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Team-Based Care ECHO Session 1 - Shared screen with speaker view
Steve Rego
23:17
Hello from Tennessee!
alexandern
23:42
For this session we will not be able o use our camera or audio. Next session we will be able to do so.
42077
23:56
Hello from North Carolina
Daniel Essek, APSS
24:01
Barbourville, KY
Vicki Rahenkamp
24:20
I don't have a Q/A on my toolbar
Vicki Rahenkamp
24:30
Hello from Maryland
jlmoore
24:31
Hello from Oklahoma
Grace Juarez
24:35
Hello from Los Angeles!
rursillo
24:47
Hamilton, Ohio
93449028435
24:48
Hello from Houston, Texas
Steve Rego
24:53
Yes, no Q&A on my toolbar as well...
ahernandez
24:53
atlanta
Maria Rosa Torres
24:58
Cuyahoga County, OH
Susan Johnson
25:10
Eastern Shore of Maryland
nina_perales
25:21
Nina pearls, lcsw fm Austin, TX
nina_perales
25:31
Nina Perales, lcsw fm Austin Tx
Maria Gonzales
25:37
Hello from Dona Ana County, NM
Tiffany Chohfi
25:49
Hello from Colorado!
Liz Disney
25:49
Hi from Baltimore!
Susanl
25:51
Pasco, Washington. We're in a three city area in southeastern Washington
Oaklawn Oaklawn
26:09
Hi, from St. Joe indiana
Deborah Pell
26:10
Debbie Pell, Bill Wilson Center, Santa Clara, CA
Courtney Sheehan
26:11
Hello from Connecticut! Glad to be here
Toni Tennyson-Smith
26:12
Hello from Georgia!! Look forward to earning with all of you!!
Lisa Hinte-Jackson
26:19
Hello from Albuquerque, New Mexico
Toni Tennyson-Smith
26:22
learning
Susan Teconchuk
26:37
Warren, Pennsylvania
Sarah Neil, the National Council for Behavioral Health
26:48
Hi all! Thanks so much for joining. Just a few quick reminders: please remember to use the chat box for both the questions and comments (there is no Q&A box on this session today), and also please remember to remain on mute until you would like to speak in the open Q&Z portion towards the end of the session today. Looking forward to our first ECHO session together!
Kathryn Douglass
26:54
Hello from Detroit Michigan
Jennifer Robertson-Hill
27:52
Good afternoon from Iowa!
Ronnie Tyson
28:18
Hi Ronni Tyson NASW MI SUD Clinical Supervision Institute 517.775.8776
Denise Forbes
28:21
Hello from Georgia! Community Service Board of Middle Georgia serving 16 counties in central and eastern Georgia.
jjoyce
28:42
Washington, DC says Hello!! Especially to Maura. Hi, Maura!! Great to see you.
Jennifer Robertson-Hill
29:04
Project Director for Promoting the Integration of Primary and Behavioral Health Care (PIPBHC SAMHSA discretionary grant)
rursillo
29:05
peer supporter
Jennifer Robertson-Hill
29:09
Also a clinician
Susanl
29:17
administrator
Kelli Sax-Pahl
29:18
Special Projects
alexandern
29:23
Clinican, Administrator
Lisa Hinte-Jackson
29:25
My role is OTHER: I’m a Sr. Clinical Advisor working at the state level on implementation strategies as well as advocacy and policy.
Daniel Essek, APSS
29:31
Other = Adult Peer Support Specialist, Advocate
Meredith Munoz
29:32
Hello from Colorado! Community Action Collaborative Coordinator a prevention/diversion model of high cost systems (ER/9-1-1/homelessness/jail)
Amy Paul
29:33
Hello from Phoenix, AZ
Kathryn Douglass
29:34
Clinican
93449028435
29:35
Spiritual Counselor,
Brandy H. Oaklawn - South Bend IN
29:38
supervisor for recovery coaches
Kenjii H
29:47
Hello from UPAC San Diego. I'm a peer support specialist
Cassandra Hemley
29:52
Clinic Supervisor and COD Clinician (SUDP, LMHC)
Courtney Sheehan
30:02
Integrated Care Provider
Syed Imam
30:03
Clinician older adults
kscorza
30:04
Hi from Seasons Center in northwest Iowa.
Gagan Lamba
30:06
Hi - Gagan Lamba, Behavioral Health Manager from Iowa Primary Care Association
Susanl
30:06
all of the above, we also have additional medical services like dental, vision, etc.
Lisa Hinte-Jackson
30:07
Organization - OTHER: Consultancy, and Program Development
93449028435
30:12
Mental Health and Other
alexandern
30:13
Behavioral Health Provider, Mental Health Provider, SUD Provider, - All of the above. FQHC
Meredith Munoz
30:14
Non-profit care coordination entity
Janell Troutman
30:17
State Health Department/Medicaid policy
ahernandez
30:21
acute care hospital with community mental health center
Susan Johnson
30:23
We are an FQHC
Brandy H. Oaklawn - South Bend IN
30:26
Oaklawn psychiatric is both mental health and substance use
DPsanis
30:26
Did not allow to chose all that apply.
Brandy H. Oaklawn - South Bend IN
30:34
there was more than one choice
Vicki Rahenkamp
31:17
FQHC
Jose Luis
31:59
Hello, my name is Jose Luis from Valleywise Health. I am the clinical coordinator for an Integrated Behavioral Health in our FQHC.
JWardell
32:12
Hi everyone from the Lone Star State! Looking forward to learning from y'all!
Sabater Laboratory for Psychological Innovations Inc
35:00
Hello, I am Julio, Lic Clinical Psychologist from Sabater Laboratory for Psychological Innovations Inc in Rhode Island.
Kater Tyo-aba
36:57
no audio
Sarah Neil, the National Council for Behavioral Health
38:00
Hi all! It would be great if you could please update (if you have not already) your name in Zoom to include your full name and organization so we can accurately count you as attending today's session. To change your name, please click the three dotted icon on your camera screen and scroll down to "Rename." Thanks and please let me know if you have questions!
Vicki Rahenkamp
38:21
Vicki Rahenkamp
Susan Johnson
43:29
Susan Johnson, SVP, Chief Quality and Compliance Officer Choptank Community Health
John John
44:39
John P.John MD
John John
46:12
sorry, John P. John MD Beacon Light Behavioral Health Systems, warren pa
Kelli Sax-Pahl
47:20
Kelli Sax-Pahl Crisis Preparation and Recovery
Amy Earnheart
47:34
Amy Earnheart, Mountain Community Health Partnership
Tracey McKiernan
47:58
Tracey McKiernan from Catholic Charities in Cleveland, OH
Vicki Rahenkamp, Choptank Community Health
48:21
Vicki Rahenkamp, LCPC Director of Behavioral Health at Choptank Community Health (newly integrating BH in FQHC)
Lisa K. Jackson, ENVIVE Solutions
48:38
Question: Will this forum support/offer insight about advocacy and policy as it relates to supporting statewide integrated approaches that improve outcomes - specifically focused on rural communities and equity of care? Thank You.
Amy Paul, PsyD Crisis Preparation and Recovery, Inc.
49:29
Amy Paul, PsyD, CCO - Crisis Preparation and Recovery, Inc.
Jeff Capobianco, National Council
49:55
Hi Lisa, insofar as these efforts relate to TBC yes (e.g., supporting advocacy for states to fund TBC approaches to ensure integrated approaches can work)
Steve Rego
57:16
Q: Is there a difference between a Care Management and Case Management staff?
Junqing liu
59:07
What are the payment arrangements of team-based care?
Grace Juarez, MD
59:46
would a patient end up having different care managers depending on needs
Tiffany Chohfi-Colorado Center for Nursing Excellence
01:00:39
What did you all do for training for team based care? I would like to know how you were able to keep everyone engaged and got buy in for team based care especially in an integrated setting with different disciplines involved
Vicki Rahenkamp, Choptank Community Health
01:00:45
Was the behavioral health case manager a clinician?
Tiffany Chohfi-Colorado Center for Nursing Excellence
01:01:05
Alicia, did you use a specific integrated care model as well?
Matt Mikaelian, MHA Westchester
01:02:40
it sounds like there aren't defined caseloads if all CMs touch all clients.... how are you limiting caseload?
Susan Johnson, SVP, Chief Quality and Compliance Officer Choptan
01:02:43
Is your whole team under one roof?
Tiffany Chohfi-Colorado Center for Nursing Excellence
01:03:33
Did you all do telehealth with the team as well ? interested in how this was done with team based intentionality
Kenjii Hopgood, UPAC, Community Wellness Clinic
01:09:30
i have to step away for now. Excellent presentation. Looking forward to the next one. Take Care!
Bonnie Triebig
01:09:51
Have you thought about using the various pieces of CCBHC to "create" and ACT like service?
John P. John MD Beacon Light Behavioral Health Systems
01:10:02
engage the family in supporting him. maybe peer support or drug and alcohol peer support.
jyoung
01:10:14
Clarification....Would love to hear again how the teams were structured again. Not sure I understood exactly how the teams are comprised.
Bill Behan
01:10:23
Allow and encourage the client to attend his care team meeting and have the team address him directly about his concerns and goals
Courtney Sheehan, LPC, CHR (CT)
01:10:43
Motivational Interviewing approach may help engage in a client centered way
Daniel Essek, APSS
01:11:02
During my time on the ACT Team we have had several similar clients. What we did most often was to concentrate on engagement and support. We would increase frequency of visits to allow for missed appointments. We would try to visit almost every day to check on him
Liz Disney
01:12:04
Help everyone be clear on what patient's top goal is and how team can help him move towards that goal. Is it employment? Reuniting with daughter? Addressing back pain? Then reminding pt what his part is to do so that he and team can work together towards HIS goal
Daniel Essek, APSS
01:12:17
Many times it would fall upon Peer Support to encourage better engagement, improving care
Missy (She/Her)
01:12:57
Start with what is available, lower level of care?, is medication assisted treatment available?, are psych providers appropriate?, is Peer Support available? What else is available and appropriate for stabilization?
Steve Rego
01:13:13
A client resistant to care for "whatever" reason becomes extremely expensive. Suggest taking him out of team care until he wants to engage. Provide individual care on case-by-case when he comes in or is encountered.
Vicki Rahenkamp, Choptank Community Health
01:13:42
Approach his addiction from a harm reduction prospective instead of total sobriety, perhaps DBT skills training for his resistance to treatment. I know that he was hard to engage in therapy, but would be interested to know if there was a trauma history which would explain some of his inability to engage/trust and some of the "manipulative" behavior. If trauma is there he would need care which was trauma focused.
Lisa K. Jackson, ENVIVE Solutions
01:14:01
Well said Dr. Pinheiro. Great observations.
Daniel Essek, APSS
01:14:08
With our sample client, was intoxication a barrier to engagement?
Jeff Capobianco, National Council
01:14:57
Daniel yes, sobriety was an issue....he was not eager to engage in the tx offered
Lisa K. Jackson, ENVIVE Solutions
01:15:19
I appreciate identifying the nuance between structural and dynamics. We often miss that there are multi-layered issues contributing to the outcome.
SpencerR
01:16:24
Were harm reduction techniques utilized with this client? Is there access to a Recovery Coach?
Lisa K. Jackson, ENVIVE Solutions
01:17:09
Great discussion. Looking forward to next session. Thank you to the panel and participants. Much appreciated.
Lisa K. Jackson, ENVIVE Solutions
01:18:07
Can you please resend the template with instructions? thank you. ljackson@envivesolutions.com
Vicki Rahenkamp, Choptank Community Health
01:19:31
I will be attending tomorrows webinar :)
Susan Teconchuk
01:19:57
Did you have a registry you used for organizing the patients risk, and how often did they risk status get adjusted?
Tiffany Chohfi-Colorado Center for Nursing Excellence
01:20:15
Susan, great question, I have that same one
Toni Tennyson-Smith
01:20:20
Thank you!! Great Info!!
Alicia Kirley, the National Council for Behavioral Health
01:20:29
Thank you!
Pat Pulice, Fraser MN
01:20:31
Thank you!