Mary T. Kelleher, MSFaculty, Chicago Center for Family Health

Tai J. Mendenhall, PhDAsst. Professor, Dept. of Family Social Science, University of Minnesota

Collaborative Family Healthcare Association 16th Annual ConferenceOctober 16-18, 2014 Washington, DC U.S.A.

Session # D3bFriday, October 17, 2014

“I Think Something Might Be Wrong with Max”:

How Expert MedFTs Share Biomedical Info with Physician

Collaborators

Faculty Disclosure

• We have not had any relevant financial relationships during the past 12 months.

Learning Objectives

At the conclusion of this session, the participant will be able to:

• Identify– The importance of the unrestricted flow of all relevant patient

information between behavioral healthcare practitioners and physician collaborators to improve patient experiences

– The processes used by expert MedFTs to share biomedical information with physician collaborators and how they were developed

– The gateways and barriers to a successful biomedical information sharing process

Learning Assessment

• A learning assessment is required for CE credit.

• A question and answer period will be conducted at the end of this presentation.

FRAGMENTATION OF CARE

Integrated care necessitates seamless interprofessional communication on all important aspects of the case

Poor interprofessional communication leads to fragmented patient care

“THE PHYSICIAN’S EYES & EARS” Unique opportunities for acquiring

biomedical information Frequency of contact Length and depth of discussion Therapeutic relationship

Pathways of biomedical information Patient and/or family reports Therapist observation Therapist educated “hunch”

THE PROBLEM

Confusion has existed with many therapists, including MedFTs and MFTs, as to the acceptability of sharing biomedical information with physician collaborators Scope of practice confusion Professional boundaries confusion Professional definition

“Healthcare providers” versus “mental healthcare providers”

THE RESEARCH AIMS

1. Development of sharing biomedical information by MedFTs

2. Factors involved in decision to share biomedical information

3. Types of biomedical information4. Sharing process5. Impact of sharing

RESEARCH DESIGN

Qualitative design for exploratory research

Expert MedFT participants Semi-structured interviews with

follow up questions Thematic analysis

PRELIMINARY FINDINGS

Developmental issues Gateways to sharing biomedical

information The process of biomedical

information sharing

NEXT STEPS TO IMPROVING CARE

1. Clinical applications2. Training applications3. Future research

Bibliography / Reference

1. American Psychological Association Interorganizational Work Group on Competencies for Primary Care Psychology. (2013). Competencies for psychology practice in primary care. Retrieved from American Psychological Association website: http://www.apa.org/ed/resources/competencies-practice.pdf

2. Baird, M., Blount, A., Brungardt, S., Dickinson, P., Dietrich, A., Epperly, T., . . . & Seymour, D. (2014). Joint principles: Integrating behavioral health care into the patient-centered medical home. Annals of Family Medicine, 12(2), 183-185. doi:10.1370/afm.1634

3. Blount, F. A., Miller, B. F. (2009). Addressing the workforce crisis in integrated primary care. Journal of Clinical Psychology in Medical Settings, 16, 113-119. doi:10.1007/s10880-008-9142-7

Bibliography / Reference (cont.)

4. Edwards, T. M., & Patterson, J. E. (2006). Supervising family therapy trainees in primary care medical settings: Context matters. Journal of Marital and Family Therapy, 32, 33-43. doi:10.1111/j.1752-0606.2006.tb01586.x

5. Institute of Medicine (2013). Interprofessional education for collaboration: Learning how to improve health from interprofessional models across the continuum of education to practice—Workshop summary. Washington, DC: National Academies Press.

6. Marlowe, D., Hodgson, J., Lamson, A., White, M., & Irons, T. (2012). Medical family therapy in primary care setting: A framework for integration. Contemporary Family Therapy, 34, 244-258. doi:10.1007/s10591-012-9195-5

7. McDaniel, S. H., Doherty, W. J., & Hepworth, J. (2014). Medical family therapy and integrated care (2nd ed.). Washington, D.C.: American Psychological Association.

Session Evaluation

Please complete and return theevaluation form to the classroom

monitor before leaving this session.

Thank you!