In line with the Quadruple Aim, optimal health care should utilize an integrated approach addressing both physical and behavioral health. Integrated care is best provided interprofessionally where a team of clinicians work together to provide patient centered care. This presentation will report on the development and refinement of a graduate training model to enable healthcare professionals to deliver effective integrated care interprofessionally.
This model was developed through a four year Advanced Nursing Education HRSA grant. Teams of advanced practice nursing students (FNP/AGPCNP and PMHNP) and graduate and undergraduate social work (BSW and MSW) students were placed in primary care and mental health clinical settings. They worked with patients, identified by the site’s staff, to develop and carry out integrated care treatment plans for these patients. These teams were supervised by a clinical faculty member: a FNP, a MSW or a Clinical PhD Psychologist.
Students were assessed, using a pre-post evaluation model, for gains in interprofessional competencies and knowledge and skills for integrated care. Patients were assessed for changes in objective and subjective physical and mental health.
Grant team students showed gains in interprofessional competencies and knowledge and skills for integrated care.. Results from a reflective exercise, completed at the end of the team experience, showed a greater appreciation of the importance of teamwork in health care, enhanced awareness of the complexities of patient’s lives and personal growth for themselves and their work in health care. Patients, seen three or more times, showed improvement in anxiety and depressive symptoms but did not show improvement in physical health measures.
The presenters will discuss lessons learned from this project and how this training model with be sustained now that grant funding has ended.
This project was supported by the Health Resources and Services Administration (HRSA) - D09HP30345: Primary Care/Mental Health Integrated (PCMHI) Model.
Disclosures:
In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, adopted by the Joint Accreditors for Interprofessional Continuing Education, the National Center for Interprofessional Practice and Education has a conflict of interest policy that requires that all individuals involved in the development of activity content disclose their relevant financial relationships with commercial interests. All potential conflicts of interest that arise based upon these financial relationships are resolved prior to the educational activity.
Elizabeth Kalb, Kathy Riedford, Tracy Kinner, Constance Swenty, Marilyn Ostendorf, Ane Johannessen, Anders Baerheim, Catherine Demko, Ellen Luebbers
declare no vested interest in or affiliation with any commercial interest offering financial support for this interprofessional continuing education activity, or any affiliation with a commercial interest whose philosophy could potentially bias their presentation.
