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Behavioral Health Track- CHAD Conference - Shared screen with speaker view
Melissa Craig
20:48
Conference Website - https://communityhealthcare.net/2021-chad-conference-2/
Melissa Craig
21:14
Scavenger Hunt: https://app.smartsheet.com/b/form/ab4e32949047445ebb65151122e693cf
Amber Herbranson
22:03
Can I ask a question when we have a moment? WHO would you consider qualified to do this work? What are the job qualifications you would look for in hiring if you were changing the "old" model.
Rikki Johnson
27:59
Distress tolerance!
Lisa Thorp
32:03
my background is in Rural Health Clinic. there was a time that there was a push to have separate visits for everything, but we knew that if you might not get the patient back for awhile for various reasons, so I felt fortunate to work with providers who had a "One stop shop"philsophy and tried to accomplish as much as possible when you had the patient there. sometimes you could increase the E/M code as long as the documentation supported what was done
Bridge & Dave
32:45
yes!
Rikki Johnson
34:43
That's been a conversation about BHC on our behavioral health team is inability to bill for numerous visits on the same day. it
Rikki Johnson
34:47
Oops no it
Amber Herbranson
35:49
This is super helpful. Thank you so much for your perspective and feedback. Yes it seems like we are getting roadblocked when wanting to implement these changes yet it's the only reasonable solution to wanting to increase productivity
Bridge & Dave
50:32
FC = truth is only defined by a behavior's ability to accomplish a stated goal (we will talk more about this soon!)
Rikki Johnson
56:48
Absolutely my thoughts Casey!
Amber Herbranson
57:04
They haven't been heard by anyone before or they are processing information that they couldn't understand before
Melissa Herman
57:48
Our brains go to problem solving first...innate... then we miss everything else!
Lisa Thorp
01:12:53
people have a lot of guilt about having a chronic disease. In the case of diabetes, they often feel guilt and failure. as a certified diabetes educator sometimes you have to find a way to simplify their medial regimen to make it more manageable
Lisa Thorp
01:13:06
*medical regimen
Robin Landwehr
01:13:16
Yes.
Lisa Thorp
01:22:16
just makes it more complicated
Bridge & Dave
01:29:06
Nadine burke harris ted tal
Bridge & Dave
01:29:08
talk
Lisa Thorp
01:34:56
I think you are hitting the nail on the head.
Robin Landwehr
01:45:18
I will sometimes give them the reason we are working together. I'll give an example they almost always connect with. I'll say, if you have ever gotten a headache because of stress, or sick to your stomach because of sadness or anxiety, then you know that our body and minds work together. That's why I work with you and your PCP.
Rikki Johnson
01:46:33
Oh great way to introduce that relationship Robin I will have to use that!
Robin Landwehr
01:46:55
πŸ™‚
Dana Maas
01:49:31
Thanks Robin, love that! Dave: can you guys send example introductions. I want to make some adjustments on mine : )
Bridge & Dave
01:50:31
https://www.youtube.com/playlist?list=PLvLh_YdubBs4fm9u7Xgg1i5VKMMcmvt2f here is a playlist of introductions!
Dana Maas
01:52:03
πŸ‘
Robin Landwehr
01:55:35
And people say our job must be easy, we listen for a living. πŸ™„ ..lol
Bridge & Dave
01:56:19
#facts
Robin Landwehr
02:02:34
Given the time crunch, I am doubting a lot of exercise. It would be odd for her to eat healthy, but feed her kids whatever she has time to make.
Casey Berberich
02:03:11
I would guess that due to her long hours, she feels exhausted and not able to see the benefits of more activity/exercise.
Robin Landwehr
02:04:24
Sometimes minds tell us we are exercising... a client will say... I walk at my job all day stocking shelves.
Casey Berberich
02:04:51
I would also anticipate that she might feel like she *should* get good sleep, but she might not get enough sleep or she might have trouble falling asleep due to worries.
Dana Maas
02:05:37
Caffeine may be used to keep up with her hectic life, which could also could contribute to her noted health concerns
Robin Landwehr
02:05:40
I love Guy Meadows book, The Sleep Book for folks.
Casey Berberich
02:05:45
I would also wonder if she is maybe having a drink or using something to help her wind down or fall asleep.
Lisa Thorp
02:10:01
I had an endocrinologist tell me to normalize some behavior to reduce defensive responses. instead of asking do you do this....ask how many times. such as instead of do you sometimes forget to take your meds. How many days a week do you forget to take your meds
Robin Landwehr
02:25:01
tears would imply to me that she cares very much about it, just has no idea what to do.
Rikki Johnson
02:34:00
This all feels extremely useful!
Casey Berberich
02:34:03
I love the contextual interview for initial visits. How do you structure follow up visits?
Thomas Benjamin
02:34:21
Excellent so far, learning a lot. Thank you. :-)
Bridge & Dave
02:48:25
fACT helps get folks off autopilot
Casey Berberich
02:53:10
I sometimes say, β€œIs there anything you want to know when working with you that I didn’t already ask?”
Casey Berberich
02:53:27
You want us to know. Sorry
Dana Maas
02:57:08
Reflect, summarize what she has said, identify strengths with the goal of giving her some sense of empowerment....from there, ask what is it that I can do to help you
Rikki Johnson
02:58:12
I think I would ask of all those things you have going on what is most heavy on your mind right now?
Rikki Johnson
03:02:18
Sometimes it's not what you would expect but would make a huge difference in their well-being!
Rikki Johnson
03:21:42
It amazing the shift in self-compassion when you utilize exercises like that. Love doing that!
Bridge & Dave
03:22:01
right???
Rikki Johnson
03:23:11
Ohhhhh...love that expansion on that too!
Robin Landwehr
03:27:08
If I am not mistaken, didn't you come up with this metaphor, Dave?
Rikki Johnson
03:29:10
That's awesome Robin! I love how you used her writing skills to do that!
Robin Landwehr
03:31:03
Thanks, Rikki. :)
Rikki Johnson
03:31:43
I also have a writer client that I just gained who is struggling with self-criticism due to her writing background so thanks for the tip! πŸ˜‰
Robin Landwehr
03:35:07
The love is more likely to follow the behavior. Not the other way around.
Bridge & Dave
03:39:46
^^^^^^^^^^^^^^^^
Amber Herbranson
03:40:06
AWE A TATTOO!!! What an honor.
Bridge & Dave
03:40:21
true north, north star, compass
Bridge & Dave
03:40:38
i know!!!!!!!!!!!!!!!!!!!!!!!!!!
Amber Herbranson
03:47:55
Asking the person if their program they are using is in need of an upgrade
Amber Herbranson
03:49:19
and with young people they know when it's time for a new phone or a new piece of technology with more options
Robin Landwehr
03:50:57
Can we put the YouTube links in the chat? They can't click from here.
Bridge & Dave
03:51:46
fACT YouTube Channel - https://www.youtube.com/playlist?list=PLvLh_YdubBs5l1Nt4s44-KcqRysQpTBhl
Bridge & Dave
03:52:21
Bridget's playlist for clinicans - https://www.youtube.com/watch?v=wTHc4ZfOIrw&list=PLeMBJpr1eRa4wZkQ3HwF1xm6B1RktGhmv
Bridge & Dave
03:53:17
https://www.amazon.com/Real-Behavior-Change-Primary-Care/dp/1626252033
Bridge & Dave
03:54:17
https://basicsofbehaviorchangeinprimarycare.com/
Rikki Johnson
03:55:59
Yes to office references. :)
Robin Landwehr
04:01:18
And clients naturally pick up that language
Bridge & Dave
04:04:46
thoughts emotions associations memories and sensations TEAMS
Bridge & Dave
04:04:59
WTF???? LOL!
Melissa Craig
04:10:57
Evaluation link: https://www.surveymonkey.com/r/LQLYTMK
Dana Maas
04:12:57
So how do you get in the patients room...….we are very underutilized....so how can I work with the primary care provider to be a part of that patients visit.....they tend to only grab me if its more of a crisis situation
Carmen Toft
04:12:58
what's your Twitter again?
Robin Landwehr
04:15:25
https://foxylearning.com/product/introduction-to-relational-frame-theory/
Robin Landwehr
04:18:27
Finding out pet projects of PCPs. .. or what they love. Demonstrate interest in their interests. That helped me with a provider who loved working with new Americans.
Casey Berberich
04:20:20
Dana, I created flyers to give to clinic staff about the ways BHCs could help their patients with various concerns and handed them out once a week + put them in the break room.
Bridge & Dave
04:20:39
^^^YES!! Share those resources!!!
Dana Maas
04:20:58
This was so helpful, thank you so much. It validated the things I am doing right and also offered me more tools I can use : )
Robin Landwehr
04:21:15
Great, Dana!
Amber Herbranson
04:21:32
This was really great and motivated me to continue advocating for building this model of care for the community we serve
Rikki Johnson
04:21:48
Yes this was such great content, examples and skills! I love learning things that I can hit the ground running to implement with patients.
Lisa Thorp
04:21:52
Thank you so much! I will do my best to share this with the clinics and hospitals I work with in the QI work for CMS
Melissa Herman
04:23:02
Thanks!