Beyond Silos Behavioral Health Integration at the Fort

Beyond Silos: Behavioral Health Integration at the Fort Collins Family Medicine Residency Pam Webber MD ● Fort Collins Family Medicine Residency Program ● Fort Collins, Colorado Purpose Tools • Traditional model • Social workers • Available by pager • Therapists • Co-location • Provide primarily traditional therapy • Goal increased integration Methods • Assigned behavioral health attending each ½ day clinic • Present in precepting area • Perform screening on new adolescent/adult patients • Available for consultation • Every new OB patient seen by SW, financial resources, and resource referral psychosocial screener • Consistent education • Behavioral Health team member shadows residents in clinic • Co-visit with opportunity to model brief interventions • Opportunity to assess and reinforce communication skills Results • • Conclusion • These interventions have been a step towards further mental health Integration at the Fort Collins Family Medicine Center. • Next steps include evaluation of the effectiveness of this integration on resident education and patient care. 516 new OB patients seen by SW 500 new patients screened 352 behavioral health encounters in clinic New patients with behavioral health issues identified before medical provider sees patient • Therapists seen as available resource in clinic • Increased opportunities for behavioral health teaching and modeling