Argosy University, Seattle

Integrated Behavioral Health Curriculum

Integrated Behavioral Health 1: The Challenges of Health Care Reform (4 components, 12 CE hours)

January 26, 2013
9:00 a.m. - Noon
Biomedical and Psychosocial Collaboration
Introduction to patient centered medicine, biopsychosocial perspective, mind-body interactions, and cultural and familial influences on illness. Discussion of wellness promotion and financial and economic influences on health care access and delivery.

January 26, 2013
1:00 p.m. - 4:00 p.m.
Models of Integrated Behavioral Health
Looking back on thirty years of “health care reform” including Kaiser, Hawaii study, VA, Biodyne, ASU, Group Health, Boeing, FQHCs, and the Affordable Care Act. Comparisons and contrasts between models and discussion regarding accountability, medical homes, cost offset and high utilizers.

January 27, 2013
9:00 a.m. - Noon
Professional and Cultural Differences
Disparate cultural perspectives between medical and mental health practitioners re: time, efficiency, productivity, responsibility, and hierarchy, as well as language and communication. Discussion of documentation, confidentiality, and multiple perspectives on “outcomes.”

January 27, 2013
1:00 p.m. - 4:00 p.m.
Inter-disciplinary Roles and Functions
Modern changes to traditional roles and functions in an interdisciplinary team, contact with patients, and monitoring and outreach. Discussion of decision-making in a patient centered and medical home models. Differences between consultant and clinician models.

Integrated Behavioral Health 2: Skill Development (4 components, 12 CE hours)

(Student’s track determined by previous training)
February 23, 2013
9:00 a.m. - Noon
Track 1: Medical Literacy I [for non-medically trained participants]
Basic literacy in medical terminology including anatomy, physiology, classes of medications, and major chronic illness indicators.
Track 2: Counseling Skills I [for non-counseling trained participants]
Basic attending skills including development of rapport, questioning and reflecting skills, summarization, following up, and providing feedback.

February 23, 2013
1:00 p.m. - 4:00 p.m.
Track 1: Medical Literacy II
Continued focus on medical literacy and an introduction to psychotropic medications.
Track 2: Counseling Skills II
Continued focus on counseling skills and an introduction to collaboration and negotiation skills to facilitate patient behavior change goals and plans.

February 24, 2013
9:00 a.m. - Noon
Advanced Counseling Skills
Working with patient resistance and non-compliance as well as multiple illnesses and interventions, grief and loss, PTSD, and co-occurring mental health and substance use disorders.

February 24, 2013
1:00 p.m. - 4:00 p.m.
Skills for Evidence-based Brief Interventions
Orientation to screening and therapeutic focus, adaptations of psychotherapy approaches, interventions designed to be brief, brief interventions over time, and examples of brief interventions.

Integrated Behavioral Health 3: Biopsychosocial Interventions (4 components)

March 16, 2013
9:00 a.m. - Noon
Principles of Behavior Change
Focus on health behavior change principles and practices, operational definition, functional analysis, treatment planning, trouble shooting, and relapse prevention.

March 16, 2013
1:00 p.m. - 4:00 p.m.
Applications to Illnesses Commonly Treated in Primary Care
Introduction to behavior changes associated with successful management of chronic diseases such as asthma, COPD, diabetes, hypertension, and irritable bowel syndrome. Discussion of relationship between depression, anxiety, and pain.

March 17, 2013
9:00 a.m. - Noon
Motivation and Behavior Change: Diet, Exercise & Smoking
Methods for assessing motivation for behavior change such as importance, confidence, and readiness to change. Exploration of issues surrounding resistance and non-compliance as well as methods for finding non-obvious motivations. How to address patient ambivalence about change.

March 17, 2013
1:00 p.m. - 4:00 p.m.
Stress Reduction
Introduction to a variety of options for stress reduction including progressive relaxation, visualization, meditation, yoga, and mindfulness. Discussion of behavior changes necessary to implement stress reduction strategies.

Integrated Behavioral Health 4: Interventions for Specific Disorders (4 components)

April 20, 2013
9:00 a.m. - Noon
Primary Care Interventions in Mental Health Disorders
Discussion of biomedical aspects of illnesses presenting as mental health issues as well as psychopharmacology of illnesses commonly treated in primary care. Discussion of brief and focused interventions possessing evidence base.

April 20, 2013
1:00 p.m. - 4:00pm
Biopsychosocial Interventions for Depression, Anxiety, COPD & Obesity
Introduction to screening and treatment of patients with these disorders. Primary care treatment contrasted with specialty mental health care. Use of behavioral activation, cognitive behavioral therapies, and interpersonal therapy. Discussion of obesity and COPD over the lifespan as well as methods of stress reduction.

April 21, 2013
9:00 a.m. - Noon
Biopsychosocial Treatments for ADHD, Substance Abuse & Addiction, & Chronic Pain
Introduction to screening, referral, and treatment of patients suffering from these disorders. Discussion of developmental issues in ADHD and substance use disorders. Efficacy of interdisciplinary treatment of chronic pain. Exploration of opiate therapy and its pitfalls, addiction and detoxification for opiates. Designing education for patients and family members.

April 21, 2013
1:00 p.m. - 4:00 p.m.
Biopsychosocial Treatments for Suicide Prevention and for Personality and Co-occurring Disorders
Orientation to screening, referral, and treatment for patients with combinations of serious mental health/addiction illnesses including Borderline Personality Disorder, Bipolar Disorder, PTSD and other co-occurring mental health and substance use disorders. Methods of prioritizing over multiple disorders. Importance of social support for both patients and providers.

Integrated Behavioral Health 5: Illness in Context (4 components)

May 18, 2013
9:00 a.m. - Noon
Somatization: Mind Body Connections
Examination of physiological correlates of stress and long term effects. Impact of disease, treatment, and recovery on mood and behavior. Presentation of chronic PTSD and COPD case examples.

May 18, 2013
1:00 p.m. - 4:00 p.m.
Cultural and Familial Influences on the Expression of Illness
Exploration of different cultural meanings of illness. Discussion of how illness effects the family and how family effects the illness. Effects of secrets and shame and domestic violence. Utilization of family support for members who are ill and cultural and family supports for wellness.

May 19, 2013
9:00 a.m. - Noon
Ethics and Diversity
Introduction to confidentiality in medical settings and electronic record keeping. Introduction to cultural literacy for providers, including cultural perspectives on the doctor-patient relationship and collaborative clinical decision making in cultural context.

May 19, 2013
1:00 p.m. - 4:00 p.m.
Working with Interpreters: Communication Across the Cultural Divide
Medical interpretation when working with interpreters. Interpreter skills and limitations and differences between roles of cultural brokers versus translators. Interpreting words, beliefs and emotions. Working with interpreters skillfully.

Integrated Behavioral Health 6: Evidence-based Interventions (4 components)

June 8, 2013
9:00 a.m. - Noon
Treatment Effectiveness and Outcome Measurement
The role of treatment effectiveness research in shaping policy and clinical trials. The potential of individual patient outcome measurement and usefulness for treatment. Presentation of outcome measurement examples in integrated behavioral health.

June 8, 2013
1:00 p.m. - 4:00 p.m.
Evidence Based Brief Interventions: Depression & PTSD
Screening methods for depression and PTSD. Use of evidence-based interventions, including Interpersonal Therapy, CBT-DBT-ACT, and grief therapy.

June 9, 2013
9:00 a.m. - Noon
Evidence Based Interventions: Smoking, Obesity, Diabetes, and Asthma
Screening methods for smoking, obesity, diabetes and asthma. Evidence-based brief interventions for these conditions and utilization of outreach and monitoring. Interventions designed to prevent hospitalization.

June 9, 2013
1:00 p.m. - 4:00 p.m.
Evidence Based Interventions: Treatment Adherence
Assessment and monitoring of treatment. Use of negotiation, relapse prevention, and treatment plan troubleshooting.

Integrated Behavioral Health 7: Interventions Skills Practice (4 components)

July 13, 2013
9:00 a.m. - Noon
Interventions Skills Practice 1: Motivational Interviewing in Health Care
Methods for identifying and articulating ambivalence, reinforcing change talk, dealing with resistance, and providing feedback.

July 13, 2013
1:00 p.m. - 4:00 p.m.
Motivational Interviewing in Health Care Applications
Motivational interviewing as a method of supporting healthy habits such as diet and exercise, prevention of alcohol and other drug misuse, and multiple behavior changes.

July 14, 2013
9:00 a.m. - Noon
Interventions Skills Practice 1: Cognitive Behavior Therapy
Introduction to functional analysis and use of in session practice, out of session practice and documentation. Orientation to CBT techniques to support relapse prevention and maintenance.

July 14, 2013
1:00 p.m. – 4:00 p.m.
Cognitive Behavior Therapy in Health Care Settings
Applications of CBT to depression, anxiety, cravings and urges, and self-harm.

Integrated Behavioral Health 8: Pain Management and Stress Reduction (4 components)

August 3, 2013
9:00 a.m. - Noon
Interventions Skills Practice 2: Pain Management
Use of biopsychosocial assessment to aid in pain management. Orientation to CBT techniques for pain management. Discussion of the relationship between somatization and trauma, the psychosocial effects of pain, and drug seeking and narcotics abuse in pain treatment.

August 3, 2013
1:00 p.m. – 4:00 p.m.
Pain Management: The Challenge of Interdisciplinary Patient Centered Medicine
Methods for interpreting bio-medical assessments of pain causation. Discussion of specific pain disorders including low back pain and headaches. Issues of subjective pain reporting and malingering.

August 4, 2013
9:00 a.m. - Noon
Intervention Skills Practice: Stress Reduction
Use of stress reduction techniques such as diaphragmatic breathing, visualization, and “safe place.” Use of mindfulness and meditation as treatment for stress.

August 4, 2013
1:00 p.m. - 4:00 p.m.
Applications of Meditation, Mindfulness, ACT and DBT in Health Care Setting
Interventions to improve affect regulation and mood stabilization. Interventions designed to support suicide and self-harm prevention, relapse prevention, and lowering of blood pressure and heart rate.

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