Arizona Health Literacy 2020 August 26 2020 Care

Arizona Health Literacy 2020 August 26, 2020

Care Coordination Rafael Martinez, LCSW Director of Behavioral Health

Circle the City – Mission and Vision Mission: • To create and deliver innovative healthcare solutions that compassionately address the needs of men, women and children facing homelessness. Vision: • A healthy community without homelessness

Circle the City – Values • Meeting people where they are; • Treating all with dignity and respect; • Acting with the highest integrity; • Serving the needs of the whole person—physical, mental, emotional and spiritual; • Striving for excellence through continuous improvement; • Continually assessing the unmet needs of those we serve; • Acknowledging the power of collaboration; and • Celebrating the fulfilling nature of our work

Launch of 1 st Medical Respite Program October 2012 – Midtown Medical Respite Center (MMRC)

Ambulatory Care Expansion September 2015 - Parsons Family Health Center (PFHC)

Downtown Campus Operations August 2018 Downtown Medical Respite Center (DMRC) Downtown Family Health Center (DFHC)

Mobile Health Outreach 4 mobile units

Primary Care Behavioral Health • CTC utilizes a PCBH model • The Behavioral Health Consultant (BHC) is available to provide an assessment and interventions at the time of the medical visit. • The BHC is a LCSW or Licensed Psychologist • The right attitude-Non Judgmental, compassionate, begin where the patient is. • Differs from traditional behavioral health.

Difference between PCBH and Psychotherapy Primary Care Behavioral Health • • • Same Day Interventions 15, 20, 30 minutes 30 to 40 consults a week Open Access Broad focus-multiple psychosocial factors Psychotherapy • Referral wait times- days to months • 40, 60, 90 Minutes • 25 to 30 sessions a week • Closed Case Load • Mental health focused

Psychosocial factors that negatively impact health and well being • • • Coping strategies and patient strengths Mental Health and Substance Use Income and Housing Social Support, Family and other Relationships Self-esteem, Confidence and Motivation

BHC Interventions • Motivational Interviewing- Exploring internal reasons for change • Problem solving and Coping skills • Relaxation and mindfulness • Cognitive restructuring • Emotional Awareness and management • Identify the next step in their journey

Care Coordination • Identifying the resources necessary to support patient in their wellness plan • Connecting patient with necessary supports • More then simply giving patient a pamphlet or a phone number • It is about connection and communication.

Community Care Coordination • • • Outpatient MH/Substance Use agencies Inpatient MH/substance use agencies Case managers Specialty medical care Emergency Services

Internal CTC Care Coordination • • • Case managers Community Health Workers Referral Specialists Electronic Medical Record Building trusting relationships with our staff

THANK YOU!