Tackling Challenges to the Integrated Health Workforce Kathleen Reynolds.

Tackling Challenges to theIntegrated Health Workforce

Kathleen Reynolds

It’s Not Just Us…. There is a Global Workforce Shortage

The World Health Organization (WHO) estimates that 4.3 million more health workers are required to meet the need by 2015

Health workforce shortages have replaced system financing as “the most serious obstacle” to realizing the right to health within countries

Source: Milbank Memorial Fund 2011 Report

Health Worker Shortage

Too few health works being training

and/or

Too few health workers willing to work in the health system

and/or

Too few jobs for health workers

Workforce Disparities

24.3% of psychiatrists

5.3% of psychologists

14.9% of social workers

20% of counselors

8.5% of marriage and family therapists

4.9% of school psychologists

9.8% of psychiatric nursesSource: Presentation by Dr. Wesley Clark, 2011

National Health Service CorpWhat is It?

•A network of primary health care professionals that provide medical, dental, and mental and behavioral health services.

•In exchange for their service, the NHSC provides clinicians with financial support in the form of loan repayment and/or scholarship.

•NHSC clinicians fulfill their service requirement by working at NHSC-approved sites.

Resource: Accessing the National Health Service Corp (NHSC); A Guide for Community Behavioral Health Providers and Primary Care Partners

Quick Tips: 5 Easy StepsToward Joining the NHSC

The below quick tips can help you begin the process of becoming an NHSC-approved site.

Read CIHS’ new manual Understanding the National Health Service Corps to learn about the program and its application process.

Determine if you are located in a Health Professional Shortage Area (HPSA) by entering your address in HRSA’s HPSA Locator.

Contact your State Primary Care Office (PCO). Your PCO will walk you through the application process and answer any of your questions.

Review the NHSC Service Site Reference Guide for details about what it means to be an NHSC site before you begin the application process.

Apply online at the NHSC website (you must first created an online account).

10 Ways States Can Respond Career ladders for current workers High schools oriented to health careers Innovative, flexible educational programs New and improved technologies, particularly information systems More training programs for health careers Increased education & training, including $ from Medicare & Medicaid Evidence-based scope-of-practice requirements Training for recent immigrants who were educated as health professionals in

their native countries Training of supervisors and managers Expanded data collection and tracking of the supply, demand, and use of

health workers Source: Workforce Issues Related to Physical and Behavioral Healthcare Integration Specifically

Substance Use Disorders and Primary Care: A Framework

Workforce Challenges for Individuals

Training and use of brief, focused assessments and interventions

Facilitating client self-care management

Credentialing

Training and comfort working in diverse treatment settings (e.g. primary care)

CIHS Workforce Initiatives

There is only on way to eat an elephant; one bite at a time

ConsumersWhole Health Action Management (WHAM):

This program creates workforce capacity by preparing consumers to serve as health educators and coaches. Guide participants through a person-centered planning process to set a whole health and resiliency goal and implementing a weekly action plan for success. The training is designed to support the emerging peer workforce to move into new health integration service models like health homes.

PsychiatristsPsychiatrist Training Curriculum:

The 6 Module Psychiatrist Curriculums is designed to increase psychiatrists’ capacity to practice and/or consult in integrated health settings. Module 1: Introduction to Primary Care Consultation PsychiatryModule 2: Building a Collaborative Care TeamModule 3: Psychiatrist Consulting in Primary CareModule 4: Behavioral Health in Primary CareModule 5: Medical Patients with Psychiatric IllnessModule 6: The role of the Psychiatrist in the Public Mental

Health System

Primary Care Physicians

Primary Care Physician Training Curriculum:

The Primary Care Curriculum is designed to create capacity for primary care physicians to treat and support individuals with a serious mental illness (SMI). Prevalence, SMI Characteristics, Pharmacological and Behavioral Interventions are highlighted. Module 1: Working with Patients with a Severe and Persistent

Mental Illness; What should Primary Care Physicians Know?Module 2: Update on Psychopharmacology for Primary Care

Physicians; Depression and Anxiety Part I & II

Case Managers

Case to Care Managers Training:

Transforming traditional mental health case management programs into assuming responsibility for the whole health of the individuals they serve. Topics include:• Conceptual framework for change: health homes, chronic care

model

• The physical health needs of people with behavioral health challenges

• Diabetes and heart disease: key issues and key interventions

• Exercises in motivational interviewing for health behavior change

• Self-assessment of individual practice

Social WorkersIntegrated Healthcare Curriculum for Schools of Social

Works: A competency-based curriculum and curriculum modules

to prepare Masters of Social Work students for behavioral health practice focused on integrative and collaborative primary/behavioral health care.

Will prepare future MSWs to enter the workforce with the needed competencies to provide and lead integrated healthcare. Curriculum offerings will be paired with field placement opportunities committed to integration and collaboration.

CommunitiesMental Health First Aid (MHFA) Training• Creating capacity within the public to identify, understand, and

respond to signs of mental illnesses and substance use disorders.

• MHFA introduces participants to risk factors and warning signs of mental health problems and substance use disorders, builds understanding of their impact, and overviews common treatments. CIHS is focusing its MHFA efforts on:Rural Communities Primary CareSpanish Adaptation

The resources and information needed

to successfully Integrate primary

and behavioral health care

Contact: Laura Galbreath, MPPOnline: www.integration.samhsa.gov Phone: 202-684-7457, ext. 231Email: [email protected]: laura3530