provide suggestions for distinguishing and establishing the role and pattern of utilization for a family therapist on this particular late-life healthcare delivery team.



Saturday, October 18, 2014 – 7:30 AM to 3:30 PM

Poster presentations allow authors to meet and speak informally with interested viewers, facilitating a greater exchange of ideas and networking opportunities than with oral presentations. There will be a different selection of posters each day. Posters will be on display in the Blue Prefunction Room and presenters will attend their displays during breaks on Friday and Saturday.

1. Helping Couples Cope with Cancer: Evaluation of Hold Me Tight

Submitted by Maureen Davey

Each year many couples are affected by the diagnosis and treatment of cancer. Cancer is chronic, life-threatening, and often all-consuming for patients and their partners. Yet our current healthcare system does not consistently or systematically support couples who are coping with cancer. The proposed brief presentation fills a void for providers working with couples who are coping with cancer. We adapted Hold Me Tight (HMT), Susan Johnson's (2009) Emotionally Focused Therapy (EFT) couples' group program, to help couples cope with a spouse or partner who has been diagnosed with cancer. Given the racial and socioeconomic disparities in cancer incidence and mortality, we recruited a racially and socioeconomically diverse sample to evaluate this intervention so it is more culturally sensitive.

2. The Importance of Providing Trauma Informed Care at an HIV Clinic

Submitted by Lane Diflavis

Brief psychotherapy is effective in reducing symptoms of depression and anxiety (Green, Frank, Butwell, and Beck, 2007). However, people who are in need of psychotherapy often face barriers to receiving treatment [(financial issues, social stigma, and self-stigma) Graham, Griffiths, Tillotson, and Rollings, 2013]. A cutting edge approach to reducing barriers to mental health is telephonic counseling. The Behavioral Health and Wellness team at Denver Health Medical Center has implemented a Telephonic Counseling program for Depress and Anxiety (TCDA). The TCDA program offers evidence-based interventions to its participants. An innovative aspect of this program is that participants choose the type of therapy they feel will be most helpful for them from among 11 different therapy modules. Participants may work on up to 3 modules during the 10 session counseling program. In this poster, we will present data on how often each therapy module is selected and pre-post outcome changes for each module.

3. Cancer pain management: Optimizing the role of behavioral health providers

Submitted by Arissa Fitch-Martin

Pain is a common experience among cancer patients can also be a different experience when compared to patients with chronic pain syndromes. Behavioral health providers (BHPs) play an important role in the management of cancer pain by facilitating the development of coping skills as well as helping the patient find meaning in their life with a new diagnosis. Although BHPs are often valuable members of the pain management team, adequate patient care can also depend on the knowledge and attitudes of each of the providers. Inadequate knowledge and negative attitudes about pain can inhibit a patient from receiving effective pain care rather than positively facilitating the pain management process. The purpose of this poster is to provide much needed guidance for BHPs in the area of cancer pain management. The poster will present an examination of the current literature on cancer pain management including: complex cancer pain syndromes, the Multifactorial Model of cancer pain, cancer pain assessment, psychological interventions, barriers to cancer pain management, and implications for BHPs. Engaging in proper pain assessment techniques will facilitate effective pain management treatment planning, including the appropriate selection of evidence-based psychological interventions that are well-suited for the patient. Improving the knowledge and attitudes of BHPs regarding cancer pain management will help to ensure optimal patient care.



4. Psychological First Aid: Creating a Common Language for Multidisciplinary Collaboration

Submitted by Tai Mendenhall

Psychological First Aid (PFA) is becoming more recognized across disciplines. However, communities lack a standardized definition of PFA. This poster will describe the current challenges.

5. Screeners in the Maternal Medical Home

Submitted by Mary Peterson

The Maternal Medical Home opens up new opportunities for integrated care practices. The use of screeners to identify behavioral and medical risk factors incorporates the Behavioral Health Consultant into the treatment regimen for pregnant women.

6. Self-care Promotion in Health Professionals: A Fresh Perspective from Nurses

Submitted by James Robinson

Behavioral health providers are not only expected to care for patients, but they are often called upon to address the needs of other healthcare providers. The presentation will review materials and outcomes from a didactic and experiential manualized self-care workshop for nurses and other healthcare professionals. Relevant self-care literature and resources will be presented along with recommendations for future interventions and evaluations.

7. Physical Trauma, Chaos Theory, and the Role of Medical Family Therapists Submitted by Limor Gildenblatt

A physical trauma can happen in a matter of seconds but it changes the lives of patients and their families forever. Medical Family Therapists, as well as other behavioral health specialists, must understand the complexity and unpredictability that comes with navigating through these traumatic experiences. This poster highlights how Medical Family Therapists serve an important role during these difficult times through their focus on the human connection with patients and families. The author shows how working from a Chaos Theory framework is useful to Medical Family Therapists when supporting patients and families who have been through physical trauma. A case study example and a Chaos Diagram are included in the poster to support this assertion.

8. Motivating families of dialysis patients to identify live donors for kidney transplantation

Submitted by Ronna White

For profit dialysis has become institutionalized with secure funding from Medicare, while at the same time advances in transplantation --laporoscopic donor surgery with 24 to 48 hour hospitalizations, new immunosuppressant meds with less side effects. Many medical personnel are not aware of these advances, including community hospital nephrologists and nurses, committed volunteers providing public awareness for Donate Life and Kidney Foundation. Train dialysis center personnel to educate family members and significant others on efficacy of transplantation from live donors and assist with connection to hospital transplantation centers, including centers with capability to swap pairs for better matches. These family members and significant others can become advocates to identify possible candidates to donate to their family member. Dialysis requites 12 to 15 hours a week of scheduled treatment; this can be temporary while a viable match for transplant is identified. After a successful transplant, a person returns to a healthy independent life --with huge personal and financial cost savings. Research, statistics will be presented to show long-term cost and health benefits of transplantation vs. dialysis.



9. Behavioral Health Prevention and Early Intervention during Well-Child Care: Integration of Pediatric Psychology within a Primary Care Clinic

Submitted by Amber Landers

Amber J. Landers, Ph.D, Pooja Rutberg, MD, Ken Gerweck, MD Well-child visits are physical exams designed to address developmentally appropriate growth in bio-psycho-social realms for a particular age. Because they are intended to check-in on a broad range of health and social topics, they offer a unique opportunity for collaborative care and prevention. Parents often raise mental health and behavioral health concerns during these visits, which are often addressed by referral to a specialty mental health clinic or follow-up at a next well-child visit. Integration of pediatric psychology in well-child visits can address these questions in real-time. Inclusion of pediatric psychology in well-child care can normalize psychosocial care in medical visits and in the Patient Centered Medical Home, prepare families for referrals to specialty mental health, offer psycho-education, and offer specific strategies. This may also reduce stigma and familiarize families with mental health so that it feels connected to their child’s whole health. With consideration of these potential benefits for the integration of pediatric psychology in well-child visits in primary care, a pediatric psychology fellow was available during well-child visits at a community health center to respond to parent’s questions about their children’s behavior, psychosocial concerns, and development. The health center served a diverse ethno-cultural, language, and socioeconomic group. It included a pediatrician and several family medicine physicians. The fellow offered real-time consultation to providers during visits, including whether a mental health referral should be made. The fellow also elaborated on questions asked by families, and provided brief strategies for behavioral health issues. This integrated experience offered a learning experience for the fellow, expanded patient care, and because strategies were provided during wait times for vaccines or other services, allowed the fellow and provider to work simultaneously and in tandem for efficient use of time. Steps in implementation, challenges, and future goals for sustainability of this model of care are described. Benefits for trainees, providers, and families are further discussed.

10. Risk Stratification and Reduced Hospitalizations in an Integrated Primary Care Setting

Submitted by Stephanie Murtaugh

Pittsburgh Mercy Family Health Center (PMFHC), a program of Pittsburgh Mercy Health System (PMHS) is a community based, integrated, patient centered medical home imbedded within a large behavioral health center. While open to the public, PMFHC was developed to meet the special needs of its large seriously mentally ill (SMI) and homeless population. In order to best serve this population a risk stratification methodology was developed to better direct resources and provide interventions to those highest at risk. Based on core areas defined by the Case Management Society of America, individuals are assessed according to their biological, psychiatric, and social risk as well as their engagement with health services. Fully 70% of persons served fall into the highest risk categories with many complex social, emotional and health needs as well as generally poor engagement with traditional services, frequently resulting in unnecessary ER visits and hospitalizations. A risk stratification protocol and intervention process has been implemented under the direction of the centers Medical Director, J Todd Wahrenberger, MD. Highest risk patients, organized according to population, are reviewed in weekly high risk meetings attended by the entire medical team as well as other providers involved in their care and intervention strategies developed to increase engagement and reduce risk. This poster will review the risk stratification process as well as present data demonstrating reduction in hospitalizations for SMI patients at the PMFHC as compared to a like population involved in more traditional services, within our system of care.



11. ACTing on Chronic Pain

Submitted by Sharline Shah

ACTing on Chronic Pain Sharline H. Shah, MA, Stacy A. Ogbeide, PsyD, MS, & Renae Courtney, PsyD Millions of Americans are affected by the debilitating source of pain. Additionally, chronic pain can arise from varying medical ailments to persistent psychological disorders and is virtually comorbid with most diagnoses. Therefore, behavioral health professionals need to gain more knowledge on how to effectively treat chronic pain. Research demonstrates acceptance and mindfulness-based therapies to be successful interventions for individuals. Patients aim to focus on their values, rather than specific pain symptoms, to regain a sense of life purpose. With the use of ACT, individuals have reported lower levels of anxiety, depression, pain, and self-judgment. Furthermore, patients have described higher abilities to cope with life experiences and better psychological and physical functioning. ACT is a beneficial form of therapy and has proven successful with individuals from varying cultural backgrounds, ages, and diagnoses. The purpose of this poster is to highlight the successful interventions of ACT, specifically for behavioral health professionals in primary care. Due to a large influx of patients with a host of medical and behavioral issues, professionals are limited on time to spend with each patient. Therefore, it is important to incorporate ACT interventions to inform patients on realistic alternatives to cope with their chronic pain.

12. Effects of yoga exercise on psychological and physical condition in mothers with infants

Submitted by Kaori Yamanishi

In Japan, there exists a social background for mothers who are rearing their infants; that is, they are likely to suffer anxieties and stresses by child-rearing. Worse still, women of their 20s and 30s, compared to other age groups or men are said to have less exercises in their daily lives. Previous studies have shown that yoga which is popular in women has several positive effects, such as relaxing and calming down their mind and bodies. However, the number of yoga classes open for mothers in child-rearing is extremely small. In this study, as a part of the child-rearing support activities of Child and family support centerin the university, we offered a series of yoga lessons to mothers with infants, and verified the effects of yoga exercise on the psychological and physical condition in mothers. Methods: We recruited healthy women in child-rearing who can exercise, and analyzed data of 17 participants in yoga classes. From October 2013 to January 2014, we held yoga classes roughly once a week and participants practiced hatha yoga for 60 minutes in each class. We used the Profile of Mood States (POMS) shorter version as a scale of their psychological conditions. For physical conditions, we took up five entries from womens indefinite complaints and measured them using the Visual Analogue Scale (VAS). Two questionnaires were assessed before and after the yoga lessons. For each scale, we used a paired T-test in order to compare the mean values before and after the yoga exercise. Results: The average age of the 17 participants was 36.8 Â± 6.6 (19-46). In their first participation, the POMS showed that the subscale of negative mood (tension-anxiety, depression, anger-hostility, fatigue, and confusion) after yoga was decreased significantly compared to before yoga, and positive mood subscales (vigor) was significantly increased. The degree of participantsself-consciousness for their physical condition (fatigue, stiff neck, lower backache, headache, and languor of the body), on the other hand, was significantly reduced compared to prior to practicing yoga. Similar results were obtained in the participants for the second and subsequent lessons. Conclusions: By yoga exercise, we have confirmed that negative mood of the POMS and physical complaints decreased, and positive mood of the POMS increased. These findings suggest that there is a possibility to improve psychological and physical state of mothers with infants by yoga exercise.



13. Chronic Family Caregiving: What Contributes to Burden?

Submitted by Laura DeLustro

Considering the increasing percentage of the US population over the age of 65 and the growing diagnoses of chronic mental health conditions such as ADHD and Autism Spectrum Disorder (ASD), it is important to identify the impact of these conditions on family caregivers who are dealing with quickly changing expectations and responsibilities. Previous research has shown that some risk factors for caregiver strain and negative health related outcomes (for both caregiver and care recipient) include low social support, increased externalizing behaviors by the care recipient, and care recipients with comorbid conditions. However, if findings about caregiver strain and resiliency are over-generalized across types of caregiving, evidence-based caregiver interventions will be rendered less effective. Participants include family caregivers for individuals with chronic diseases or disorders. Included in this study are the following questionnaires: WHOQOL-BREF, Zarit Caregiver burden, Brief COPE, and the Positive Aspects of Caregiving. This study aims to identify barriers and facilitators for utilization of mental health services (particularly support groups and psychotherapy). Additionally, psychological, sociodemographic, and health factors are examined as potential predictors of emotional well-being and quality of life of caregivers. Results of this study will be used to inform development of a group intervention for family caregivers. Due to limited financial resources within the public health domain, caregiver intervention strategies should be designed for easy implementation in an integrated, primary-care setting in which the needs of both caregivers and care recipients can be addressed. Results pending until data collection is completed. Authors: Laura DeLustro, M.A., Peggy Cantrell, Ph.D., & Sarah Hill, M.A.

14. Secondary Traumatic Stress and its Impact on Recruitment and Retention in Community Based Mental Healthcare

Submitted by Brittani Strozier

This presentation will explore factors of secondary traumatic stress in the high turnover rate in community based mental healthcare professionals. Secondary Traumatic Stress (STS) is a psychological consequence of internalizing the stories of trauma experienced by others, typically clients. The research on STS and its impact on mental health professionals is limited. The effects of STS burdens not only the clinician, but the clients, agency, and overall mental healthcare system. The implications of STS in community based mental health includes: policy reform , incentives for workers, and restructuring of professional support available to these workers. Authors: Brittani Strozier,MFT & Katrina Henry, MFT

CONFERENCE REGISTRANTS As of 9-26-2014


Adams, Ariel MS Center Director – 11th Street Family Health Services of Drexel Wilmington DE USA

Allmon Dixson, Allison PhD – Geisinger Medical Center Milton PA

Aquilino, Michael MS Behavioral Health Consultant – Central Washington Family Medicine Yakima WA

Arnault, Steven Vice President of QI, Compliance & Integrated Care – CLM Center for Life Management Derry NH

Atembina, Limaya – Westat Gaithersburg MD USA

Austin, Jacob Brendan – Group Health Cooperative - South Central Wisconsin Madison WI

Awosogba, Olufunke – University of Texas at Austin Austin TX

Bailey, Suzanne – Cherokee Health Systems Strawberry Plains TN

Bailey, Webster Director, New Business Development – Cornerstone of Recovery Lousiville TN USA

Baird, Macaran A. MD, MS Professor and Head – University of Minnesota Minneapolis MN USA

Baker, Melissa PhD Behavioral Health Consultant – HealthPoint Community Health Centers Bothell WA

Barnes, Lisa LCSW Integrated Health Specialist – Foresight Family Practice Grand Junction, CO CO USA

Batal, Holly – Denver Health Medical Center Denver CO

Bauman, David PsyD Behavioral Health Consultant – Central Washington Family Medicine Residency Prgm. Selah WA

Bayona, Jose MD, MPH – Community Care Austin TX

Bazemore, Andrew Md, MPH Director – Robert Graham Center/AAFP Washington DC USA

Beachy, Bridget PsyD Behavioral Health Consultant – Community Health of Central Washington Selah WA

Beardslee, William R. MD Director, Baer Prevention Initiatives – Boston Children's Hospital Cambridge MA

Beck, Catherine M – Access Community Health Centers Madison WI

Beehler, Gregory PhD, MA Clinical Research Psychologist – VA Center for Integrated Healthcare Buffalo NY USA

Behl, Mark Chief Operating Officer of Ambulatory Services – Renown Health Reno NV

Bell, Claire MA – East Carolina University Greenville NC

Bersani, Chris Public Health Analyst – HRSA\ORO Boston MA USA

Bertagnolli, Andrew PhD Senior Manager – Kaiser Permanente - Program Offices Oakland CA USA

Bezpalko, Orysia – Drexel University School of Public Health Philadelphia PA

Birdwhistell, Meredith MD – University of Louisville Louisville KY

Bishop, Thomas PsyD Assistant Professor – ETSU Family Medicine Johnson City TN USA

Black, Lisa – UCSD Department of Family Medicine La Jolla CA

Blackstock, Steffani G. CMP Conference Manager – Collaborative Family Healthcare Association Highlands Ranch CO USA

Blount, Alexander EdD Professor of Familly Medicine and Psychiatry – University of Massachusetts Medical School, Hahnem, Worcester MA



Blumenfeld, Hugh MD PhD Assistant Professor – University of Connecticut School of Med Hartford CT USA

Bongiovi, Jamie – Lehigh Valley Health Network Bethlehem PA

Boober, Becky Hayes PhD Senior Program Officer – Maine Health Access Foundation Augusta ME

Borst, Christine PhD, LMFT Associate Director – NC Center of Excellence for Integrated Care Winterville NC USA

Bowen, Carol LCSW Manager of OP Therapy and Integrated Care program – Family Services of Western PA North Irwin PA

Boynton, Ashley – University of Texas at Austin Austin TX

Bradley-Klug, Kathy L. PhD Professor and Chair – University of South Florida Tampa FL

Brar, Jaspreet S MD, PhD Senior Fellow – WPIC, UPMC & Community Care Pittsburgh PA USA

Brien, Curtis Director of Group Operation – Renown Health Reno NV USA

Briggs, Beth MS Pre-doctoral Psychology Intern – Cherokee Health Systems Knoxville TN

Briggs, Rahil PsyD Director, Pediatric Behavioral Health Services – Montefiore Medical Center Bronx NY USA

BrownLevey, Shandra PhD – University of Colorado, Dept. of Family Medicine Aurora CO USA

Bryan, Stephany J. Program Officer and Consumer and Family Liaison – Hogg Foundation for Mental Health Austin TX USA

Buck, Katherine PhD, LMFT – University of Colorado Family Medicine Residency Aurora CO

Bull, David PsyD Behavioral Health Consultant – Cherokee Health Systems Knoxville TN

Burchett, Katy LICSW Director of Behavioral Health and Family Support – Child Health Services Manchester NH

Buxton, Yvette MD Medical Director for Child and Family Services – Mental Health Center of Denver Denver CO

Cantrell, Courtney PhD Division Director – State of NC - DMH/DD/SAS Raleigh NC USA

Carlson, Cindy Professor/Chair – University of Texas at Austin Austin TX

Carter, Bryce – Drexel University College of Medicine Ardmore PA

Cartwright, Cynthia MT RN MSEd Program Manager – MaineHealth Portland ME USA

Casillas, Vanessa – Providence Health & Services Portland OR

Chant, Allison – Allina Health Minneapolis MN

Chao, Brian PsyD Behavioral Health Consultant – Yakima Valley Farmworkers Clinic, Rosewood Family Health Center Portland OR USA

Chiba, Chiemi Professor – Takasaki University of Health and Welfare Takasaki-shi Gunma Japan

Christian, Eric M MAEd – NC Center of Excellence for Integrated Care Asheville NC USA

Cifuentes, Maribel RN ACT Program Deputy Director – University of Colorado School of Medicine, Department of Family Medicine Aurora CO USA

Clardy, Casey E PhD Licensed Clinical Psychologist / Behavioral Health – Lawndale Christian Health Center Chicago IL

Clark, Michael Michael Clark – Lifespan Family Healthcare Newcastle ME USA

Clark, Rebecca LMFT-c Marriage and Family Therapist – Lifespan Family Healthcare Newcastle ME USA



Clark Harvey, Le Ondra PhD Policy Consultant – California State Senate Sacramento CA USA

Cobb, Jean – Cherokee Health Systems Chattanooga TN

Cohen, Deborah PhD Assistant Professor – Department of Family Medicine, Oregon Health & Science University Portland OR

Cohn, Lori Director of Social Services – Rocky Mountain Youth Clinics Thornton CO

Combs, Anne MA Vice President – Greater Cincinnati Behavioral Health Services Cincinnati OH

Correll, Jennifer – Medical University of South Carolina Charleston SC

Cos, Travis A PhD Behavioral Health Consultant – PHMC Philadelphia PA

Coulson-Walters, Aisha MSS/MLSP Family and Child Support Coordinator – Stephen & Sandra Sheller 11th St FHS, Drexel Univ. Philadelphia PA

Crist, Amber MS – Cabin Creek Health Systems Dawes WV USA

Cushman, Robert A. MD Chair/Director, Department of Family Medicine – Univ. of Conn./Saint Francis Hospital & Medical Ce Hartford CT USA

Cutts, Juliette PsyD Behavioral Health Consultant – Yakima Valley Farmworkers Clinic, Salud Medical Center Woodburn OR USA

Daub, Suzanne M. Senior Director of Integration Initiatives – University of Pittsburg Medical Center Narberth PA

Davenport, Dawn PhD Director of Clinical Services of Child andFamily – Mental Health Center of Denver Denver CO

Davey, Maureen – Drexel University Philadelphia PA

Decaporale-Ryan, Lauren N PhD Family Gerospychologist/Senior Instructor – University of Rochester Medical Center, SMH Rochester NY USA

DeGirolamo, Silvia PsyD, MHA Behavioral Health Consultant – Womack Army Medical Center, Dept of Beh Health Holly Springs NC

deGruy, Frank MD MSFM Professor and Chair – University of Colorado, Dept. of Family Medicine Aurora CO USA

DeLustro, Laura – East Tennessee State University Johnson City TN

DeMichele, Gianni MS, MA – UCSD Department of Family Medicine San Diego CA

DeSantis, Brian PsyD – Peak Vista Community Health Centers Colorado Springs CO

Deutchki, Ian MD – University of Rochester Rochester NY

Dickerson, Keith MD Faculty physician – St. Mary's Family Medicine Residency Grand Junction CO

Dickinson, Walter-Perry MD – Professor, University of Colorado Denver, Family Medicine Aurora, CO

DiFlavis, Elaine LSW Behavioral Health Consultant – Drexel University College of Medicine Philadelphia PA USA

Donaldson, Ivy MS Health & Wellness Coach – Denver Health Medical Center Denver CO USA

Dover, Maria MS, LMFT Pediatric Program Manager – NC Center of Excellence for Integrated Care Cary NC USA

Dublin, Randi PhD Behavioral Health Consultant/Staff Psychologist – Chase Brexton Health Care Baltimore MD USA

Eidt-Pearson, Lauren LICSW Primary Care Behavioral Health Specialist – Barre Family Health Center Oakham MA USA

Eisman, Elena EdD AED for Governance Operations – American Psychological Assocaition Washington DC USA

Ellison, Jeffrey H PhD – Gaston Family Health Services Gastonia NC



Emrich, Paul M. PhD – Executive Officer, The Chickasaw Nation Ada, OK USA

Etz, Rebecca PhD Assistant Professor, Co-Director ACORN– VCU Richmond VA USA

Eubanks, Norma Elaine LCSW, PIP Social – Gulf Coast Behavioral Health and Resiliency Center Mobile AL USA

Evans, Tim – Bakersville Community Medical Clinic Bakersville NC USA

Farley, Tillman MD Executive VP for Medical Services – Salud Family Health Centers Fort Lupton CO

Felsenberg, Celia Director of Integrated Care – CLM Center for Life Management Derry NH

Fifield, Peter Y. – Families First Portsmouth NH

Fishman, Risa MD Medical Director, Outpatient Behavioral Health – Medstar Washington Hospital Center Washington DC

Fisk, Brent – Portland Community College & George Fox University Newberg OR

Fisk, Laura – George Fox University GDCP Newberg OR

Fitch-Martin, Arissa – Nebraska Internship Consortium in Professional Psy Omaha NE

Fleishman, Joan – Oregon Health & Science Univ Portland OR

Fogarty, Colleen T. MD, MSc Physician – University of Rochester Rochester NY

Fondow, Meghan PhD Behavioral Health Consultant – Access Community Health Centers Madison WI

Fontaine, Jennifer L PsyD Internal Behavioral Health Consultant – Evans Army Community Hospital Fort Carson CO

Forrest, Denise CPNP, MSN PNP – Rocky Mountain Youth Clinics Lakewodd CO USA

Frank, Richard G. PhD Deputy Assistant Secretary, Planning & Evaluation – U.S. Department of Health and Human Services Washington DC

Frazer, Monica Schmitz PhD Senior Research Scientist – Allina Health Woodbury MN

Freeman, Brenda K. MD Consulting Psychiatrist – Pittsburgh Mercy Health System Sarver PA

Frydman, Ruth MD Chief, Central Maine Mental Health Services – Central Maine Medical Group Lewiston ME

Funderburk, Jennifer Clinical Research Psychologist – Syracuse VA Medical Center Pittsford NY

Galbreath, Laura M. MPP Director, Center for Integrated Health Solutions – National Council for Behavioral Health Washington DC

Gallagher, Amy PsyD Director of Integrated Care – Mind Springs Health Grand Junction CO

Garrison, Ellen G. PhD Senior Policy Advisor – American Psychological Association Washington DC USA

Gedeon, Stacey PsyD, MSCP Director of Beh. Health & Integrated Primary Care – MidMichigan Community Health Services Roscommon MI

Gerrity, Patricia PhD Associate Dean Comm Health Programs – Drexel University CNHP Philadelphia PA

Gilchrist, Emma MPH – University of Colorado Denver Denver CO USA

Gildenblatt, Limor MSW Doctoral Student, Therapist, Clinic Coordinator – Saint Louis University St. Louis MO

Gilroy, Shawn Patrick EdS NCSP BCBA – Munroe-Meyer Institute, UNMC Omaha NE

Glasgow, Russell PhD Professor/Associate Director – UC Denver Department of Family Medicine/COHO Aurora CO



Gonnella, Penny LCSW Integrated Behavioral Health Specialist – Mental Health Center of Denver Thornton CO USA

Goodie, Jeffrey PhD Associate Professor – Uniformed Services University Gaithersburg MD

Gorski, Victoria A. Faculty, Residency Training – Montefiore Medical Center Bronx NY

Gould, Debra Ann MD, MPH Associate Clinical Professor – Central Washington Family Medicine Residency Prgm. Yakima WA

Grauf-Grounds, Claudia PhD Professor Marriage & Family Therapy – Seattle Pacific University Seattle WA USA

Green, Larry Alton MD Prof. & Epperson-Zorn Endowed Chair for Innovation – University of Colorado, Dept. of Family Medicine Aurora CO

Greenawalt, Melani Conference Assistant – Collaborative Family Healthcare Association Kansas City MO

Grosshans, Ashley LCSW Behavioral Health Consultant – Access Community Health Centers Madison WI

Gunn, Rose MA – Oregon Health & Science University Portland OR USA

Gunn, Jr., William B. Director of Primary Care Behavioral Health – Concord Hospital Concord NH

Haley, Lynn Psychologist – High Street Primary Care Center Denver CO

Hammonds - Penn, Stacey BSN,RN,OCNClinical Nurse IV – Memorial Sloan Kettering Cancer Center New York NY USA

Hancock, Jennifer PsyD Behavioral Health Consultant – Cabin Creek Health Systems South Charleston WV USA

Harper, Daubney PhD Psychologist – New Mexico State University Las Cruces NM USA

Harsh, Jennifer Serene PhD Medical Family Therapist/Research Coordinator – Duke Cancer Institute Durham NC

Hazell-Felch, Julie LICSW Behavioral Health Director – MCHC Manchester NH

Hearn, Sean T. MD Family Physician/Psychoanalytic Trainee – Allina Medical Clinic: MPSI Roseville MN

Hemming, Patrick – Johns Hopkins University Baltimore MD

Henderson, Robin PsyD Chief BHO & VP Strategic Integration – St Charles Health System Bend OR

Hendrick, Knoel LCSW Integrated Care Practice Manager – Rocky Mountain Youth Clinics Thornton CO

Hentschel, Elizabeth – University of Texas at Austin Austin TX

Hepworth, Jeri PhD Exec Dir, Innovation and Learning – Saint Francis Hospital and Medical Center Hartford CT

Hernandez, Caitlin PhD Behavioral Health Consultant – Mental Health Center of Denver Denver CO

Hewitt, Amber PsyD – University of Massachusetts Medical School Holden MA

Hickman, Christopher MSW, LICSW System Director, FCC & Clinical Integration – Fairview Health Services Minneapolis MN

Hill, Laura MSN, RN Director of Integrated Care and Wellness – Behavioral Healthcare, Inc. Englewood CO USA

Hill, Sarah – East Tennessee State University Johnson City TN

Hodgson, Jennifer Professor – East Carolina University Greenville NC

Hogan, Michael PhD Consultant and Advisor – Hogan Health Solutions Delmar NY USA

Holcomb, Kasie Administrative Assistant to Benjamin Miller – University of Colorado, Dept of Family Medicine Aurora CO USA



Holleman, Annie – University of Texas at Austin Austin TX

Holt, Andrea – Health District of Northern Larimer County Fort Collins CO

Hosterman, Shelley Jane Pediatric Psychologist – Geisinger Medical Center Danville PA

Hughes-Reid, Cheyenne PhD Pediatric Psychologist – Nemours/A.I. duPont Hospital for Children Wilmington DE USA

Humphreys, David – Hertfordshire Partnership NHS University Trust Bishops Stortford Hertfordshire UK

Humphreys, Joseph International Exchange Student – University of Richmond Richmond VA

Hunter, Christopher Lee PhD DoD Prog Mgr for Behavioral Health in Primary Care – Defense Health Agency Arlington VA

Igoe, Molly – University of Massachusetts Medical School, Hahnem Groton MA

Ivey, Laurie C PsyD Director of Behavioral Health – Swedish Family Medicine Residency Littleton CO

Jacobs, Barry Jon PsyD Director of Behavioral Sciences – Crozer Keystone Family Medicine Residency Swarthmore PA

Jayabarathan, Ajantha MD, CCFP, FCFP Director – Central Halifax Innovative Health Clinic Halifax Nova Scotia Canada

Johansen, Kara PsyD Behavioral Health Consultant – Cherokee Health Systems Knoxville TN

Johnson, Frank Behavioral Health Consultant – Greater Philadelphia Health Action Philadelphia PA

Joshi, Heidi PsyD Primary Care Behavioral Health Provider – Providence Medical Group Portland OR

Kaems, Margie Behavioral Health Provider – Axis Health System Durango CO USA

Kallenberg, Gene MD Chief, Division of Family Medicine – UCSD LaJolla CA

Kaprelian, Julie PsyD Pediatric Psychology Fellow – Marshfield Clinic Marshfield WI

Kelleher, Mary Therese LMFT – Chicago Center for Family Health Glen Ellyn IL

Kennedy, Jennifer – Munroe-Meyer Institute, UNMC Omaha NE

Kessler, Rodger PhD Assistant Professor – University of Vermont Burlington VT

Kettlewell, Paul PhD Chief, Pediatric Psychology – Geisinger Health Systems Danville PA USA

Khatri, Parinda Director of Integrated Care – Cherokee Health Systems Knoxville TN

Kind-Rubin, Andrew Jay PhD Chief Clinical Officer – CGRC Havertown PA

King, Danielle PsyD Behavioral Health Consultant – Tampa Family Health Center Tampa FL

King, Paul PhD – VA Center for Integrated Healthcare Buffalo NY USA

Kinman, Karen PhD, RN, LMFT Family Therapist – Private Practice Bedford TX

Kirchner, Stephanie – University of Colorado, Dept of Family Medicine Aurora CO

Klatzker, Dale PhD – The Providence Center Providence RI

Klecan, Peter R CSP Director – CLM Center for Life Management Derry NH

Klein, Uwe – Alexianer Berlin Germany



Knierim, Kyle – University of Colorado Denver, Dept. of Family Med Denver CO

Knight-Richardson, Norwood MD Vice Chair, Department of Psychiatry – OHSU Portland OR

Kobayashi, Kanako – Takasaki University of Health and Welfare Takasaki Gunma Japan

Koch, Gail MA, LCPC Manager, Primary Care Behavioral Health – OSF Medical Group Chillicothe IL

Kolobova, Irina MA – East Carolina University Raleigh NC

Kopfman, Jamie PA-C – Primary Care Partners Inc. Grand Junction CO USA

Korin, Eliana Cato De Director Behavioral Sciences – DFSM - Montefiore Medical Center Bronx NY

Korsen, Neil MD, MS Medical Director, Behavioral Health Integration – Maine Health Portland ME

Kotay, Anu – Montefiore Medical Center/ Albert Einstein College Bronx NY

Kowalkowski, Jennifer PhD Behavioral Health Director – Oakland Integrated Healthcare Network Royal Oak MI

Krause, Christina PhD Associate Professor – Aurora University Batavia IL

Kredow, Paul Charles PsyD Chief Psychologist/CEO – Primary Care Psychology Associates, LLC Northfield IL USA

Kurtz, Polly V. Executive Director – Collaborative Family Healthcare Association Greeley CO

Lackmann, Lisa – UNC Chapel Hill School of Social Work Chapel Hill NC

Laderman, Mara MSPH Senior Research Associate – Institute for Healthcare Improvement Cambridge MA USA

Landers, Amber Jeniece Fellow – Cambridge Health Alliance Cambridge MA

Larson, Andrew BSW Director, Integrated Behavioral Health Services – Sanford Health System Fargo ND USA

Lasher, Michael – East Tennessee State University Johnson City TN

Laukkanen, John MSW Behavioral Health Consultant – Rocky Mountain Youth Clinics Thornton CO USA

Leach, Kara MD – Salud Family Health Center Denver CO

Leckie, Kaitlin Rose MS, LMFTA Medical Family Therapy Fellow – St. Mary's Family Medicine Residency Grand Junction CO USA

Levesque, Chase PsyD – Dartmouth Geisel School of Medicine White River Junction VT

Levkovich, Natalie Executive Director – Health Federation of Philadelphia Philadelphia PA

Lidz, Victor PhD Professor, Department of Psychiatry – Drexel University College of Medicine Chesterbrook PA USA

Lilly, Courtney MA – East Tennessee State University Elizabethton TN

Lines, Meghan McAuliffe PhD Pediatric Psychologist – Nemours/A.I. duPont Hospital for Children Wilmington DE

Linton, Brittany – University of Texas at Austin Austin TX

Lister, Zephron PhD Assistant Clinical PRofessor – UCSD Division of Family Medicine San Diego CA USA

Little, Virna – Institute for the Family, Department of Psychiatry URMC New York NY

Liu, Ting – Drexel University CNHP Philadelphia PA USA



Lockhart, Abigail PsyD Postdoctoral Psychology Fellow – The Colorado Health Foundation Denver CO

Lomonaco Haycraft, Kimberly PsyD Licensed Clinical Psychologist – Denver Health Medical Center Denver CO USA

Lorenz, Alan MD Assistant Professor – University of Rochester Rochester NY

Luna, Javier PhD Program Manager – Winters Healthcare Foundation Winters CA

Lute, Robynne M Asst Professor – Forest Institute Springfield MO

Lynn, Courtney MA – University of South Florida Tampa FL

Macchi, C. R. PhD Clinical Professor – Arizona State University Phoenix AZ

MacDonald, Lindsay LCSW Behavioral Health Consultant – Rocky Mountain Youth Clinics Thornton CO

Madden, Lisa – CLM Center for Life Management Derry NH

Madsen, Nicholas LCSW Behavioral Health Consultant – Penn Medicine Philadelphia PA USA

Manson, Lesley PsyD Clinical Professor – Arizona State University Phoenix AZ

Maphis, Laura Intern – East Tennessee State University Bloomsburg PA

Marean, Timothy MD – Evans Army Community Hospital Pediatrics Colorado Springs CO USA

Martin, Matthew Perry PhD – Duke/Southern Regional AHEC Fayetteville NC

Mauksch, Larry B. M.Ed Senior Lecturer – University of Washington Family Medicine Seattle WA USA

Maurin, Elana PhD – American School of Professional Psychology Arlington VA

McCarthy, Chris – University of Texas at Austin Austin TX USA

McCutcheon, Brian Administrator – Southcentral Foundation Anchorage AK USA

McDaniel, Susan H. PhD Professor of Psychiatry and Family Medicine – Institute for the Family, Department of Psychiatry URMC Rochester NY

McFeature, Bill Joe PhD Director of Integrative Behavioral Health – TriArea Community Health Christiansburg VA

McFeature, Cindy Ann PhD Licensed Health Coach – Kardia Health Services Christiansburg VA USA

McGuire, Patricia M MD director of psychiatric education – UPMC St. Margaret Family Medicine Residency Pittsburgh PA

McLean, Kathryn PsyD – Lawndale Christian Health Center Chicago IL

Meadows, Tawnya J PhD – Geisinger Health System Danville PA

Mendenhall, Tai J Assistant Professor – University of Minnesota Saint Paul MN USA

Menousek, Kathryn – Munroe-Meyer Institute, UNMC Omaha NE

Merrick, Melissa K LCSW BHC Administrator – Southcentral Foundation Anchorage AK USA

Miller, Donna L – Primary Care Partner Inc. Grand Junction CO USA

Miller, Benjamin – Department of Family Medicine Aurora CO

Mitchell, Stephen Mdiv, MA Medical Family Therapy Fellow – St. Mary's Family Medicine Residency Grand Junction CO



Moffett, Jared E. MEd, BS, C Student (ASU) & Director of Career Services (UDC) – Arizona State University Washington DC USA

Monson, Samantha Pelican Health Psychology Post-Doctoral Fellow – Denver Health Denver CO

Moore, Jessica Anne PhD Primary Care Psychology Fellow – Institute for the Family, Dept of Psychiatry URMC Henrietta NY

Moran, Mary MA – East Carolina University Wilson NC

Mork, Mary Jean LCSW Program Director – MaineHealth and Maine Mental Behavioral Healthcare Portland ME USA

Morris, Neal R. EdD, MS, ABPP Psychologist – Independent Practice Bethesda MD

Mullican, Charlotte MPH Senior Advisory for Mental Health Research – Agency for Healthcare Research and Quality Rockville MD

Mullin, Daniel PsyD, MPH Assistant Professor – University of Massachusetts Medical School Barre MA USA

Murtaugh, Stephanie MA, MBA, LPC Senior Director Community Health – Pittsburgh Mercy Health System Bethel Park PA

Narayanan, Vasudha – Westat Rockville AL

Niebauer, Linda June ACT Communications Director – Family Medicine Aurora CO USA

Nielsen, Marci PhD, MPH Chief Executive Officer – Patient-Centered Primary Care Collaborative (PCPCC) Washington DC

Noftsinger, Rebecca Research Associate – Westat Rockville MD

Nutting, Ruth – University of Nebraska Medical Center Omaha NE

O'Donnell, Ronald PhD Clinical Professor – Arizona State University Phoenix AZ USA

Ogbeide, Stacy PsyD, MS Behavioral Health Consultant – Baylor College of Medicine Houston TX

Onofreychuk, Katie M MSW, LGSW Behavioral Health Specialist – Essentia Health System Duluth MN USA

Padilla, Orlando LPC Assistant Program Manager – Mental Health Center of Denver Denver CO USA

Padilla, Orlando LPC Assistant Program Manager Integrated Care – Mental Health Center of Denver Denver CO USA

Passeneau, Joseph EdM, LMHC Senior Consultant – Siemens Healthcare Houston TX USA

Patterson, Joellen Professor – University of San Diego Poway CA

Pattz, Heidi Lorraine MA DMT Expressive Therapist – Cambridge Health Alliance Roxbury MA

Pedersen, Raelynn LPC Behavioral Health Provider – Mountain Family Health Centers Glenwood Springs CO

Peek, C.J. PhD – Dept of Family Medicine, University of Minnesota Minneapolis MN

Perkel, Marc Jonathan MA Student – University of Denver Denver CO USA

Perry, Danika Sheree PsyD Postdoctoral Fellow in Clinical Health Psychology – Genesys Regional Medical Center Holly MI

Pettine, Warren – University of Colorado School of Medicine Aurora CO

Pfaffl, Craig PhD Lead Psychologist – Davita HealthCare Partners Medical Group Long Beach CA

Pickowitz, Sonny LCSW Behavioral Health Therapist – OSF Medical Group Peoria IL

Pittrizzi Purcel, Jessica – Collaborative Family Healthcare Association Denver CO



Polaha, Jodi PhD Associate Professor – East Tennessee State University Johnson City TN

Pomerantz, Andrew Regional MH Director, Integrated Care –Veterans Health Administration - Mental Health Chelsea VT

Posada, Alejandra MEd Director of Education and Training – Mental Health America of Greater Houston Houston TX USA

Pressimone, Vanessa PhD – Geisinger Medical Center Danville PA

Preston, Laurie Elizabeth MFT – Forsyth County Juvenile Court Atlanta GA

Puls, Chris MD Psychiatrist – CAPES Inc. Tulsa OK

Pulverman, Carey S – University of Texas at Austin Austin TX

Rackham, Forrest – Community Health Centers of Southeastern Iowa, Inc. Burlington IA

Rainey, Peter David MS Instructor – Penn State Milton S. Hershey Medical Center Bellefonte IL USA

Raymond, Kathy – CLM Center for Life Management Derry NH

Reed, Sara E BS Undergraduate Student – East Tennessee State University Johnson City TN

Reicks, Greg DO Physician – Foresight Family Physicians Grand Junction CO USA

Reimann, Brie Anne MPA Director Integrated Care – Colorado Access Denver CO USA

Reinecke, Nanette Kaye Program Manager Behavioral Health Services – The Everett Clinic Everett WA USA

Reitz, Randall PhD Director of Behavioral Sciences – St Mary's Family Medicine Residency Grand Junction CO

Rene, Rachelle PhD, BCB – San Ysidro Health Center San Diego CA

Rineer, Mary PhD Director of CAPES – CAPES Tulsa OK

Robinson, J.B. Burton MA Predoctoral Intern – VA Loma Linda Healthcare System Pasadena CA

Robinson, Patti PhD Director of Training and Program Evaluation – Mountainview Consulting Group Zillah WA

Rolland, John S. MD Professor Psychiatry, Co-Director – University of Chicago Wilmette IL USA

Romero, Victoria LPC/LAC Clinical Director – San Luis Valley Mental Health Center Alamosa CO

Rose, Sandra PhD Director of Behavioral Health – Goodwin Community Health Madbury NH

Rosenberg, Tziporah PhD Asst Professor – Univ of Rochester Medical Center Rochester NY

Rosenfeld, Bill LPC Integrated Health Service Director – Mountain Park Health Center Phoenix AZ

Rosequist, Lisa PhD – Alameda Health System San Francisco, California

Ross, Thekla Brumder PsyD Research Behavioral Health Clinician – Kaiser Permanente Denver CO

Rowland, Kate MD, MS, FAAFP – Rush Copley Family Medicine Residency Naperville IL

Runyan, Christine – University of Massachusetts Medical School Worcester MA

Ruple, Julie PharmD Clinical Pharmacy Specialist for HBPC – Central Arkansas Veterans Healthcare System Little Rock AR USA

Sammons, Morgan Executive Officer – National Register of Health Service Psychologists Washington DC



Sandoval, Brian E. PsyD PCBH Program Manager – Yakima Valley Farm Workers Clinic Damascus OR

Sannito, Michael PhD Family Psychologist – CAPES Inc. Tulsa OK

Saucedo, Martha LCSW – Access Community Health Center Oregon WI

Sax, Rebecca – Drexel University Philadelphia PA

Schermer-Sellers, Tina PhD Director, Medical Family Therapy – Seattle Pacific University Seattle WA

Schirmer, Julie M. LCSW Director of Behavioral Science Education – Maine Medical Center, Family Medicine Department Portland ME USA

Schott, Lisa LICSW Director of Behavioral Health Services – North Shore Community Health, Inc. Gloucester MA

Seif, Erin PhD Fellow – Geisinger Medical Center Paxinos PA

Serrano, Neftali Chief Behavioral Health Officer – AccessCommunity Health Centers Madison WI USA

Shah, Sharline MA – Forest Institute of Professional Psychology Palmdale CA

Shepardson, Robyn Leanne PhD Postdoctoral Fellow – VA Center for Integrated Healthcare Liverpool NY USA

Sieber, William Research Director – University of California, San Diego LaJolla CA

Simmons, Paul D MD Faculty Physician – St. Mary's Family Medicine Residency Grand Junction CO USA

Simoneaux, Yukiko MD – University of Rochester Medical Center Rochester NY USA

Sinapi, Linda LCSW – Asylum Hill Family Practice Inc/SFHMC Hartford CT

Smith, Craig W. – Saint Louis University St. Louis MO

Smith, Alicia PsyD Behavioral Health Consultant – Cabin Creek Health Systems Belle WV USA

Smith, Corey Dugan PsyD Psychologist – Mid Valley Family Practice Basalt CO USA

Smith, Courtney – East Tennessee State University Johnson City TN

Snapp, Matt PhD Chairman – Austin-Travis Co. Integral Care Board of Trustees Austin TX USA

Spannring, Jeanna R PhD Behavioral Health Consultant – University of Massachusetts Medical School Worcester MA

Spees, David MD Physician – Sharp Rees Stealy Poway CA USA

Steger, Bill Business Manager – Collaborative Family Healthcare Association Rochester NY

Steinberg, Judith MD, MPH Deputy Chief Medical Officer – Umass Medical School, Commonwealth Medicine Shrewsbury MA USA

Steinglass, Peter MD President Emeritus – Ackerman Institute for the Family New York NY USA

Stenner, Molly Elizabeth MFT Intake Coordinator – The Potter's House Atlanta GA USA

Stout, Danny – CAPES Inc. Tulsa OK USA

Sudano, Laura – UCSD Department of Family & Preventive Medicine San Diego CA

Suhr, Kyle – East Tennessee State University Johnson City TN

Sullivan, Tony PsyD licensed psychologist – West Central Mental Health Center Canon City CO USA



Tardiff, Annette MA Doctoral Student – New Mexico State University Las Cruces NM USA

Tedder, Jamie MA Graduate Degree – East Tennessee State University Johnson City TN

Thomas, Chantelle PhD Clinical Psychologist – Access Community Health Centers Madison WI USA

Tolliver, Matthew MA – East Tennessee State University Johnson City TN

Tran, Minh-Chau MD, MS Resident Physician – VCU-Fairfax Family Practice Sterling VA

Trotter, David PhD – TTUHSC Lubbock TX

Trudeau-Hern, Stephanie – LifeCourse, Division of Applied Research, Allina H Minneapolis MN USA

Truesdell, Lori A LCSW Behavioral Health Consultant – Lori A. Truesdell, LCSW La Porte IN

Tynan, Douglas PhD Director of Integrated Care – American Psychological Association Washington DC USA

Ulven, Jon C PhD Chair of Adult Psychology – Sanford Health Fargo ND

Vair, Christina L PhD Clinical Research Psychologist – VA VISN 2 Center for Integrated Healthcare Buffalo NY USA

Valdivia, Kelly PsyD – Access Monona WI

Valencia, Charlotte MA Behavioral health Consultant – San Luis Valley Mental Health Center Alamosa CO

Van Sickle, Kristi Sands PsyD Assistant Professor – Florida Institute ofTechnology Satellite Beach FL

Vines-Harris, Emma LGSW Behavioral Health Provider – Gulf Coast Behavioral Health and Resiliency Center Mobile AL USA

Vogel, Mark PhD Program Dir, Behavioral Medicine – Genesys Regional Medical Center Burton MI

Wahrenberger, Todd Medical Director – Pittsburgh Mercy Health System Pittsburgh PA USA

Walsh, Elizabeth – University of Texas at Austin Austin TX

Watanabe, Toshiyuki – Welfare and Health of Takasaki University Takasaki Gunma Japan

Waxmonsky, Jeanette PhD Director of Community Mental Health Integration – Colorado Access Denver CO

Weinberg, Tanya senior program officer – The Colorado Health Foundation Denver CO

Whalen, Joanne K. Clinical Psychologist – University of Colorado Denver CO

White, Ronna LMFT Director – Bryant Park Psychotherapy New York NY USA

Wiley, Susan D. Vice Chairman – Lehigh Valley Hospital Harleysville PA USA

Williams, Elizabeth Conway MA – Intern, Stone Mountain Health Services Erwin, Tennessee

Wilson, Emma Hiatt PhD Clinical Psychology Fellow – Integrated Health Psychology Training Program, The San Pablo CA

Winford, Eboni – Cherokee Health Systems Knoxville TN

Woods, Katie PhD Pediatric Psychologist – Nemours Pediatric Health System Bear DE

Wray, Laura O. PhD Acting Executive Director – VA Center for Integrated Healthcare Buffalo NY

Yamanishi, Kaori – Takasaki University of Health and Welfare Takasaki Gunma Japan



Yang, I-Shan Assistant Professor – Dixie State University St. George UT

Zaider, Talia I – Memorial Sloan Kettering Cancer Center New York NY

Zeidler Schreiter, Elizabeth Ann PsyD Behavioral Health Consultant – Access Community Health Center Madison WI

Zerbe, Judi – Pearson Bloomington MN

Zielke, Desiree Joy PhD Psychologist – Sanford Health Fargo ND USA

Zubatsky, Max PhD Assistant Professor – St. Louis University St. Louis MO

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COLLABORATIVE FAMILY HEALTHCARE ASSOCIATION 17TH ANNUAL CONFERENCE

OCTOBER 15-17, 2015

Though some histories of Portland begin with Meriwether Lewis and William Clark exploring the area in 1805, these records overlook the rich oral accounts of the Native Americans who inhabited the Pacific Northwest long before white settlers arrived. Home to the Chinook tribe, who sustained themselves by fishing, foraging and trading, many Portland area landmarks — like the Willamette River and Multnomah Falls — were named by these original inhabitants. Though the city’s original planners developed the downtown wisely (with a gridded structure and small, easily traversed blocks) the infrastructure needed to support a growing region — and ensure its natural beauty — had to be rethought. So, in 1974, the city re-routed a major highway that had disconnected Portland from its waterfront and installed the 30-acre public Waterfront Park in its place. Located right on the banks of the Willamette River featuring spectacular views of Mt Hood and within walking distance to the top downtown attractions, the Portland Marriott Downtown Waterfront Hotel is in the middle of it all – from concerts and culinary events, to jogging, biking and kayaking at Waterfront Park. The hotel is within walking distance of Portland State University and convenient to great dining, shopping, and entertainment.

10 Things You'll LOVE About Portland

1. Whether you're in the market for a big purchase from a major brand or a handcrafted souvenir, Portland has it — with zero sales tax. No food or beverage tax, either!

2. An award-winning airport and a train station that’s on the National Historic Registry stand ready to welcome you to Portland. PDX boasts an easy light rail connection to downtown, free Wi-Fi, local food and drink and tax-free shopping with no markups — and 259 flights daily.

3. Once you're in town, you'll be amazed how easy it is to get around, by light rail, streetcar, bus, bike, car or foot. MAX, Portland's efficient light-rail system, connects the metro area and downtown core. The Portland Streetcar carries passengers through downtown, the Pearl District and more.

4. Covering an entire city block, Powell's City of Books is more than a great bookstore: It’s a microcosm of Portland, packed with smart and eclectic offerings, passionate people and, naturally, its own coffee shop.

5. Governor Tom McCall Waterfront Park, across from the Portland Downtown Marriott Hotel, provides a scenic, off-street thoroughfare along the Willamette River, perfect for walkers, runners and bikes.

6. Downtown you'll find everything from budget food cart lunches to fine dining emphasizing local, seasonal ingredients. Portland’s selection of food carts are grouped in “pods” all around town, making it easy to sample several carts at a time.

7. Beer lovers, look no further — you’ll find 53 breweries, scads of annual beer fests, brew ‘n’ view movie theaters, beer pairings at fine restaurants and tap lists galore. Home to more breweries than any other city on earth, Portland has pioneered the craft beer movement since the early 1980s.

8. "Portlandia", the popular sketch comedy show in its fourth season on IFC, spotlights and spoofs the wackier sides of life in Portland. Find out where the show and the city overlap.

9. Just 30 miles from Portland, the Columbia River Gorge National Scenic Area offers amazing vistas, hiking trails, Multnomah Falls and world-class windsurfing. The gorgeous Willamette Valley boasts more than 250 wineries, quaint towns and rolling farmland ripe for touring.

10. There's no denying that it rains in Portland — but not as much as you may think. In October, days tend to be mild and partly sunny as the weather starts to cool, rain becomes more common and the leaves turn. Be sure to pack for layers and a rain jacket.

Portland Marriott Downtown Waterfront 1401 SW Naito Parkway Portland, Oregon 97201 U.S.A.

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Documents

From Fragmentation...Collaborative Family Healthcare Association P.O. Box 23980 Rochester, NY 14692-3980 USA