Training to Deliver Integrated Care: Skills Aimed at the Future of Healthcare

by C.R. Macchi (Editor), Rodger Kessler (Editor)

Overview

This unique trainer’s resource offers a comprehensive blueprint for preparing clinicians for practice in the changing and challenging environment of integrated care. Based firmly in new evidence-based models of behavioral care in medicine, it sets out the aims and objectives of modern integrated care delivery in a streamlined pedagogy-to-practice framework. Teaching strategies for developing core skills and competencies, suitable across diverse educational and workforce development settings, are presented with data-based rationales and guidelines for design and implementation. Chapters also cover the range of essentials, from research support to business acumen to program evaluation methods, needed to meet bedrock goals of improved quality of care, clinical outcomes, and patient satisfaction.

 The book’s comprehensive coverage:

 

• Reviews the evidence base for integrating medical and behavioral care.
  
• Provides empirically sound guidelines for training learners in integrated    practice.
  
• Breaks down skill development into critical training objectives.
  
• Offers detailed content of a current degree program in integrative behavioral  medicine.
  
• Recommends measures to support responsive, patient-centered, and    sustainable training programs.

A robust guide to a more inclusive and effective future, Training to Deliver Integrated Care expands the healthcare horizon to accommodate trainers working in health psychology, general practice, primary care medicine, and consulting, as well as supervision and coaching professionals.

Product Details

ISBN-13:	9783319788500
Publisher:	Springer-Verlag New York, LLC
Publication date:	08/22/2018
Sold by:	Barnes & Noble
Format:	eBook
File size:	7 MB

About the Author

C. R. Macchi, Ph.D. was trained as a systems therapist receiving his doctorate in family therapy from Kansas State University. He is currently with Arizona State University as a clinical assistant professor and internship coordinator with the behavioral health doctoral program. Dr. Macchi’s research and clinical work have addressed the impact of health behavior change and chronic disease management on a patient’s relationships. Currently Dr. Macchi is part of a research team that is developing a validated measure for determining clinic-level integration. His work has involved multidisciplinary teams interested in collaboration and integration of medical and behavioral health.

Rodger Kessler is a health psychologist practicing in family medicine for over 20 years. He is an assistant professor in the department of family medicine and the center for translational science at the University of Vermont, and become an associate clinical professor in the doctoral program in Behavioral Health at Arizona State University. He has designed, implemented, and evaluated the effectiveness of many integration projects in family medicine, internal medicine, and subspecialties, as well as three integrated Vermont Fletcher Allen Health Care Patient Centered Medical Home MH collaborative practices and is beginning a 30 project national project to evaluate the outcomes of different models of integration. He is Project Director of a recent SAMHSA funded multi department initiative training medical residents, nurses and social work students in team based integrated care. He is a senior editor of Translational Behavioral Medicine: Practice, Policy, Research for which he edited a special edition on the patient centered medical home. 

Table of Contents

Overview of Integrated Care.- Background and need.- Integrated behavioral health care models.- Skills needed for behavioral health in primary care.- Training the Workforce for Integrated Behavioral Health Care.- Patient-focused healthcare delivery.- Quality imporovement, research, outcomes-informed practice.- Behavioral health practitioner performance on medical teams.- Business of health care delivery.- Business entrepreneurship.- Internship, training, workforce development.- Supporting System Chanes for Integration.- Workforce development, CEUs/CME programs.- Institutional support and resourcing.- Further research and training development.

Editorial Reviews

Reviewer: Mamta K. Singh, MD, MS (Case Western Reserve University School of Medicine)
Description: This review was cowritten by Susan Padrino, MD (Case Western Reserve University).
This book details how best to train behavioral healthcare practitioners (BHPs) to work effectively in integrated care delivery models. It comprehensively reviews the evolution, context, and need for integrated healthcare models between primary care and behavioral health and sets the foundation for the skills and competencies necessary to work in such integrated models.
Purpose: The purpose is to provide behavioral health practitioners and educators with a broad understanding of the training needed to be effective in an integrated care model. The manual is not based in any discipline; instead it defines the necessary skills needed to work in an integrated care model and how best to gain competency in such skills.
Audience: Anyone who will be part of the integrated healthcare workforce, whether in primary care or behavioral health, would benefit from this manual. Specifically, the book addresses behavioral healthcare practitioners and teachers of such practitioners regardless of setting (graduate, certificate, health system education, or clinical setting). The book meets the needs of its intended audience for a very practical guide and the authors are credible authorities on the subject.
Features: This book, informed by educational theory, conceptual frameworks, and robust literature review, makes a cohesive argument for the need for integrated BHPs in primary care delivery. It is divided into four sections. The first reviews the workforce development initiatives needed to support behavioral care medicine. Section 2 methodically reviews the history and science for medical and behavioral integration, the current integrated care models, and the interprofessional skills needed to effectively practice in such delivery models. The bulk of the chapters are in section 3, where the book shifts to focus on existing doctoral-level integrated behavioral health degree programs. Each chapter in this section details instructional methods, trainee skills acquisition, learner assessment, and program evaluation. The final section addresses current and future infrastructure support for integrated healthcare delivery programs.
Assessment: This is a comprehensive review of the science of integrated healthcare delivery models and provides a robust argument for the need for such models. The manual is well written and is essential for anyone who works in integrated care models or plans to train future integrated behavioral professionals to work in such models. It is a very useful resource for health professions educators considering the future training needs of learners at all levels.

Doody's Review Service

This is a comprehensive review of the science of integrated healthcare delivery models and provides a robust argument for the need for such models. The manual is well written and is essential for anyone who works in integrated care models or plans to train future integrated behavioral professionals to work in such models. It is a very useful resource for health professions educators considering the future training needs of learners at all levels.” (Mamta K. Singh, Doody's Book Reviews, January, 18, 2019)​

From the Publisher