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Partnering to Adapt PC-MHI for CBOCs

Dollar KM, Kirchner JE. Partnering to Adapt PC-MHI for CBOCs. Paper presented at: VA HSR&D / QUERI National Meeting; 2012 Jul 18; National Harbor, MD.

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Workshop Objectives: Primary Care-Mental Health Integration (PC-MHI) aims to improve access and quality of care for Veterans by providing population-based, patient-centered treatment for common mental and behavioral concerns in primary care. As delineated by The Uniform Mental Health Services Handbook, PC-MHI service delivery requirements vary by clinic size. Yet, PC-MHI models were primarily developed within VAMCs. The unique characteristics of many CBOCs (e.g., rural setting, limited staff, lack of police presence) present service delivery and program implementation challenges. As part of a multi-network (VISNs 2, 12, and 16) PC-MHI program implementation initiative using the Promoting Action on Research Implementation in Health Services (PARIHS) framework, distinct CBOC themes emerged that necessitated adaption of the PC-MHI models. The objectives of this workshop are to describe, within the context of PC-MHI, the unique challenges within CBOCs and to describe staffing and practice management models that address these challenges. Activities: The workshop will include a panel of four presenters, two researchers and two clinical partners, involved in adaptation of PC-MHI for CBOCs. Dr. Katherine Dollar (Center for Integrated Healthcare) will describe staffing models that were adapted to meet the programmatic needs of CBOCs within VISNs 2 and 12. Dr. David Hunsinger (Medical Director, VA CBOC) will provide the perspective of a CBOC clinical partner and how the PC-MHI program has been adapted to meet the unique needs of his clinic. Lawrence Daily, LCSW (Network 16 Integrated Care Coordinator) will describe the unique challenges for CBOCs within the south-central region and describe the resulting PC-MHI programmatic adaptations within VISN 16. Dr. JoAnn Kirchner (Director, Mental Health QUERI) will provide an overview of how these emerging themes and continued partner-oriented research can be translated into evidence-based PC-MHI program adaptation for implementation within CBOCs. Panel members will provide consultation to audience members on how to design PC-MHI programs tailored to their CBOCs. Target Audience: Partner-oriented researchers and clinical managers interested in program implementation needs within the context of CBOCs. Assumed Audience Familiarity with Topic: This workshop is appropriate for researchers and clinical managers at all levels of familiarity with implementation research.

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