This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.

1. INTEGRATED
TREATMENT
TEAMS
From Disease Model to
Health and Wellbeing

2. Health psychologists are a core part of the health care
team. In IHPTP we learn not just how to treat but how
to be a psychologist and carry with us our role in the
health team.

3. Clieveland Clinic Empathy Series: https://www.youtube.com/watch?v=cDDWvj_q-o8

4. DISCUSSION – VIDEO
1. How did the video
impact you?
2. Thoughts about being a
psychologist in health
settings?
3. How can psychologist
play a central role in
health teams

5. Primary Care Health
Psychologist work as
members of a team and
part of a wider system
of care.
Primary care health
psychologist are
generalists who treat
health, mental health
and substance abuse in
their patients.

6. Having access to clinical care
accounts for 10% of health
Our health behaviors determine
30% of health.
Social and economic factors
determine 40% of health.
Health psychology is
fundamentally a social justice
movement.
Health Psychology meets
patients where they are and is
aimed at supporting the health
of the community and
addressing health disparities in
the systems of care.

7. The integration of mental health, substance use, and primary
care services produces the best outcomes and proves the most
effective approach to caring for people with multiple health
care needs.
– SAMHSA-HRSA Center for Integrated Health
Solutions

8. Interprofessionalism is defined as a the skills of professionalism for working with a group
of individuals from different disciplines who communicate and collaborate in treatment. Each
member of the team works at the top of their licensed ability and supports other members of
her/his team.
Interperfessional skills include understanding and communicating about one’s scope of practice,
understanding other professional scopes and regularly working to support and amplify the impact
of other team members works.

9. Primary Care Provider’s Role on Team
Primary care providers function like a
team lead in the health context. They
know patients over a life time. PCPs
provide care medical care and care
connection with health, mental health,
substance abuse and specialty care
treatment. Primary care is often about
relationships.
Integrated care can allow PCPs to focus
on their work to treat medical
conditions and trust that their health
partners can support the on going
work.
Primary care providers are our main
referral source and one of our big tasks
is answering their referral question

10. Nurses play a central role in the treatment team. Most PCPs are
paired with a nursing provider for their clinics. The nursing
team member supports health by: reconciling medications,
taking vitals, coordinating care, completing health and mental
health screeners. Most Nurses on the floor are CMA’s
Nursing Roles in Team
1. RN (Resident Nurses): Provide patient
education, are clinical managers, charge
nurses who manage shift needs. RNs can
assess and provide interventions
2. LVN (Licensed Vocational Nurse): LVNs
often work as panel managers and
provide treatment.
3. CMA/CNA (Certified Medical
Assistants/Nursing Assistants): Work in
clinics support providers and work the
floor.

12. INTEGRATED MEDICAL HOME: ONE
MODE
https://www.youtube.com/watch?v=S-029Yf7AYM

13. DISCUSSION – VIDEO
1. While the video is a bit
idealized, what excites
you about learning to
work in integrated teams?
2. Are their things that scare
you about the integrated
care model?
3. Have you ever developed a
treatment team to support
one of your patients.

14. • Patient-centered access: Collaborate with team members to provide
coordinated care—for both routine and urgent needs—to patients, families,
and caregivers.
• Team-based care: Provide continuity of care as a team and use culturally
and linguistically appropriate techniques.
• Population health management: Use clinical data to support health
assessment and improve health outcomes of the entire patient population.
• Care management and support: Develop individual treatment plans, and
manage and coordinate care.
• Care coordination and care transitions: Track tests and coordinate
across specialty care, facility-based care, and community organizations.
• Performance measurement and quality improvement: Measure
clinical quality, resource use, care coordination and patient experience; have
a continuous quality improvement plan.
Medical
Home

16. BIOPSYCHOSOCIAL-
SPIRITUAL MODEL
RECLAIMING OUR
HUMANNESS
From Disease Model to Health and Wellbeing

18. BIOPSYCHOSOCIAL
1.A level of a system can be
studied on its own
2.One level of a system
depends on the level below
it and above it e.g. cells
depend on mitochondria
inside them and the tissue
around them.
3.Each level is a part of higher
systems
George L. Engel, MD – Psychiatrist who
founded the biopsychosocail model of
health. He believed that heart, connection
and meaning had a profound impact on
health and life.

19. MOVING FROM MODELS OF DISEASE TO MODELS OF
HEALTH…
From the smallest
nanobots that move the
through our cells to the
earth’s biopshere we are a
part of a complex web of
connections and causes.
Health and Vitality

21. BIOPSYCHOSOCIAL-SPIRITUAL
MODEL IN ACTION
DISCUSSION OF HEALTH IMPACTS OF THESE FACTORS
FACTORS BELOW This man was just told he has hypertension. He has BP of
140/100 and he needs to have treatment. He is a 62 year
old African American man who has been married for 40
years and loves his grand children.
Core Belief: Seeking help from health care providers is
dangerous.
Social Support: He feels connected to his family and they
all know he is at the doctor and are concerned. He is
worried about his first son who lost his job.
Biological: He has a history of heart attacks in men in his
family around the age of 55.
Spiritual: He prays regularly and is connected with a
church where he attends services weekly.

23. TREATING THE
WHOLE PERSON –
WORKING WITH THE
COMMUNITY
Putting it all together…

25. DIGGING DEEPER
Mediating variables explain the
relationship between two variables
e.g. negative thoughts that have
these qualities being permanent,
personal, and the person is
powerless over mediates the
relationship between thoughts and
depression.
Moderator variables influence the
strength of the variables e.g. if a
person has a high amount of social
support it can reduce the impact of
negative thoughts on mood or if a
person eats an inflammatory diet it
Social Support
is a Moderator
of Stress
Mediator
Variables

31. CASE DISCUSSION

32. DEVELOP A BIOPSYCHOSOCIAL
PLAN
Jan is a 51 year old second generation Chinese American sis
gender woman who was diagnosed as diabetic at her last
appointment. Since then she has been feeling anxious and
concerned about her health. She struggles with checking her
sugars and does not know what to do about her health. Her PCP
referred her to you for assessment about mood. She lost her
job as an assistant principal 6 months prior and reports that a
year ago after the death of her mother she started to feel tiered,
hopeless and overwhelmed. She reports that she only enjoys
seeing her kids but that her son and daughter live out of the
area and do not call often. She denies suicidality. She came to
the appointment alone. Her husband is currently working and
they have been married for 18 years. She reports that since
leaving her job she has felt more and more isolated. She states
that she spends a lot of time alone at home and is struggling