Creating Medical Homes: Integrating Behavioral Health Services Into a Residency Training Pediatric Primary Care Clinic

Resource ID Posted Format
553 September 14, 2012 Reference
University of Colorado School of Medicine

Description

Project CLIMB (Consultation Liaison in Mental Health and Behavior) provides fully integrated and co-located behavioral health services in a high-volume pediatric primary care training clinic. The program is unique in that it jointly trains both pediatric and mental health providers in an integrated care model, where children receive comprehensive services that include timely mental health care ‘right here, right now’. It increases trainees’ knowledge base, facilitates their competence in providing comprehensive and coordinated services to underserved populations, and models interprofessional interaction and community coordination. Project CLIMB is a paradigm of practice-based learning and system-based practice. It is multi-disciplinary in terms of both interprofessional education and collaborative practice. Trainees and participants include pediatric and family medicine residents, medical students, psychology and allied health trainees and both academic and community-based mental health professionals working with children and families. Training innovations involve utilization and follow-up of mental health and behavioral screening tools and the interface of electronic medical record templates. These combine with clinical informatics strategies to advance the quality of care and communication among providers. Specific examples of this include postpartum depression screening and follow-up for referrals made regarding delays found on developmental screening (manuscripts in progress).

*2012 Readiness for Reform (R4R) Innovation Challenge

Objectives

  1. Train pediatric and mental health providers in an integrated care model in which children receive comprehensive services that include timely mental health care i.e. ‘right here, right now’ in the context of a medical home.
  2. Teach mental and behavioral health screening, identification, and follow-up in the context of primary care practice.
  3. Increase trainees’ knowledge base, and facilitate competence in providing comprehensive and coordinated services to underserved populations who have limited access to community mental health resources.

Keywords

  • Health Equity Research, 2012 Readiness for Reform (R4R) Innovation Challenge, Integrated Mental and Behavioral Health, Medical Home, Resident Education, Health Systems, Clinical Informatics, Electronic Medical Record, EMR, Practice-Based Learning, System-Based Practice

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