Patient-Centered Homes and Integrated Behavioral Health Care: Reclaiming the Role of “Consultant” for Psychiatric-Mental Health Nurse Practitioner

2016 ◽  
Vol 37 (6) ◽  
pp. 387-391 ◽  
Author(s):  
Victoria Soltis-Jarrett
Author(s):  
Amanda Sue Brown ◽  
Judy L Traynor ◽  
Bambi A. Carkey

Abstract Objectives To explore the outcomes of threading the Patient-Centered Integrated Behavioral Health Care Principles and Tasks Checklist (AIMS Checklist) into the curricula and experiential setting. Methods A qualitative exploratory descriptive method with a constructivist epistemology was used to obtain in-depth student perspectives about their understanding, experiences, and process of applying Integrated Collaborative Care within the clinical setting. Results 24 Psychiatric Mental Health Nurse Practitioner Students (PMHNP) were divided into focus groups that yielded seven main themes and seven subthemes. Three of the identified themes emerged as opportunities for curriculum enhancement. Conclusions The checklist was found to be a valuable tool in not only evaluating collaborative care but in closing the gap between didactic and clinical education in fostering student-preceptor discussion.


Author(s):  
Deborah S. Johnson ◽  
Amanda Ling ◽  
Katerina Melino

OBJECTIVE: Telehealth offers a solution to many challenges in health care, including the shortage of psychiatric providers. Recently the need to limit patient and provider exposure to coronavirus disease 2019 (COVID-19) has escalated implementation of telehealth across the globe. As telehealth utilization expands, its role in nursing education and training requires systematic evaluation. Since publication of the National Organization of Nurse Practitioner Faculty white paper supporting telehealth in health care delivery and nurse practitioner education, several studies have demonstrated successful didactic instruction and training in telehealth. However, a recent literature review found no studies evaluating the use of telehealth technology as a means of precepting in clinical training. METHODS: This small-scale qualitative study investigates the readiness of one behavioral health clinic to provide teleprecepting to psychiatric mental health nurse practitioner students. Two preceptors and one student were interviewed using a peer-reviewed semistructured interview guide using video chat. Responses were reviewed, coded, and categorized into themes. RESULTS: Thematic analysis of the interviews revealed three categories for consideration in establishing teleprecepting. Clinical factors, logistics, and comparison with traditional precepting are discussed. Interviewees viewed teleprecepting as a viable method of increasing access to clinical training. CONCLUSIONS: This project supports teleprecepting as a feasible strategy for improving access to clinical training and as a technological resource that merits systematic evaluation. Practice guidelines are needed for teleprecepting of advanced practice registered nurse students, and both preceptors and students may benefit from training to support best practices prior to implementation.


2014 ◽  
Vol 2 (1) ◽  
pp. 37-53 ◽  
Author(s):  
Ana J. Bridges ◽  
Arthur R. Andrews ◽  
Bianca T. Villalobos ◽  
Freddie A. Pastrana ◽  
Timothy A. Cavell ◽  
...  

2016 ◽  
Vol 32 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Anna Ratzliff ◽  
Kathryn E. Phillips ◽  
Jonathan R. Sugarman ◽  
Jürgen Unützer ◽  
Edward H. Wagner

Behavioral health problems are common, yet most patients do not receive effective treatment in primary care settings. Despite availability of effective models for integrating behavioral health care in primary care settings, uptake has been slow. The Behavioral Health Integration Implementation Guide provides practical guidance for adapting and implementing effective integrated behavioral health care into patient-centered medical homes. The authors gathered input from stakeholders involved in behavioral health integration efforts: safety net providers, subject matter experts in primary care and behavioral health, a behavioral health patient and peer specialist, and state and national policy makers. Stakeholder input informed development of the Behavioral Health Integration Implementation Guide and the GROW Pathway Planning Worksheet. The Behavioral Health Integration Implementation Guide is model neutral and allows organizations to take meaningful steps toward providing integrated care that achieves access and accountability.


Curationis ◽  
1996 ◽  
Vol 19 (2) ◽  
Author(s):  
A. Kgosidintsi

The purpose of this study was to identify and describe the role of the psychiatric/community mental health nurse in the context of primary health care in which mental health is an integral part of the general health care system and in a specific socio-economic background. Nine (9) community mental health nurses who graduated from a local training program for community mental health nurses at post basic level, twenty five (25) carers responsible for daily care and welfare of schizophrenic clients from rural, semi-rural, urban and semi-urban areas country wide participated in the study. The study was exploratory and both qualitative and quantitative data was collected using semi structured interviews, unstructured observation and documentary search methods were used. Data analysis for both qualitative and quantitative data was done through simple frequency counts.


2019 ◽  
Vol 28 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Afarin Rajaei ◽  
Jakob F. Jensen

Integrated behavioral health care (IBHC) provides patient-centered care, which assures full considerations of patients’ needs and promotes patients having a voice in decisions about their own health care. In this article, we consider narrative therapy as an empowering, nonpathologizing, and collaborative approach for medical family therapists and behavioral health practitioners to better help patients, families, and health-care systems in IBHC settings. Clinical examples are provided for effectively utilizing narrative therapy in IBHC settings across various stages of treatment. Using narrative medical family therapy informed by cultural humility, therapists can empower patients, help them reauthor their story through the lens of their experience, and validate their worldviews.


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