Transcript Evidence Based Practice Tools for Clinical Mental

CLINICAL MENTAL HEALTH COUNSELORS’
EVIDENCE BASED PRACTICE TOOLS
Presented by
Jim Messina, Ph.D., CCMHC, NCC
Troy University-Tampa Bay Site
GOALS OF PRESENTATION
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Review the new 2011 AMHCA CMHC Clinical
Standards and existing resources to help and expand
clinical competency to meet or exceed the new
standards
Demonstrate the use of free online Clinical WorkbooksTools for Coping Series available on www.coping.us
Demonstrate the use of free online Mental Health
Counselor resources on www.coping.us
Review the implications of the new Affordable Care Act
(ACA) and how the tools available on www.coping.us
can help clinical mental health counselors prepare
themselves to be better able to present themselves to
the medical community as legitimate partners in the
prevention and treatment of mental illness in the next
century
NOW FOR A SWITCH
LET’S TAKE OUR LAST OBJECTIVE FIRST TO
HELP MOTIVATE YOU ALL TO RECOGNIZE WHY
IT IS IMPORTANT FOR ALL CMHC’S TO SUPPORT
AND EMBRACE THE NEW 2011 AMHCA
STANDARDS FOR CMHC’S AND TO LEARN AND
UPDATE ONESELF IN THE SKILLS NEEDED IN TO
MEET THESE STANDARDS!
WHY CMHC’S NEED TO CATCH UP WITH
THE 2011 AMHCA CLINICAL STANDARDS
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The Affordable Care Act (ACT) mandates preventive behavioral
medicine interventions
ACA calls for the coordination and integration of medical services
through the primary care provider for a “whole person orientation”
to medical treatment - model currently implemented at some level in
VA & Federally Qualified Health Centers (FQHC’s)
The ACA calls for creation of Affordable Care Organizations (ACO’s)
to provide comprehensive services to Medicare recipients with a
strong primary care basis
The ACA model includes integration of mental & behavioral health
services into the Patient-centered medical home (PCMH) which can
enhance patient outcomes
The ACA model integrates mental, behavioral and medical services
under one roof with potential of controlling the costs for patients
The ACA integrated behavioral medical approach opens a massive
opportunity for clinical mental health counselors
To be prepared to fill this evolving behavioral medicine role, it is
imperative that clinical mental health counseling training
programs establish training for future practitioners in these
integrated medical settings.
WHAT ARE ACO’S
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The Affordable Care Organizations (ACO’s) is a large local health
system
It usually includes more than one hospital and a number of
primary care clinics. Examples in Florida would be Bay Care on
the West Coast and the Florida Hospital System in Central
Florida
It is this whole system which is in charge of the care of its patients
The providers refer to other specialists inside of their own system
These ACO’s have their own group of providers (which could
include Clinical Mental Health Counselors) & by referring within
the system controls costs
ACO’s are then responsible not only for their costs but also for the
quality of their services to their patients
Providers are paid a flat fee that is risk adjusted for the severity of
the issues facing the patients
The ACO organization assumes the financial risk rather than the
government, business or insurance companies
Where Clinical Mental Health Counselors work and how they will
be paid may change greatly in the future as these ACO’s become
reality after full implementation of the ACA in 2014
PREVENTION SERVICES MANDATED BY ACA
If a person has a new health insurance plan or insurance policy after
September 23, 2010, the following preventive services must be covered
without policy holder having to pay copayment or co-insurance or meet
deductible but only applies when these services are delivered by a network
provider:
 Alcohol Misuse: screening & counseling
 Alcohol and Drug Use: assessment for adolescents
 Behavioral Assessment for children of all ages
 Depression: screening for adults & adolescents
 Developmental screening: for children under age 3 & surveillance
throughout childhood
 Diet: counseling for adults at higher risk for chronic disease
 Obesity: Screening & counseling for adults & children
 Sexually Transmitted Infection (STI): prevention counseling for adults &
adolescents at higher risk who are sexually active
 Tobacco Use: screening for all male & female adults & cessation
interventions for tobacco users & expanded counseling for pregnant
tobacco users
 Domestic & interpersonal violence: screening & counseling for all women
 Well-woman visits: to obtain recommended preventive services for
women under 65
POTENTIAL CLINICAL SETTING OPENINGS FOR
CMHC’S WITH ACA IMPLEMENTATION
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Clinical Mental Health Counselors will be ideally
situated to provide Behavioral Medical
Interventions based on their expanded training
and implementation of AMHCA’s Clinical
Standards. They will then need to promote
themselves in the following settings:
 General Practice: Family Practice & Internal
Medicine Clinics
 Rehabilitation In-patient and out-patient
Centers
 General and Specialized Hospitals
 Senior Citizen’s Independent housing, Assisted
Living & Nursing Homes
SO WHAT ARE THE AMHCA STANDARDS
WHICH CMHC’S NEED TO ADAPT TO?
AMHCA’S 2011 EXPANDED CLINICAL
STANDARDS FOR TRAINING OF CMHC’S
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Evidenced-Based Practices
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Biological Basis of Behaviors
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b.
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Diagnosis and Treatment Planning using EBP’s
Diagnosis of Co-Occurring Disorders & Trauma
Knowledge of Central Nervous System
Lifespan Plasticity of the Brain
Psychopharmacology
Behavioral Medicine
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b.
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Neurobiology of Thinking, Emotion & Memory
Neurobiology of mental health disorders (mood, anxiety,
psychosis) over life span
Promotion of optimal mental health over the lifespan
SO WHAT DOES WWW.COPING.US HAVE WHICH
CMHC’S CAN USE TO UPGRADE THEIR
KNOWLEDGE AND SKILLS TO COMPLY WITH THE
2011 AMHCA CLINICAL STANDARDS?
CMHC TOOLS ON WWW.COPING.US
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Evidenced Based Practices
Neuroscience
Psychopharmacology
Behavioral Medicine
Military Focus Materials
Multicultural Perspective as a
Mental Health Counselors
Focus on the Military
EVIDENCED-BASE PRACTICES
http://coping.us/evidencedbasedpractices.html
 Overview of Evidenced Based Practices
 Anxiety Disorder
 Obsessive-Compulsive Disorder (OCD)
 PTSD
 Phobias
 Depressive Disorders
 Bipolar Disorder
 Alcohol Dependence
 Substance Abuse
 Anorexia
 Bulimia
 Autism
 ADHD
 Guidebooks for EBPs
 Resources on Evidenced Based Practices
NEUROSCIENCE
http://coping.us/introtoneuroscience.html
1. Basics of Neuroscience
2. Stress Response of Humans
3. Lectures on Neuroscience
PSYCHOPHARMACOLOGY
http://coping.us/psychopharmacology.html
Psychopharmacology Chart http://emedicine.medscape.com/
 Drug Classifications to treat the following conditions:
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ADHD
Alcohol Disorder
Schizophrenia and other Psychotic Disorders
Depressive Disorders
Bipolar Disorder
Anxiety Disorders
Eating Disorders
Dementia
Generic names of each drug
Commercial names of each drug
Time to reach clinical level for each drug
Benefits of each drug
Side effects of each drug
BEHAVIORAL MEDICINE
http://coping.us/introbehavioralmedicine.html
1. Background on Behavioral Medicine
2. Lectures on Behavioral Medicine
3. Behavioral Medicine Introductory Bibliography
4. Internet Resources on Behavioral Medicine
MULTICULTURAL COMPETENCY
http://coping.us/multiculturalcompetency.html
1. Why the Need for Multicultural Competency?
2. Cultural Immersion
3. Multicultural Self-Assessment
4. Challenging Your Cultural Biases
5. Resources for Multicultural Competencies
FOCUS ON THE MILITARY AND
THEIR FAMILIES
http://coping.us/focusonthemilitary.html
 Virtual Boot Camp for Civilian Mental Health
Practitioners
 Impact of Deployment on the Military and their
Families
 Psychological First Aid for Returning Military and
their Families
 Building Resilience in Tough Times
 Addressing Compassion Fatigue in the Family
and Workplace
 Background Resources on the Deployment's Impact
 Resources for Active and Veteran Military Service
Members and their Families
SO FAR SO GOOD! SO WHAT ELSE DOES
COPING.US HAVE WHICH WILL HELP CMHC’S
AND WHICH ARE EVIDENCE BASED PRACTICE
ORIENTED SO THAT THEY CAN BE TRUSTED TO
MEET THE NEEDS OF BOTH THE COUNSELORS
AND THEIR CLIENTS?
EBP TOOLS ON WWW.COPING.US
Tools for Coping: CBT based Client Workbooks
1.
SEA’s: 12 Step Program in Self-Esteem Recovery
2.
Laying the Foundation: Tools for overcoming
Patterns of Low Self-Esteem
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Tools for Handling Loss and Grief
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Tools for Personal Growth
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Tools for Relationships
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Tools for Communications
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Tools for Anger Work-Out
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Tools for Handling Control Issues
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Growing Down: Tools for Healing the Inner Child
10. Tools for a Balanced Lifestyle: weight management
program
HOW CAN CMHC USE THE
TOOLS FOR COPING SERIES
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Clinical mental health counselors can utilize these
workbooks with their clients to:
 Expedite their treatment
 Encourage their recovery
 Sustain their well-being
 Identify triggers for & steps to prevent relapse
Tools for Coping Handbooks enable CMHC’s to challenge
clients to:
 Maintain personal growth in between sessions by use of:
 Exercises
 Tools for changing behaviors
 Journal writing
These workbooks are cost effective interventions based in
clinically sound principles which have an evidenced based
support in Cognitive Behavior Therapy for their efficacy &
positive results
IN SUMMARY
Today we looked at:
1.
The implications of the new Affordable Care Act
(ACA) and how the tools available on
www.coping.us can help clinical mental health
counselors prepare themselves to be better able to
present themselves to the medical community as
legitimate partners in the prevention and treatment
of mental illness in the next century
2.
The new 2011 AMHCA CMHC Clinical Standards
3.
The free online Mental Health Counselor resources
to help CMHC get up to date on the AMHCA
Standards on www.coping.us
4.
The free online EBP Based Clinical WorkbooksTools for Coping Series available on www.coping.us
THANK YOU ALL!
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Any further questions or clarifications you would
like at this time?