Developing a Behavior Health Plan for College Athletes Marcy Buselli MS ATC R. Mark Laursen MS ATC Boston University Athle...
Overview <ul><li>Values </li></ul><ul><li>Philosophy  </li></ul><ul><li>Team  </li></ul><ul><li>Making Connections across ...
Components of the System <ul><li>Coach Education </li></ul><ul><li>Sports Psychology </li></ul><ul><ul><li>Performance enh...
Coach Education <ul><li>Group Meetings </li></ul><ul><li>Individual Basis </li></ul><ul><li>Challenges </li></ul>
Sports Psychology <ul><li>Performance Enhancement </li></ul><ul><li>Policies and Requirements </li></ul><ul><ul><ul><li>Do...
Patient Education <ul><li>First meeting of the year </li></ul><ul><li>Team/Group meetings </li></ul><ul><ul><li>Specific c...
Nutrition Fitness Center Nutrition Fitness Center Health Service Athletics PERD Dining Services Sargent  College
Nutrition Fitness Center Services  Nutrition Fitness Center
Nutrition Fitness Center Services  Nutrition Fitness Center Group Counseling Sargent Choice  Dining services Individual  C...
Group Counseling Sargent Choice  Dining services PERD Classes Individual  Counseling Nutrition Fitness Center Health Servi...
Prevention and Screening <ul><li>Process </li></ul><ul><li>“ Red Flags” </li></ul>
Red  Flags  for behavioral health  Do you ask these questions? <ul><li>Current Medications </li></ul><ul><li>Current Eatin...
Prevention and Screening <ul><li>Process </li></ul><ul><li>“ Red Flags” </li></ul><ul><li>Future plans </li></ul>
Psychosocial Counseling <ul><li>Campus </li></ul><ul><ul><li>Student Health Services- Behavioral Medicine </li></ul></ul><...
Campus Resources Your Concern  Type of Service Whom to Call  Name of Service Description/ Information  Contact Information...
Campus Resources Your Concern Type of Service Whom to Call  Name of Service Description/ Information Contact Information H...
Psychological Referral  Mandatory vs Voluntary Voluntary Department ID Mandatory Self referral Voluntary Voluntary Crisis ...
Medical Management <ul><li>Team Physician </li></ul><ul><li>Athletic Trainer </li></ul><ul><li>Behavioral Health Provider ...
Eating Disorders Evaluation And Treatment Athletic Trainer Other Nutritionist Behavioral  Health Team Physician Student At...
<ul><li>Behavioral Contract for the 2009-2010 Academic Year </li></ul><ul><li>I, ___________________,  agree  that my diet...
Case Management Case Manager Administration Team physician University Case Manager Level 3 Administration/ Team physician ...
Confidentiality and Communication <ul><li>Who needs to know what? </li></ul>
Who needs to be informed by Athletic Training Services  <ul><li>Teammate </li></ul><ul><li>Parents </li></ul><ul><li>Coach...
Confidentiality and Communication <ul><li>Who needs to know what? </li></ul><ul><li>How a condition can affect our practic...
<ul><li>Please see athletes’ General Medical file for additional diagnosis and treatment information. </li></ul><ul><li>No...
Scenario (#1) <ul><li>It’s the fall Semester for a junior women’s track athlete.  Her coaches call the athletic trainer wh...
Scenario (#1) Coach calls concerned/recent weight loss <ul><li>Gather more information </li></ul><ul><ul><li>Specific inci...
Nutrition Medical Management Medical Management Behavioral Health
Scenario (#1) Coach calls concerned/recent weight loss <ul><li>Gather more information </li></ul><ul><li>Initiate contact ...
Scenario (#2) <ul><li>Pre-participation paperwork is received for a transfer wrestling student-athlete.  The student shows...
Scenario (#2) Pre-participation paperwork/physicals. <ul><li>Information </li></ul><ul><ul><li>Medication </li></ul></ul><...
<ul><li>Thank You </li></ul>Marcy Buselli MS ATC R. Mark Laursen MS ATC Boston University Athletic Training Services
Upcoming SlideShare
Loading in...5
×

Developing a Behavior Health Plan for College Athletes

905

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
905
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Developing a Behavior Health Plan for College Athletes

  1. 1. Developing a Behavior Health Plan for College Athletes Marcy Buselli MS ATC R. Mark Laursen MS ATC Boston University Athletic Training Services
  2. 2. Overview <ul><li>Values </li></ul><ul><li>Philosophy </li></ul><ul><li>Team </li></ul><ul><li>Making Connections across campus </li></ul>
  3. 3. Components of the System <ul><li>Coach Education </li></ul><ul><li>Sports Psychology </li></ul><ul><ul><li>Performance enhancement </li></ul></ul><ul><li>Patient education </li></ul><ul><li>Nutrition </li></ul><ul><li>Prevention and Screening </li></ul><ul><li>Psychosocial Counseling </li></ul><ul><ul><li>Mandatory vs Voluntary </li></ul></ul><ul><li>Medical Management </li></ul><ul><ul><li>Medication and return to activity </li></ul></ul><ul><li>Case Management </li></ul><ul><li>Confidentiality and Communication </li></ul>
  4. 4. Coach Education <ul><li>Group Meetings </li></ul><ul><li>Individual Basis </li></ul><ul><li>Challenges </li></ul>
  5. 5. Sports Psychology <ul><li>Performance Enhancement </li></ul><ul><li>Policies and Requirements </li></ul><ul><ul><ul><li>Doctoral student with exception </li></ul></ul></ul><ul><ul><ul><li>Mandated on campus supervision weekly </li></ul></ul></ul><ul><ul><ul><li>Review of scope of practice </li></ul></ul></ul><ul><ul><ul><li>Referral policy and chain of command </li></ul></ul></ul><ul><ul><ul><li>Documentation </li></ul></ul></ul><ul><li>Cost </li></ul>
  6. 6. Patient Education <ul><li>First meeting of the year </li></ul><ul><li>Team/Group meetings </li></ul><ul><ul><li>Specific conditions/diseases </li></ul></ul><ul><li>Life skills (mandatory in athletics) </li></ul><ul><li>Campus Policies and Procedures </li></ul>
  7. 7. Nutrition Fitness Center Nutrition Fitness Center Health Service Athletics PERD Dining Services Sargent College
  8. 8. Nutrition Fitness Center Services Nutrition Fitness Center
  9. 9. Nutrition Fitness Center Services Nutrition Fitness Center Group Counseling Sargent Choice Dining services Individual Counseling PERD Classes
  10. 10. Group Counseling Sargent Choice Dining services PERD Classes Individual Counseling Nutrition Fitness Center Health Service Athletics Dining Services Sargent College PERD
  11. 11. Prevention and Screening <ul><li>Process </li></ul><ul><li>“ Red Flags” </li></ul>
  12. 12. Red Flags for behavioral health Do you ask these questions? <ul><li>Current Medications </li></ul><ul><li>Current Eating Practices </li></ul><ul><ul><li>Attitudes and Behaviors </li></ul></ul><ul><li>Females – Menstruation Hx </li></ul><ul><li>Body Measurements </li></ul><ul><li>Personal Health History </li></ul><ul><li>Other Topics </li></ul>
  13. 13. Prevention and Screening <ul><li>Process </li></ul><ul><li>“ Red Flags” </li></ul><ul><li>Future plans </li></ul>
  14. 14. Psychosocial Counseling <ul><li>Campus </li></ul><ul><ul><li>Student Health Services- Behavioral Medicine </li></ul></ul><ul><ul><li>Danielsen Institute Clinic </li></ul></ul><ul><ul><li>Psychological Services Center </li></ul></ul><ul><ul><li>Center for Anxiety and Related Disorders </li></ul></ul><ul><ul><li>University Chaplains </li></ul></ul><ul><ul><li>Center for Psychiatric Rehabilitation </li></ul></ul>
  15. 15. Campus Resources Your Concern Type of Service Whom to Call Name of Service Description/ Information Contact Information Help managing depression and school work Mental Health/ Counseling Mitzi Kane (Patient Care Coordinator) BU Student Health Services- Behavioral Medicine <ul><li>Individual Counseling and Psychotherapy </li></ul><ul><li>Psychopharmacological evaluation and treatment </li></ul><ul><li>Group Therapy </li></ul><ul><li>Emergency support </li></ul>881 Comm. Ave W. Boston, MA 02215 617-353-3569 (24 hr on call) www.bu.edu/shs/behavioral George Stavros Danielsen Institute Clinic <ul><li>Assessment </li></ul><ul><li>Individual, group, and family therapy </li></ul>185 Bay State Road Boston, MA 02215 617-353-3047 www.bu.edu/danielsen Life Skills Support Dori Hutchinson Andrea Bengtson (Clinical Coordinator) BU- Center for Psychiatric Rehabilitation <ul><li>Skill building and support services for individuals with serious psychiatric challenges </li></ul><ul><li>Individual recovery and rehabilitation services </li></ul><ul><li>Individual case management </li></ul>940 Comm. Ave Boston, MA 02215 617-353-3549 For Information about other services: www.bu.edu/cpr/services Academic Support (see section on Academic Resources for information on Educational Resource Center) Lorraine Wolf Office of Disability Services <ul><li>Services/ Accommodations Provided- </li></ul><ul><li>Note taking </li></ul><ul><li>Accessibility Services </li></ul><ul><li>Assistive Technology </li></ul><ul><li>Interpretation </li></ul><ul><li>Tutoring </li></ul><ul><li>Study Skills Support </li></ul>19 Deerfield Street (2 nd Floor) Boston, MA 02215 Ph: 617-353-3658 (V/TTY) www.bu.edu/disability
  16. 16. Campus Resources Your Concern Type of Service Whom to Call Name of Service Description/ Information Contact Information How to talk to a friend who might be cutting himself/ herself. Where can they get help. Mental Health/ Counseling Mitzi Kane (Patient Care Coordinator) BU Student Health Service- Behavioral Medicine <ul><li>Individual Counseling and Psychotherapy </li></ul><ul><li>Psychopharmacological evaluation and treatment </li></ul><ul><li>Group Therapy </li></ul><ul><li>Emergency support </li></ul>881 Comm. Ave Boston, MA 02215 617-353-3569 (24 hr on call) www.bu.edu/shs/behavioral George Stavros Danielsen Institute Clinic <ul><li>Assessment </li></ul><ul><li>Individual, group, and family therapy </li></ul>185 Bay State Road Boston, MA 02215 617-353-3047 www.bu.edu/danielsen Valerie Wilson/ Lisa Smith BU Psychological Services Center <ul><li>Assessment </li></ul><ul><li>Individual Psychotherapeutic treatment </li></ul>648 Beacon St, 5 th Floor Boston, MA 02215 617-358-4290 www.bu.edu/psc Information How to help someone in distress- www.bu.edu/helpinfo
  17. 17. Psychological Referral Mandatory vs Voluntary Voluntary Department ID Mandatory Self referral Voluntary Voluntary Crisis Mandatory Mandatory
  18. 18. Medical Management <ul><li>Team Physician </li></ul><ul><li>Athletic Trainer </li></ul><ul><li>Behavioral Health Provider </li></ul><ul><li>Contracts </li></ul><ul><ul><li>Team Physician </li></ul></ul><ul><ul><li>Athletic Trainer </li></ul></ul><ul><ul><li>Student-athlete </li></ul></ul><ul><ul><li>Coaches </li></ul></ul><ul><ul><li>Nutrition </li></ul></ul><ul><ul><li>Behavioral health </li></ul></ul>
  19. 19. Eating Disorders Evaluation And Treatment Athletic Trainer Other Nutritionist Behavioral Health Team Physician Student Athlete
  20. 20. <ul><li>Behavioral Contract for the 2009-2010 Academic Year </li></ul><ul><li>I, ___________________, agree that my dietary habits and exercising may be detrimental to my health. My goal over the upcoming academic year is to compete to the best of my ability in a manner that will not compromise my health and safety. </li></ul><ul><li>To this end, I am entering into this agreement with Boston University Athletic Training Services . </li></ul><ul><li>I agree to meet weekly with Health Care Provider (HCP) for weight checks and to monitor my progress. Meetings may be more frequent if the HCP feels that is warranted. I may also opt to meet more frequently if I feel it is needed. These visits may be spaced out later in the year as my goals are achieved and maintained as determined by HCP . </li></ul><ul><li>I agree to meet at least twice per month with a sports nutritionist to review dietary goals. </li></ul><ul><li>I agree to meet with a psychologist once per week . Meetings may be more frequent based on recommendations by the mental health care provider and/or HCP . </li></ul><ul><li>We have determined that my health may become compromised if my weight drops below X pounds. If at anytime over the next year my weight drops below X pounds, I will be held from participation in any team events, including practice and competition for at least 2 weeks as determined by HCP . I will attend practices and competitions but will not be allowed to practice or compete. </li></ul><ul><li>If my weight drops below X pounds, I agree to blood tests to assess several aspects of my health as determined by HCP . At the end of this 2 week period, HCP will decide on my return to participation based on my weight and any tests results if available. </li></ul><ul><li>I will not be allowed to participate fully with the Boston University athletic team until my weight is above X pounds . </li></ul><ul><li>I will adhere to workouts set forth by the coaching staff and agree not to work out on my own without their consultation. I may be allowed partial participation including limited workouts if my weight is above X pounds, but not participate fully until my weight reached X pounds. </li></ul><ul><li>If I miss any of these mandatory appointments, I will be subject to temporary disqualification from team activities as determined by HCP , and my eating disorder team (nutritionists, mental health provider, and athletic training staff). Frequent breach of this contract will result in permanent disqualification. </li></ul><ul><li>_________________________ _______ ______________________ _______ </li></ul><ul><li> Student-athlete Date Team Physician Date </li></ul><ul><li>_________________________ _______ </li></ul><ul><li> Athletic Trainer Date </li></ul>
  21. 21. Case Management Case Manager Administration Team physician University Case Manager Level 3 Administration/ Team physician Case Manager Level 2 Case Manager Individual AT Level 1 Support from Managed by Classification
  22. 22. Confidentiality and Communication <ul><li>Who needs to know what? </li></ul>
  23. 23. Who needs to be informed by Athletic Training Services <ul><li>Teammate </li></ul><ul><li>Parents </li></ul><ul><li>Coaches </li></ul><ul><li>Athletic Administration </li></ul><ul><ul><li>Academic Services </li></ul></ul><ul><li>Other ATs </li></ul><ul><li>Residence Life </li></ul><ul><li>Dean of Students </li></ul><ul><li>AT coordinating care </li></ul><ul><li>AT admin </li></ul><ul><li>Team physician </li></ul><ul><li>Case coordinator </li></ul><ul><li>Behavioral Health </li></ul><ul><ul><li>Nutrition </li></ul></ul>Rarely Sometimes Always
  24. 24. Confidentiality and Communication <ul><li>Who needs to know what? </li></ul><ul><li>How a condition can affect our practice as athletic trainers? </li></ul><ul><li>5 minute meetings </li></ul><ul><li>Patient centered challenges </li></ul><ul><li>Chain of command </li></ul><ul><li>Documentation </li></ul>
  25. 25. <ul><li>Please see athletes’ General Medical file for additional diagnosis and treatment information. </li></ul><ul><li>Note: Additional information is sensitive in nature please respect the athletes’ confidentiality. </li></ul>
  26. 26. Scenario (#1) <ul><li>It’s the fall Semester for a junior women’s track athlete. Her coaches call the athletic trainer who coordinates the care for the team concerned with her recent weight loss. </li></ul>
  27. 27. Scenario (#1) Coach calls concerned/recent weight loss <ul><li>Gather more information </li></ul><ul><ul><li>Specific incidents, chart information: BMI, Family hx, personal hx </li></ul></ul><ul><li>Initiate contact with the patient </li></ul><ul><ul><li>Coach asks for athletic trainer to speak with SA </li></ul></ul><ul><li>Screen patient </li></ul><ul><li>Referral policy </li></ul>
  28. 28. Nutrition Medical Management Medical Management Behavioral Health
  29. 29. Scenario (#1) Coach calls concerned/recent weight loss <ul><li>Gather more information </li></ul><ul><li>Initiate contact with the patient </li></ul><ul><li>Screen patient </li></ul><ul><li>Referral policy </li></ul><ul><li>Communication </li></ul>
  30. 30. Scenario (#2) <ul><li>Pre-participation paperwork is received for a transfer wrestling student-athlete. The student shows up for physicals. </li></ul>
  31. 31. Scenario (#2) Pre-participation paperwork/physicals. <ul><li>Information </li></ul><ul><ul><li>Medication </li></ul></ul><ul><li>Screen patient </li></ul><ul><ul><li>Team physician, Athletic trainer, Leadership </li></ul></ul><ul><li>Referral and treatment plan </li></ul><ul><ul><li>Contract, on or off campus </li></ul></ul><ul><li>Communication </li></ul>
  32. 32. <ul><li>Thank You </li></ul>Marcy Buselli MS ATC R. Mark Laursen MS ATC Boston University Athletic Training Services
  1. ¿Le ha llamado la atención una diapositiva en particular?

    Recortar diapositivas es una manera útil de recopilar información importante para consultarla más tarde.

×