COUNCIL ON SOCIAL WORK EDUCATION COUNCIL ON SOCIAL WORK EDUCATION COUNCIL ON SOCIAL WORK EDUCATION COUNCIL ON SOCIAL WORK EDUCATION

SOCIAL WORK AND SOCIAL WORK AND SOCIAL WORK AND SOCIAL WORK AND

INTEGRATED BEHAVIORAL HEALTH INTEGRATED BEHAVIORAL HEALTH INTEGRATED BEHAVIORAL HEALTH INTEGRATED BEHAVIORAL HEALTH

PROJECTPROJECTPROJECTPROJECT

INTEGRATED CARE: A ROADMAP FOR THE FUTURE WORKFORCEINTEGRATED CARE: A ROADMAP FOR THE FUTURE WORKFORCEINTEGRATED CARE: A ROADMAP FOR THE FUTURE WORKFORCEINTEGRATED CARE: A ROADMAP FOR THE FUTURE WORKFORCE————BUILDING BUILDING BUILDING BUILDING

MOMENTUM FOR CHANGE IN GRADUATE EDUCATIONMOMENTUM FOR CHANGE IN GRADUATE EDUCATIONMOMENTUM FOR CHANGE IN GRADUATE EDUCATIONMOMENTUM FOR CHANGE IN GRADUATE EDUCATIONOAKLAND, CA

JUNE 6, 2013

WHY IS THE INTEGRATION OF PRIMARY AND

BEHAVIORAL HEALTH CARE IMPORTANT TO

SCHOOLS OF SOCIAL WORK?

Interdisciplinary/Interdisciplinary/Interdisciplinary/Interdisciplinary/interprofessionalinterprofessionalinterprofessionalinterprofessional practice is practice is practice is practice is increasingly the norm in practice settings. increasingly the norm in practice settings. increasingly the norm in practice settings. increasingly the norm in practice settings. Strategies are needed in the academy and in Strategies are needed in the academy and in Strategies are needed in the academy and in Strategies are needed in the academy and in practice settings to ensure that social workers are practice settings to ensure that social workers are practice settings to ensure that social workers are practice settings to ensure that social workers are well prepared to work as part of an interdisciplinary well prepared to work as part of an interdisciplinary well prepared to work as part of an interdisciplinary well prepared to work as part of an interdisciplinary teamteamteamteam

Social Work Policy Institute (2011). Investing in the Social Work Workforce. Washington, DC: NASWSocial Work Policy Institute (2011). Investing in the Social Work Workforce. Washington, DC: NASWSocial Work Policy Institute (2011). Investing in the Social Work Workforce. Washington, DC: NASWSocial Work Policy Institute (2011). Investing in the Social Work Workforce. Washington, DC: NASW

PROJECT OVERVIEW

This project is a collaborative effort of the following This project is a collaborative effort of the following This project is a collaborative effort of the following This project is a collaborative effort of the following

agencies:agencies:agencies:agencies:

Council on Social Work EducationCouncil on Social Work EducationCouncil on Social Work EducationCouncil on Social Work Education

National Association of Deans and Directors, National Association of Deans and Directors, National Association of Deans and Directors, National Association of Deans and Directors,

Schools of Social WorkSchools of Social WorkSchools of Social WorkSchools of Social Work

SAMHSASAMHSASAMHSASAMHSA----HRSA Center for Integrated SolutionsHRSA Center for Integrated SolutionsHRSA Center for Integrated SolutionsHRSA Center for Integrated Solutions

National Council for Community Behavioral HealthNational Council for Community Behavioral HealthNational Council for Community Behavioral HealthNational Council for Community Behavioral Health

New York Community TrustNew York Community TrustNew York Community TrustNew York Community Trust

CSWE-NADD INTEGRATED BEHAVIORAL HEALTH

STEERING COMMITTEE

Wynne S. Wynne S. Wynne S. Wynne S. KorrKorrKorrKorr (Chair), University of Illinois, Urbana(Chair), University of Illinois, Urbana(Chair), University of Illinois, Urbana(Chair), University of Illinois, Urbana----ChampaignChampaignChampaignChampaign

Richard P. Barth, University of MarylandRichard P. Barth, University of MarylandRichard P. Barth, University of MarylandRichard P. Barth, University of Maryland

Jeff Jeff Jeff Jeff CapobiancoCapobiancoCapobiancoCapobianco, Center for Integrated Health Solutions, Center for Integrated Health Solutions, Center for Integrated Health Solutions, Center for Integrated Health Solutions

Tony Salerno, Center for Integrated Health SolutionsTony Salerno, Center for Integrated Health SolutionsTony Salerno, Center for Integrated Health SolutionsTony Salerno, Center for Integrated Health Solutions

Anna M. Anna M. Anna M. Anna M. ScheyettScheyettScheyettScheyett, University of South Carolina, University of South Carolina, University of South Carolina, University of South Carolina

Lynn Lynn Lynn Lynn VidekaVidekaVidekaVideka, New York University, New York University, New York University, New York University

Andrea Washington, Montrose Counseling CenterAndrea Washington, Montrose Counseling CenterAndrea Washington, Montrose Counseling CenterAndrea Washington, Montrose Counseling Center

James R. James R. James R. James R. ZaboraZaboraZaboraZabora, Catholic University of America, Catholic University of America, Catholic University of America, Catholic University of America

PROJECT PHASES

Phase I: Phase I: Phase I: Phase I: Curriculum developmentCurriculum developmentCurriculum developmentCurriculum development

Goal: To develop Goal: To develop Goal: To develop Goal: To develop and deliver a researchand deliver a researchand deliver a researchand deliver a research----informed curriculum informed curriculum informed curriculum informed curriculum

on competencies and roles of social workers in integrated on competencies and roles of social workers in integrated on competencies and roles of social workers in integrated on competencies and roles of social workers in integrated

behavioral health and primary care behavioral health and primary care behavioral health and primary care behavioral health and primary care settingssettingssettingssettings

Phase II: Learning NetworkPhase II: Learning NetworkPhase II: Learning NetworkPhase II: Learning Network

Goal: To evaluate IBHC focused courses that used the Goal: To evaluate IBHC focused courses that used the Goal: To evaluate IBHC focused courses that used the Goal: To evaluate IBHC focused courses that used the

curriculum materials from Phase I and to promote shared curriculum materials from Phase I and to promote shared curriculum materials from Phase I and to promote shared curriculum materials from Phase I and to promote shared

learning, problem solving , improve learning opportunities, learning, problem solving , improve learning opportunities, learning, problem solving , improve learning opportunities, learning, problem solving , improve learning opportunities,

among a network of students and faculty among a network of students and faculty among a network of students and faculty among a network of students and faculty

Phase III: Field Placement ProjectPhase III: Field Placement ProjectPhase III: Field Placement ProjectPhase III: Field Placement Project

Goal: To inform and guide social work programs in the Goal: To inform and guide social work programs in the Goal: To inform and guide social work programs in the Goal: To inform and guide social work programs in the

development of classroom and field practicum experiences development of classroom and field practicum experiences development of classroom and field practicum experiences development of classroom and field practicum experiences

that prepare students to be competent social workers in that prepare students to be competent social workers in that prepare students to be competent social workers in that prepare students to be competent social workers in

integrated behavioral health careintegrated behavioral health careintegrated behavioral health careintegrated behavioral health care

PROJECT OVERVIEW:

PHASE I CURRICULUM DEVELOPMENT

SAMHSA and HRSA through the Center for Integrated Health SAMHSA and HRSA through the Center for Integrated Health SAMHSA and HRSA through the Center for Integrated Health SAMHSA and HRSA through the Center for Integrated Health

Solutions sponsored, in partnership with National Solutions sponsored, in partnership with National Solutions sponsored, in partnership with National Solutions sponsored, in partnership with National

Association of Deans and Directors of Schools of Social Association of Deans and Directors of Schools of Social Association of Deans and Directors of Schools of Social Association of Deans and Directors of Schools of Social

Work, to engage up to 10 schools of social work to Work, to engage up to 10 schools of social work to Work, to engage up to 10 schools of social work to Work, to engage up to 10 schools of social work to

develop, implement, and evaluate master’s level develop, implement, and evaluate master’s level develop, implement, and evaluate master’s level develop, implement, and evaluate master’s level

curriculum materials for two semester long coursescurriculum materials for two semester long coursescurriculum materials for two semester long coursescurriculum materials for two semester long courses� 1) advanced practice course on integrated care

� 2) advanced health policy course on integrated care

� 3) At least 2 modules that could be used in other courses

COURSE MATERIALSCOURSE MATERIALSCOURSE MATERIALSCOURSE MATERIALS

Two CoursesTwo CoursesTwo CoursesTwo Courses� Clinical Social Work Practice in Integrated Healthcare

� Integrated Health Policy and Services

Materials Materials Materials Materials � Syllabi

� Readings

� Assignments

� PPT

� Handouts

� Discussion Questions

ADVANCED CLINICAL PRACTICE

CURRICULUM DEVELOPMENT TEAM

Marion Becker, University of Southern FloridaMarion Becker, University of Southern FloridaMarion Becker, University of Southern FloridaMarion Becker, University of Southern Florida

Blake Beecher, Eastern Washington UniversityBlake Beecher, Eastern Washington UniversityBlake Beecher, Eastern Washington UniversityBlake Beecher, Eastern Washington University

Judith Anne Judith Anne Judith Anne Judith Anne DeBonisDeBonisDeBonisDeBonis, California State University, , California State University, , California State University, , California State University, NorthridgeNorthridgeNorthridgeNorthridge

Mo Yee Lee, Ohio State UniversityMo Yee Lee, Ohio State UniversityMo Yee Lee, Ohio State UniversityMo Yee Lee, Ohio State University

James J. Werner, Case Western Reserve James J. Werner, Case Western Reserve James J. Werner, Case Western Reserve James J. Werner, Case Western Reserve UniversityUniversityUniversityUniversity

http://www.cswe.org/CentersInitiatives/DataStatistics/58020/62695.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62695.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62695.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62695.aspx

CLINICAL COURSE DESCRIPTION

The objective of this course is to introduce social work The objective of this course is to introduce social work The objective of this course is to introduce social work The objective of this course is to introduce social work students to the direct practice of integrated students to the direct practice of integrated students to the direct practice of integrated students to the direct practice of integrated behavioral health in primary care. Students will behavioral health in primary care. Students will behavioral health in primary care. Students will behavioral health in primary care. Students will become knowledgeable of the roles of behavioral become knowledgeable of the roles of behavioral become knowledgeable of the roles of behavioral become knowledgeable of the roles of behavioral health providers working in primary care settings, health providers working in primary care settings, health providers working in primary care settings, health providers working in primary care settings, theories and models of care, and crosstheories and models of care, and crosstheories and models of care, and crosstheories and models of care, and cross----cultural cultural cultural cultural issues. They will develop skills in engagement, issues. They will develop skills in engagement, issues. They will develop skills in engagement, issues. They will develop skills in engagement, assessment, intervention planning and assessment, intervention planning and assessment, intervention planning and assessment, intervention planning and implementation, and practice evaluation. Because implementation, and practice evaluation. Because implementation, and practice evaluation. Because implementation, and practice evaluation. Because the populations served in primary care settings span the populations served in primary care settings span the populations served in primary care settings span the populations served in primary care settings span the spectrum of severity in both the physical and the spectrum of severity in both the physical and the spectrum of severity in both the physical and the spectrum of severity in both the physical and behavioral health dimensions, students will develop behavioral health dimensions, students will develop behavioral health dimensions, students will develop behavioral health dimensions, students will develop competencies in engaging and supporting patients competencies in engaging and supporting patients competencies in engaging and supporting patients competencies in engaging and supporting patients across a range of health conditions. across a range of health conditions. across a range of health conditions. across a range of health conditions.

ADVANCED CLINICAL COURSE MODULES

1.1.1.1. Introduction to Integrated Healthcare and the Culture of HealthIntroduction to Integrated Healthcare and the Culture of HealthIntroduction to Integrated Healthcare and the Culture of HealthIntroduction to Integrated Healthcare and the Culture of Health

2.2.2.2. The Role of Social Work in Integrated HealthcareThe Role of Social Work in Integrated HealthcareThe Role of Social Work in Integrated HealthcareThe Role of Social Work in Integrated Healthcare

3.3.3.3. Theories, Perspectives, and Practice Models in Integrated HealthcareTheories, Perspectives, and Practice Models in Integrated HealthcareTheories, Perspectives, and Practice Models in Integrated HealthcareTheories, Perspectives, and Practice Models in Integrated Healthcare

4.4.4.4. Engagement and Relationship Building in Integrated HealthcareEngagement and Relationship Building in Integrated HealthcareEngagement and Relationship Building in Integrated HealthcareEngagement and Relationship Building in Integrated Healthcare

5.5.5.5. Comprehensive AssessmentComprehensive AssessmentComprehensive AssessmentComprehensive Assessment

6.6.6.6. Structured Assessments and ScreeningsStructured Assessments and ScreeningsStructured Assessments and ScreeningsStructured Assessments and Screenings

7.7.7.7. Common Behavioral Health Conditions in Primary CareCommon Behavioral Health Conditions in Primary CareCommon Behavioral Health Conditions in Primary CareCommon Behavioral Health Conditions in Primary Care

8.8.8.8. CrossCrossCrossCross----Cultural Issues in Integrated HealthcareCultural Issues in Integrated HealthcareCultural Issues in Integrated HealthcareCultural Issues in Integrated Healthcare

9.9.9.9. Medication and Integrated HealthcareMedication and Integrated HealthcareMedication and Integrated HealthcareMedication and Integrated Healthcare

10.10.10.10. Care Planning and DocumentationCare Planning and DocumentationCare Planning and DocumentationCare Planning and Documentation

11.11.11.11. Interventions in Integrated HealthcareInterventions in Integrated HealthcareInterventions in Integrated HealthcareInterventions in Integrated Healthcare

12.12.12.12. Motivational Interviewing Part IMotivational Interviewing Part IMotivational Interviewing Part IMotivational Interviewing Part I

13.13.13.13. Motivational Interviewing Part IIMotivational Interviewing Part IIMotivational Interviewing Part IIMotivational Interviewing Part II

14.14.14.14. Complementary and Alternative BodyComplementary and Alternative BodyComplementary and Alternative BodyComplementary and Alternative Body----MindMindMindMind----Spirit InterventionsSpirit InterventionsSpirit InterventionsSpirit Interventions

15.15.15.15. Evaluation of Client Progress and Social Worker EffectivenessEvaluation of Client Progress and Social Worker EffectivenessEvaluation of Client Progress and Social Worker EffectivenessEvaluation of Client Progress and Social Worker Effectiveness

INTEGRATED HEALTH POLICY & SERVICES

CURRICULUM DEVELOPMENT TEAM

Roseanna Roseanna Roseanna Roseanna McClearyMcClearyMcClearyMcCleary, California State University, , California State University, , California State University, , California State University,

BakersfieldBakersfieldBakersfieldBakersfield

Shirley L. Porterfield, University of Missouri, St. LouisShirley L. Porterfield, University of Missouri, St. LouisShirley L. Porterfield, University of Missouri, St. LouisShirley L. Porterfield, University of Missouri, St. Louis

Victoria Stanhope, New York UniversityVictoria Stanhope, New York UniversityVictoria Stanhope, New York UniversityVictoria Stanhope, New York University

W. Patrick Sullivan, Indiana UniversityW. Patrick Sullivan, Indiana UniversityW. Patrick Sullivan, Indiana UniversityW. Patrick Sullivan, Indiana University

Cynthia M. Cynthia M. Cynthia M. Cynthia M. WifordWifordWifordWiford, Addiction Consulting and Training , Addiction Consulting and Training , Addiction Consulting and Training , Addiction Consulting and Training

Associates (ACT), LLCAssociates (ACT), LLCAssociates (ACT), LLCAssociates (ACT), LLC

http://www.cswe.org/CentersInitiatives/DataStatistics/58020/62699.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62699.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62699.aspxhttp://www.cswe.org/CentersInitiatives/DataStatistics/58020/62699.aspx

POLICY COURSE DESCRIPTION

The purpose of this course is to provide intensive study of the evolution The purpose of this course is to provide intensive study of the evolution The purpose of this course is to provide intensive study of the evolution The purpose of this course is to provide intensive study of the evolution of the integration of Primary Care and Behavioral Health services and of the integration of Primary Care and Behavioral Health services and of the integration of Primary Care and Behavioral Health services and of the integration of Primary Care and Behavioral Health services and to provide an opportunity for synthesis and application of learning to provide an opportunity for synthesis and application of learning to provide an opportunity for synthesis and application of learning to provide an opportunity for synthesis and application of learning and practice of policy in this service arena. The course builds on and practice of policy in this service arena. The course builds on and practice of policy in this service arena. The course builds on and practice of policy in this service arena. The course builds on policy content offered in the professional foundation year and links policy content offered in the professional foundation year and links policy content offered in the professional foundation year and links policy content offered in the professional foundation year and links policy to practice and research skills. Diversity, inequality, social and policy to practice and research skills. Diversity, inequality, social and policy to practice and research skills. Diversity, inequality, social and policy to practice and research skills. Diversity, inequality, social and economic justice are continuing themes of study in the advanced economic justice are continuing themes of study in the advanced economic justice are continuing themes of study in the advanced economic justice are continuing themes of study in the advanced concentration year. The content of the course reflects the values of concentration year. The content of the course reflects the values of concentration year. The content of the course reflects the values of concentration year. The content of the course reflects the values of the profession and focuses on the role of the "social policy the profession and focuses on the role of the "social policy the profession and focuses on the role of the "social policy the profession and focuses on the role of the "social policy practitioner" in assisting individuals in the maintenance or attainment practitioner" in assisting individuals in the maintenance or attainment practitioner" in assisting individuals in the maintenance or attainment practitioner" in assisting individuals in the maintenance or attainment of optimal health and mental health, social and economic justice, and of optimal health and mental health, social and economic justice, and of optimal health and mental health, social and economic justice, and of optimal health and mental health, social and economic justice, and recovery and wellness. Theories related to organizational structure recovery and wellness. Theories related to organizational structure recovery and wellness. Theories related to organizational structure recovery and wellness. Theories related to organizational structure and change within an Integrated Behavioral Health environment and and change within an Integrated Behavioral Health environment and and change within an Integrated Behavioral Health environment and and change within an Integrated Behavioral Health environment and strategies for practitioners to influence policies and promote change strategies for practitioners to influence policies and promote change strategies for practitioners to influence policies and promote change strategies for practitioners to influence policies and promote change in the interest of service consumer, agency, and society will be in the interest of service consumer, agency, and society will be in the interest of service consumer, agency, and society will be in the interest of service consumer, agency, and society will be presented. Opportunities for students will be encouraged for direct presented. Opportunities for students will be encouraged for direct presented. Opportunities for students will be encouraged for direct presented. Opportunities for students will be encouraged for direct involvement in the political and organizational processes used to involvement in the political and organizational processes used to involvement in the political and organizational processes used to involvement in the political and organizational processes used to influence policy and delivery systemsinfluence policy and delivery systemsinfluence policy and delivery systemsinfluence policy and delivery systems....

POLICY COURSE MODULES

1.1.1.1. Need for Integrated Behavioral Healthcare in the United Need for Integrated Behavioral Healthcare in the United Need for Integrated Behavioral Healthcare in the United Need for Integrated Behavioral Healthcare in the United StatesStatesStatesStates

2.2.2.2. Integrated Behavioral Health ModelsIntegrated Behavioral Health ModelsIntegrated Behavioral Health ModelsIntegrated Behavioral Health Models

3.3.3.3. Legislative Legislative Legislative Legislative Background (Evolution of Health Care in the US)Background (Evolution of Health Care in the US)Background (Evolution of Health Care in the US)Background (Evolution of Health Care in the US)

4.4.4.4. Patient Protection and Affordable Care ActPatient Protection and Affordable Care ActPatient Protection and Affordable Care ActPatient Protection and Affordable Care Act

5.5.5.5. Health Disparities, Health Equity, and Social Justice in Health Disparities, Health Equity, and Social Justice in Health Disparities, Health Equity, and Social Justice in Health Disparities, Health Equity, and Social Justice in Integrated Behavioral Health Care Integrated Behavioral Health Care Integrated Behavioral Health Care Integrated Behavioral Health Care

6.6.6.6. Funding Funding Funding Funding for Integrated Behavioral Health Servicesfor Integrated Behavioral Health Servicesfor Integrated Behavioral Health Servicesfor Integrated Behavioral Health Services

7.7.7.7. Implementing Integrated Behavioral HealthImplementing Integrated Behavioral HealthImplementing Integrated Behavioral HealthImplementing Integrated Behavioral Health

8.8.8.8. Policy AdvocacyPolicy AdvocacyPolicy AdvocacyPolicy Advocacy

PHASE II: LEARNING NETWORK

The Learning Network consists of webinars, small group The Learning Network consists of webinars, small group The Learning Network consists of webinars, small group The Learning Network consists of webinars, small group

conference calls, and an interactive list serveconference calls, and an interactive list serveconference calls, and an interactive list serveconference calls, and an interactive list serve

Goals are to Goals are to Goals are to Goals are to

Promote shared learning and problem solvingPromote shared learning and problem solvingPromote shared learning and problem solvingPromote shared learning and problem solving

Provide a place to exchange informationProvide a place to exchange informationProvide a place to exchange informationProvide a place to exchange information

Provide social support and networkingProvide social support and networkingProvide social support and networkingProvide social support and networking

Program evaluation is also a goal of the Learning Program evaluation is also a goal of the Learning Program evaluation is also a goal of the Learning Program evaluation is also a goal of the Learning

NetworkNetworkNetworkNetwork

Currently being used in Phase I and will be used in Currently being used in Phase I and will be used in Currently being used in Phase I and will be used in Currently being used in Phase I and will be used in

Phase IIIPhase IIIPhase IIIPhase III

PHASE III: FIELD PRACTICUM PROJECT

Funded by the New York Community TrustFunded by the New York Community TrustFunded by the New York Community TrustFunded by the New York Community Trust

Provides a $10,000 for 27 schools of social work to Provides a $10,000 for 27 schools of social work to Provides a $10,000 for 27 schools of social work to Provides a $10,000 for 27 schools of social work to establish a field practicum site in integrated establish a field practicum site in integrated establish a field practicum site in integrated establish a field practicum site in integrated behavioral healthcarebehavioral healthcarebehavioral healthcarebehavioral healthcare

Student receives a stipend of $3,000 (field site, $5,000; Student receives a stipend of $3,000 (field site, $5,000; Student receives a stipend of $3,000 (field site, $5,000; Student receives a stipend of $3,000 (field site, $5,000; university, $2,000)university, $2,000)university, $2,000)university, $2,000)

Field placement at an IBHC siteField placement at an IBHC siteField placement at an IBHC siteField placement at an IBHC site

Participation in the Learning CommunityParticipation in the Learning CommunityParticipation in the Learning CommunityParticipation in the Learning Community

During the academic year, complete 1During the academic year, complete 1During the academic year, complete 1During the academic year, complete 1----2 courses in 2 courses in 2 courses in 2 courses in IBHCIBHCIBHCIBHC

WEBPAGE RESOURCES

http://http://http://http://www.cswe.org/CentersInitiatives/Dwww.cswe.org/CentersInitiatives/Dwww.cswe.org/CentersInitiatives/Dwww.cswe.org/CentersInitiatives/D

ataStatistics/58020.aspxataStatistics/58020.aspxataStatistics/58020.aspxataStatistics/58020.aspx

Curriculum resources for 2 coursesCurriculum resources for 2 coursesCurriculum resources for 2 coursesCurriculum resources for 2 courses

Webinar related to the field practicum Webinar related to the field practicum Webinar related to the field practicum Webinar related to the field practicum

project (slides plus video)project (slides plus video)project (slides plus video)project (slides plus video)

CONTACT INFORMATION

Rose Rose Rose Rose McClearyMcClearyMcClearyMcCleary

CSUB, Department of Social WorkCSUB, Department of Social WorkCSUB, Department of Social WorkCSUB, Department of Social Work

9001 Stockdale Highway9001 Stockdale Highway9001 Stockdale Highway9001 Stockdale Highway

Bakersfield, CA 93311Bakersfield, CA 93311Bakersfield, CA 93311Bakersfield, CA 93311

661 654 6552661 654 6552661 654 6552661 654 6552

rmccleary@csub.edurmccleary@csub.edurmccleary@csub.edurmccleary@csub.edu