The Integrated Care Podcast: Recent Episodes
Collaborative Family Healthcare Association
Integrated healthcare. Behavioral Health and medicine. Person-in-context. Teams working together. That's what the Collaborative Family Healthcare Association (CFHA) is about and that's what this podcast is about.
This CFHA Podcast episode features integrated behavioral health clinicians working in specialty settings: Dr. Kim Smolderen (integrated psychology in cardiovascular care at Yale Heart and Vascular Center), Dr. Jonathan Dietsche (psychologist in bariatric surgery and a diabetes/obesity clinic at WVU Medicine), and Dr. Toni Mahold (integrated behavioral health in a Minnesota Heart and Vascular Center with inpatient and outpatient continuity). They describe common referrals (post–heart attack depression, stress cardiomyopathy with trauma, device-related PTSD, postpartum hypertension stress management, bariatric pre-surgical evaluations, depression affecting diabetes care, eating disorders, and picky eating), the importance of co-location, warm handoffs, and team-based routines, and how credibility grows through relationships and demonstrated patient impact. They discuss applying PCBH concepts like GATHER to specialty care, the need for space, leadership buy-in, and metrics beyond RVUs, and future goals including playbooks across specialties, broader training, reduced stigma, sustainability, and leadership in system design.
In the 100th episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, host Grace Pratt and co-hosts Bridget Beachy, Monica Williams, Neftali Serrano, Jen Thomas, and Ashley Garrison celebrate the milestone, share the podcast’s origins, and highlight CFHA’s upcoming integrated care conference in St. Louis in early October. They revisit the long-running topic of integrated care models and discuss why many clinical sites cannot run PCBH, Collaborative Care, or other approaches to strict fidelity due to real-world constraints like staffing, resources, policy, and local context. The group emphasizes focusing on core tenets, shared language, and the “spirit” of integrated care rather than rigid prescriptions, noting that descriptive norms (e.g., typical visit counts) should not become exclusionary rules. The episode closes with Donna Ashworth’s poem “Ducks in a Row” as an ode to embracing messiness.
ennifer Thomas hosts a special CFHA Integrated Care Podcast episode featuring board-certified psychiatrist and addiction medicine specialist Dr. Virmarie “Dr. V” Diaz-Hernandez, national medical director at Concert Health, discussing psychiatric consultation in primary care within the Collaborative Care Model. Dr. V shares her training in Puerto Rico and the U.S., how stigma and fragmented systems drive the need for integrated care, and her early CoCM training through the AIMS Center. She explains the CoCM “triangle” roles (PCP, behavioral health care manager, and psychiatric consultant), how consultation differs from traditional psychiatry, and why it can be rewarding through population-level impact. They cover lessons learned—clear roles, flexible workflows, strong communication, weekly systematic case reviews using a registry, and avoiding program drift—plus how remote teams work and resources like CFHA training, the job board, and the CFHA annual conference (Oct 8–10 in St. Louis).
On the Integrated Care Podcast, host Grace Pratt and co-hosts Jen Thomas, Deepu George, Monica Williams, Neftali Serrano, and Ashley Garrison welcome child and adolescent psychiatrist (and former pediatrician) Dr. Mary Dobbins to discuss an HHS announcement, highlighted at a May 4 summit with the Maha Institute, about reducing over-prescribing of psychiatric medications and supporting alternatives. The panel explores mixed reactions: agreement that de-prescribing and holistic supports matter, but concern that the messaging can fuel mistrust, stigma, and fear-mongering, and that proposed solutions lack practical infrastructure for psychotherapy, family support, and nutrition. Dobbins emphasizes that most childhood mental health problems are experiential, often tied to trauma, poverty, and social stressors, and argues for relational, trauma-informed, team-based care alongside appropriate medication use. The episode closes with a Mary Oliver reading about teaching children.
On the Integrated Care Podcast sponsored by the Collaborative Family Healthcare Association, host Neft Serrano and co-hosts Bridget (Washington FQHC), Jen (Northern Illinois family medicine/addiction medicine), and Ashley (North Carolina pediatric dietitian) discuss how rapid change—federal policy shifts, immigration enforcement fears, Medicaid cuts, global conflict, and AI—affects healthcare workers and patients. They describe workforce strain, burnout pressures to see more patients, and challenges sustaining effective behavioral health integration, while also highlighting organizational adaptability through strong leadership, awareness, and clear communication. Ashley shares clinic efforts to protect patients during ICE-related fears and program disruptions from Medicaid coverage changes. The group argues change can clarify core values, strengthen team-based integrated care focused on community health, and open broader discussions like Medicare for All amid spending priorities. They also briefly address growing use of AI tools for patient questions, clinical support, and documentation.
Hosts of the Integrated Care Podcast (CFHA)—Grace Pratt with co-hosts Bridgette Beachy, Ashley Garrison, Jen Thomas, and Monica Williams—discuss how “policy is practice and practice is policy,” emphasizing resisting all-or-nothing thinking and recognizing that change is a long game. They share personal entry points into policy engagement, including Medicaid expansion advocacy, and preview CFHA learning resources and the October 8–10, 2026 CFHA conference in St. Louis. The conversation focuses on recent federal shifts affecting clinical work, including vaccine guidance moving several childhood vaccines to shared clinical decision-making and the resulting impact on primary care conversations, trust, insurance, and schools. They also discuss updated dietary messaging, with Ashley explaining a protein-and-vegetable-forward approach, practical strategies for families, and how integrated care teams support patient-centered decisions amid misinformation and clinician strain.
Hosts Grace Pratt, Monica Harrison, Bridget, Neftali Serrano, and late-arriving co-host Jen Thomas introduce themselves on the Integrated Care Podcast and share CFHA updates, including the virtual spring conference (May 6–7) and a call for proposals for the October fall conference in St. Louis, plus cohort-based trainings on cfha.net. The group workshops a planned fall mini-summit prompted by Naftali’s concern that government momentum for behavioral health integration is waning while cost pressures, health tech fragmentation, and changes to primary care accelerate. They discuss the need for a unified message centered on team-based care, the operational barriers within health systems, and gaps between clinical progress, organizational change, and policy influence, emphasizing relationship-building with administrators and policymakers so integrated care is included in future payment models and legislation.
Dr. Patti Robinson, at the 2025 CFHA: The Integrated Care Association annual conference, introduces the E-GATHER Reflection and Learning Tool, an evolution of the “gather” tool developed from training health improvement practitioners (BHCs) in New Zealand. The tool is designed to reduce overwhelm in the first three months of a new BHC role, bring an equity lens “up front,” and support supervision and professional development when qualified supervisors and protected time are limited. The talk reviews barriers to successful supervision in integrated behavioral health (supervisor shortages, time constraints, staffing shortages, mixed interprofessional cultures, and inconsistent clinic workflows) and highlights conditions that improve supervision (regular meetings, protected time and space, flexibility, shared purpose, and two-way feedback). A pilot in Los Angeles with BHCs transitioning from co-located care to PCBH and new, unlicensed social work associates used E-GATHER in both individual and group supervision. Reported outcomes included rapid gains in self-ratings, increased visits per day, fewer follow-ups per unique patient, higher role satisfaction, faster onboarding of new BHCs, stronger peer support, and increased interest in further skills training (e.g., FACT/Four Square, CBT, psychoeducation). Feedback emphasized that E-GATHER made supervision more structured and productive, while suggested improvements included fewer interruptions during meetings, more role plays, and supplemental trainings/webinars.
In this episode of the Integrated Care podcast from the Collaborative Family Healthcare Association, hosted by Grace Pratt, the team explores the complexities and rewards of implementing integrated care, especially in pediatric settings. Michelle Shrek from Children's Wisconsin shares her journey of integrating behavioral health into a pediatric practice, including the structural, operational, and cultural challenges encountered. The conversation delves into the importance of appropriate provider-to-patient ratios, earning trust within a medical team, and the unique aspects of working in pediatrics. The team also welcomes a new member, Ashley Garrison, a pediatric dietician, who shares her insights on the importance of diet and nutrition in holistic care. The episode concludes with a reflective poem on parenting and children's independence. This episode offers a realistic yet hopeful look at the path to successful integrated care, emphasizing the importance of relationships, organizational readiness, and passion for the work.00:00 Introduction and Opening Remarks
In this episode, Neftali Serrano, CEO of the Collaborative Family Healthcare Association, and Bridget Beachy, Director of Behavioral Health at Primary Care Behavioral Health in Washington, come together to discuss the evolving landscape of integrated care. They reflect on the complexities faced by healthcare providers in 2025, such as training challenges, political and economic stressors, and the moral injury of caring for diverse patient populations amidst an uncertain environment. The conversation delves into the importance of balancing relational and procedural elements in integrated care and highlights the need for innovation and leveling up practices to better serve communities. Upcoming events, recent developments, and future prospects in the field are also discussed, offering a comprehensive overview of the current state and future of integrated healthcare.
Welcome back to the Conference Series! This podcast, a presentation at the Collaborative Family Healthcare Association 2025 conference in Raleigh, North Carolina, explores the intersection of behavioral healthcare in primary care settings through two Integrated Care models: the collaborative care model (CoCM) and the primary care behavioral health model (PCBH). CoCM utilizes a structured interdisciplinary approach to deliver evidence based behavioral interventions alongside medication recommendation and management. PCBH adopts an integrated care approach, embedding behavioral health consultants within the primary care setting, making it easier for patients to receive holistic treatment. We will discuss key components, patient outcomes, collaboration, techniques, and lessons learned in an academic family medicine clinic.
In this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, production editor Grace Pratt and her team of experts discuss the integral role of integrated behavioral health in primary care. Despite challenges and misconceptions from healthcare administrators, the team emphasizes that behavioral health is a core function of primary care. Key themes include the importance of gratitude, organizational challenges, slot utilization pressures, and the need for a shared mental model to improve healthcare outcomes. Special segments feature discussions on leadership competencies, mental health integration, and empirical approaches to healthcare administration.
Welcome to the Conference Series! This podcast offers listeners an exclusive look into the Collaborative Family Healthcare Association’s annual conference, spotlighting the integration of comprehensive addiction medicine within rural primary care settings. This presentation provides a description of the creation, implementation and treatment model of the Comprehensive Addiction Medicine program within the MaineHealth system. Many thanks to the presenters, Tammy Hand, LCSW, Alyson Poland, LCSW and Stacey Ouellette, LCSW.Join us as we share real-world experiences, challenges, and success stories from the front lines of rural healthcare. Whether you’re a clinician, community advocate, or simply passionate about innovative approaches to addiction care, this podcast provides valuable insights and practical strategies to inspire and inform your work.Tune in for expert perspectives and a behind-the-scenes glimpse at how rural communities are transforming addiction medicine—one patient, one practice, and one community at a time.
Join Grace Pratt and the co-hosts of the Integrated Care Podcast as they reflect on the vibrant experiences from the Collaborative Family Healthcare Association's recent Integrated Care Conference. In this episode, they discuss the joy of integrated care, share personal anecdotes, and highlight key presentations on various topics such as clinician stance, sleep research, health equity, and engaging entire healthcare teams. Tune in to hear about the impactful work being done in the field and get inspired by the community's passion and dedication to advancing integrated care.
Navigating Supervision Needs in Integrated Care | CFHA Podcast EpisodeIn this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, production editor Grace Pratt is joined by her co-hosts and special guest Nick Schmoyer Edmondson to discuss the supervision needs of Behavioral Health Consultants (BHCs). The discussion includes personal insights from early career experiences, the challenges of moving into integrated care settings, and the importance of adaptive supervision techniques. This episode also features a CEO's Corner segment discussing how administration can better support integrated care practices. Tune in to gain valuable perspectives on supervising and training new members in integrated care settings.
Join Grace Pratt and the team on this insightful episode of the Collaborative Family Healthcare Association Integrated Care Podcast, where they delve into the nuances of reflective practice within the fast-paced world of healthcare. Featuring special guest Dr. Jeff Ring, the episode explores how intentional reflection can foster connection, improve practice, and support wellness among healthcare professionals. With contributions from Monica Harrison, Jen Thomas, and Nift Serrano, the discussion provides practical tips to incorporate reflective practices in day-to-day clinical work, balancing the demands of productivity with meaningful patient care and professional growth. Don't miss this enriching conversation on the integration of reflective practice in modern medicine.
Ep. #87 Managing Challenging Patients in Primary Care by Collaborative Family Healthcare Association
In this episode of the Integrated Care podcast by the Collaborative Family Healthcare Association, the hosts discuss the importance of risk-taking in career development. They explore personal anecdotes and strategies for overcoming structural barriers to amplify diverse voices within healthcare. Key topics include the importance of mentorship, sponsorship, and the role of community in fostering career growth for underrepresented groups. The episode also touches on the unique challenges faced by women and people of color in leadership roles and the significance of developing specific skills to succeed.
In this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, host Grace Pratt delves into the complex issue of burnout in the healthcare system. Joined by co-hosts Neftali Serrano and Jen Thomas, the conversation touches on the systemic and personal factors contributing to burnout, the importance of advocacy, and the need for focusing on meaning and purpose. The episode includes personal stories, reflections on the current state of healthcare, and practical advice on how to stay resilient and connected despite challenging times.
In this episode of the Integrated Care Podcast, hosted by Grace Pratt, join the conversation with co-hosts Bridget Beachy and Jen Thomas as they delve into the importance of prioritizing wellness in integrated care. The discussion covers key strategies for promoting healthy habits and behaviors, the value of understanding patients' day-to-day lives, and the significance of motivational interviewing techniques. Tune in to hear their insights on making meaningful connections with patients and fostering a holistic approach to healthcare.
In this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, host Grace Pratt leads a discussion with co-hosts Jen Thomas, Bridget Beachy, and Neftali Serrano about the impact of different models of integrated care, notably Primary Care Behavioral Health (PCBH) and the Collaborative Care Model (COCM). The conversation dives into the history, practical application, and the ongoing debates surrounding these models. It emphasizes the importance of team-based care and understanding the context in which these models are implemented. They discuss the significance of balancing evidence-based practices with real-world application and the need for collaboration in the healthcare industry. Join the team as they share insights, challenges, and the future direction of integrated care
In this episode of the Collaborative Family Healthcare Association (CFHA) podcast, production editor Grace Pratt and co-hosts Neftali Serrano, Jen Thomas, and Bridgette D. discuss the challenges and opportunities for healthcare providers in 2025. They delve into how to navigate uncertainty, the importance of community, and finding pockets of joy amidst adversity. Key highlights include Neftali's leadership insights, Jen's work with the Illinois Psychiatric Society on integrated care, and Bridgette's efforts in primary care behavioral health. The podcast also features a powerful poem by Lauren Brantz, 'Inauguration 2025,' emphasizing love, faith, and community as acts of resistance in challenging times. Tune in for a blend of optimism and practical steps to make positive changes in healthcare this year.
Join the team from the Collaborative Family Healthcare Association (CFHA) as they reflect on the past year, share their biggest learnings, and discuss their hopes for the future. In this reflective episode, co-hosts Grace, Monica, Bridget, Jen, and Neftali discuss creative problem-solving amidst obstacles, personal and professional growth, and important lessons learned. They also share exciting plans for 2025 and explore the importance of measurement in healthcare, the joy of new professional connections, and the value of being unapologetically authentic. Tune in for a thoughtful conversation on integrated care and more.
In this insightful episode of the Integrated Care Podcast by the Collaborative Family Healthcare Association, production editor Grace Pratt and co-host Neftali Serrano are joined by guests Monica Harrison, Ben Hilliard, and Dr. Denise Toshack to discuss the intersection of education and mental health. The conversation dives into personal experiences with the education system, the challenges faced by children with learning disabilities and mental health issues, and the vital role of collaborative care models in schools. Discover how integrating healthcare and educational systems can foster better outcomes for children, address systemic barriers, and alleviate the burdens on families. Tune in to learn about the potential of innovative approaches and the importance of cooperation between pediatrics, behavioral health, educators, and families.
Join Grace Pratt and fellow experts at the Collaborative Family Healthcare Association's Integrated Care Podcast, live from the San Antonio conference. This episode explores the importance of human connection in integrated care, reflections on cultural sensitivity, and the profound impact of this loving professional community. The team shares icebreakers, highlights key moments from the conference, and discusses the excitement of networking, learning, and bringing the spirit of integrated care back to their practices. Special moments include a discussion on the challenges and rewards of integrating medical and behavioral health, and the importance of seeing and valuing each individual patient.
The podcast episode from the Collaborative Family Healthcare Association, hosted by Grace Pratt and co-hosts, discusses the role of fear in healthcare decision-making. It explores how fear impacts medical professionals' choices, especially in treating conditions like chronic pain or mental health issues. The conversation highlights understanding systemic and personal fears, advocating for community support and training to tackle them. Mention of the upcoming organization events and a call for more compassionate and team-oriented approaches in practice reflect a holistic and resilient healthcare culture. The session closes with reflections on personal resilience and a Rumi poem urging mindful presence and action.
The Coming of Age series is a special set of episodes chronicling CFHA's 30 years of history. Even if you are not a CFHA member, listen in on the stories to gain insights into the key developments in healthcare from two veterans of healthcare transformation. Join Deepu & Grace as we listen in on the stories of collaboration that have brought us to where we are today! Episode 4: Jeri Hepworth & John Rolland
The Coming of Age series is a special set of episodes chronicling CFHA's 30 years of history. Even if you are not a CFHA member, listen in on the stories to gain insights into the key developments in healthcare from two veterans of healthcare transformation. Join Deepu & Grace as we listen in on the stories of collaboration that have brought us to where we are today! Episode 3: Sandy Blount & Frank DeGruy
In this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, hosts Grace Pratt, Bridget Beachy, Neftali Serrano, Monica Harrison, and Jen Thomas discuss managing grief and emotional responses to patient deaths in a healthcare setting. They emphasize the importance of team cohesion, psychological safety, and open communication among medical professionals. The conversation is prompted by a story shared about a patient who recently passed away, highlighting the emotional challenges clinicians face. They offer practical suggestions for supporting care teams, including establishing a culture of vulnerability, routine debriefings, and fostering strong relationships within the team. Additionally, upcoming CFHA events and resources in integrated care are mentioned.
Podcast Episode: Women in Leadership and Integrated CareIn this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, Grace Pratt, the production editor, discusses women in leadership and integrated care. Joined by co-hosts Bridget Beachy and Jen Thomas, they share personal stories and experiences of their professional journeys, highlighting key female role models in their lives. The conversation delves into the challenges of leadership, the importance of showing up and saying yes, and the critical need for a structured system and continuous learning in leadership roles. The episode offers insights, encouragement, and practical advice for anyone in or aspiring to be in leadership positions in healthcare and beyond.00:00 Introduction to the Podcast00:29 Meet the Hosts01:06 Women Role Models in Our Lives01:20 Bridget Beachy's Influences04:28 Jen Thomas's Influences06:32 Grace Pratt's Influences09:50 Challenges and Paths to Leadership10:27 Jen Thomas's Leadership Journey14:33 Bridget Beachy's Leadership Journey24:35 Navigating Gender Dynamics in Medicine25:10 Challenges of Leadership in Healthcare28:26 Balancing Team and System Responsibilities31:58 Personal Growth and Leadership34:54 The Importance of Relationships in Leadership43:39 Final Thoughts and Reflections
The Coming of Age series is a special set of episodes chronicling CFHA's 30 years of history. Even if you are not a CFHA member, listen in on the stories to gain insights into the key developments in healthcare from two veterans of healthcare transformation. Join Deepu & Grace as we listen in on the stories of collaboration that have brought us to where we are today!Episode 2: Mac Baird & Bill Doherty
In this episode of the Integrated Care Podcast from the Collaborative Family Health Care Association, host Grace Pratt, along with co-hosts Neftali Serrano, Jen Thomas, and Bridget Beachy, continue their discussion on treating couples within the integrated care setting. They delve into the importance of modeling calm behavior for patients, the role of brief interventions, and strategies for addressing the unique challenges that couples may face, such as communication issues, chronic illness, menopause, and more. The conversation emphasizes the significance of contextual interviews and focusing on each couple's specific dynamics, as well as the practical aspects of integrating couple therapy into primary care without the need for extensive specialized training. The episode also covers “news and notes,” announces upcoming CFHA conference details, and introduces a new pre-professional membership program.
Ep. #74 Substance Use Disorders In Integrated Care by Collaborative Family Healthcare Association
The Coming of Age series is a special set of episodes chronicling CFHA's 30 years of history. Even if you are not a CFHA member, listen in on the stories to gain insights into the key developments in healthcare from two veterans of healthcare transformation. Join Deepu & Grace as we listen in on the stories of collaboration that have brought us to where we are today!Episode 1: Susan McDaniel & Larry Mauksch
Icebreaker: If you could trade lives with somebody for a day, who would it be?Main topic: Working with couplesWhen does this come up?What are common issues that tend to be more couple specific?How do we be relational & systemic and also brief?Where do we go wrong?and more!Today's hosts: Grace Pratt, Neftali Serrano, Bridget Beachy, and Monica Harrison
News & Notes-Coming of Age SeriesMain show topic: How can we support patients with chronic illness in IC?-Conceptualizing chronic illness-Interventions (spoon theory, etc)-Family support-Provider communication Today's hosts: Bridget Beachy, Grace Pratt, Monica Harrison, Jen Thomas, and Neftali Serrano
In this episode, the Integrated Care Podcast team discusses the growth, development, and evolution of teams and integrated care programs. The team also discusses a new recurring special segment on the 30-year milestone being celebrated by the Collaborative Family Healthcare Association in 2024, and how this moment offers an opportunity to reflect on their past and future journey. Their upcoming special segment, Coming of Age, which will look at the history of integrated care through bonus podcast episodes, featuring major figures who pioneered and shaped the field over the past 30 years.For info on the upcoming spring conference and call for proposals go to: integratedcareconference.com.Today's hosts: Bridget Beachy, Grace Pratt, Monica Harrison, Jen Thomas, and Neftali Serrano
Holiday wishes from CFHA! Join Grace, Jen, Monica, & Bridget as we talk about what's bringing us light, peace, and hope as we round out the year in 2023.Today's co-hosts: Grace Pratt, Jen Thomas, Monica Williams Harrison, Bridget Beachy
Join the podcast team as they take a pause in the middle of the conference in Phoenix to connect around what they’re teaching and learning. And as a special surprise, there’s a familiar voice - Deepu was able to join us!Today's co-hosts: Bridget Beachy, Grace Pratt, Monica Williams Harrison, Jen Thomas, Neftali Serrano, and Deepu George
This month, we invited Elizabeth Zeidler Schreiter, director of an Integrated Care program in Wisconsin, to join us to talk about her success stories in growing an integrated care service while advocating for state-wide policy change.Beth's clinic has accomplished the following in just the last year:-Helped advocate to the state to turn on CoCM codes and bill PPS rates for them-Helped turn on e-consult codes for consulting psychiatry-Hired and started a Behavioral Health Care Coordinator team to work with both CoCM and PCBH-Advocated internally for a SW fellowship and increased the pay for both the SW and PHD fellowships to be more competitive-And all the while maintaining their core PCBH program service; overall these changes will result in a net positive financial situation for their psychiatry portion of the business (PCBH is already sustainable)Please join us as we talk about how they got these wins, lessons learned, and more.Today's cohosts: Bridget Beachy, Grace Pratt, Monica Williams Harrison, Jen Thomas, Neftali Serrano
We’ve all heard it, usually with an eye roll. Oh, this patient is a “somaticizer.” What does that mean, and how can we help?Topics discussed:What’s a somatic presentation? How does it present? Who is affected? Why is it so squirrelly to pin down, and how can we intervene? And ultimately…. Why are we especially equipped to support this population in integrated care?Today's cohosts: Bridget Beachy, Grace Pratt, Monica Williams Harrison, Jen Thomas, Neftali Serrano
PTSD & Trauma in Integrated Care:How does it present?Screening vs assessment?Intervention?Impact on the team?Resources:-Health Federation of Philadelphia article: https://healthfederation.org/hfp-enters-new-phase-partnership-philadelphia-department-behavioral-health-and-intellectual-CFHA Learns Course on Treating PTSD with Exposure-Based Approaches in Primary Care (requires registration to the virtual conference to access): https://integratedcarelearning.talentlms.com/catalog/info/id:548-CFHA Conference website: https://www.integratedcareconference.com/Today's co-hosts: Bridget Beachy, Grace Pratt, Jen Thomas, Neftali Serrano
While most of our listeners didn't sign up to be communications experts, many of us working in IC end up in the position of having to explain what we do, advocate for our model of treatment, and correct misconceptions. (Like the time Grace's own grandmother told all her friends that she was a "Medical Physical Therapist!"). In today's episode, we'll be talking about the ins and outs of this often surprising part of our work.Today's cohosts: Bridget Beachy, Monica Williams Harrison, Grace Pratt, Jen Thomas, Neftali SerranoResources:1. CFHA Clinical Supervision Course: https://www.cfha.net/intro-to-clinical-supervision-within-primary-care-behavioral-health-course/2. Annual Conference: https://integratedcareconference.com3. Link to NH Committee Meeting: https://www.youtube.com/watch?app=desktop&v=LAUrYBkLPeo
Sparked by new classes of predoctoral psychology interns and Family Medicine residents onboarding in late spring, Bridget and Monica of the podcast team take on the topic of what to consider when prepping for professional transitions.In this episode the team members offer their perspective on transitions (related to early career professionals and in general at any stage of your career), practical tips and tricks, questions to think about during these times and the many other "fine lines" to balance!Today's cohosts include: Bridget Beachy & Monica Williams Harrison
The changing seasons have us thinking metaphorically about the passage of time in life, both personally and professionally. This month our team reflects on a question - what seasons do we see in our work? We discuss trends both at a micro-level in our own systems, and from a macro-level perspective about the field of integrated care and the healthcare system as a whole.Today's cohosts include: Grace Pratt, Jen Thomas, Bridget Beachy.
This month, Grace is coming to the team for a consult… what are the best ways to support our patients, our teams, and ourselves when emotions are running high?Icebreaker: What’s your favorite spring break memory?Main topic: How do we conceptualize patients’ anger?What’s the impact on individual providers? The team?How do we care for ourselves and each other?Are there ways an integrated care team is especially equipped to support patients or each other in this situation?Today's Hosts: Grace Pratt, Jen Thomas, Bridget Beachy, Neftali Serrano
Today we'll be talking about addressing grief and loss in integrated care. Working in primary care (and healthcare in general!) brings us into regular contact with bereavement... so how do we help?Icebreaker: Whats your favorite sweet treat?Main discussion:How does grief present?How can we avoid unneccessary pathologizatoin?What brief interventions are helpful?On a self-of-the-clinician level, how do we experience and respond to our own grief and loss when it comes to patient care?Today's Hosts: Grace Pratt, Jen Thomas, Bridget Beachy, Monica Williams Harrison
The holidays have got me thinking about something so important, whether we're talking about families or our work - boundary setting!Ice breaker: A favorite gift you've given or receivedMain topic:Boundaries in the work that we do!Some possible rabbit trails we might follow:General thoughts on the relevance of boundaries in ICDo you have any stories of boundary setting or boundary violations in your work that you need to share?Boundaries with work vs. boundaries with patients vs. boundaries with other team membersWisdom & advice you have about choosing and enforcing boundaries
The CFHA podcast team discusses another taboo topic: salary! How do you negotiate pay? Is it ok to in healthcare? When do you just move to another job?
Ep. #56: Workforce and Integrated Care Policy – LIVE from the Boise Conference by Collaborative Family Healthcare Association
Ep. #55 Collaborators in Integrated Care by Collaborative Family Healthcare Association
Ep. #54: When Things Go Wrong, Take a Beat and Pivot by Collaborative Family Healthcare Association
Ep. #51: Stories We Tell In Integrated Care by Collaborative Family Healthcare Association
Ep. #49: Enough Is Enough - Targeted Interventions by Collaborative Family Healthcare Association
Ep. #47: Gifts of Integrated Care – Joy, Gratitude, Hope by Collaborative Family Healthcare Association
Ep. #46: Policy is Practice – Practice is Policy by Collaborative Family Healthcare Association
Ep. # 41: Your First Day Of Integrated Care by Collaborative Family Healthcare Association
Ep.# 37: Social Isolation And Loneliness by Collaborative Family Healthcare Association
Ep. #36: Reflections on and Lessons from 2020 by Collaborative Family Healthcare Association
Ep. # 35: Suicidal Ideation In Integrated Care by Collaborative Family Healthcare Association
Ep.# 34 - Conference Reflections and Supervision in Integrated Care by Collaborative Family Healthcare Association
Ep. #31: Current Research In Integrated Care by Collaborative Family Healthcare Association
This month, we invite you to join us for a conversation on anti-racism facilitated by our past co-host Jeffrey Ring. Please help us continue the conversation and our collective efforts to be active in anti-racism by emailing the CFHA List-Serv or calling (984)-206-1636 x 1636 and leaving us a voicemail.
Show notes: 00:13:16 Martha Saucedo: https://theundefeated.com/features/ibram-kendi-leading-scholar-of-racism-says-education-and-love-are-not-the-answer/ 00:14:36 Deepu George: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446334/pdf/10936998.pdf 00:16:27 Deepu George: https://www.youtube.com/watch?v=GNhcY6fTyBM 00:17:23 Deepu George: https://brenebrown.com/podcast/brene-with-ibram-x-kendi-on-how-to-be-an-antiracist/
Music bed ‘Undertow’ by Scott Buckley https://www.scottbuckley.com.au/
Ep. #29: Domestic Violence in Integrated Care by Collaborative Family Healthcare Association
Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes.
Poem: Search the Darkness, by Rumi Music: Monomyth - The Vision, by Scott Buckley – www.scottbuckley.com.au
Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes.
Poem: Pandemic, by Lynn Ungar Music: Reverie, by Scott Buckley – www.scottbuckley.com.au
Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes.
Poem: The Guesthouse, by Rumi Music: Monomyth - The Restoration, by Scott Buckley – www.scottbuckley.com.au
Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes.
Poem: For a Friend on the Arrival of Illness, by John O'Donahue, from the book To Bless the Space Between Us Music: Monomyth - The Things that Keep Us Here, by Scott Buckley – www.scottbuckley.com.au
Listen to the CFHA podcast team tackle some of the most uncomfortable situations in integrated care. And speaking of hard, Medication Assisted Treatment is no walk in the park for providers. Listen to an interview with emergency medicine trained toxicologist Serge Emile-Simpson, MD talk about the nuances of MAT work.
Links: http://integratedcareconference.com David Brooks article: https://www.theatlantic.com/magazine/archive/2020/03/the-nuclear-family-was-a-mistake/605536/ APA State Toolkit: https://www.apadivisions.org/division-31/publications/toolkit/index
The CFHA podcast team discusses the role of spirituality in integrated care. How do you integrated spirituality into healthcare and why? Why does this make sense for integrated care?
Notes: General resources: https://www.integration.samhsa.gov/about-us/esolutions-newsletter/e-solutions-june-2014
HOPE Questions: https://www.aafp.org/afp/2001/0101/p81.html#afp20010101p81-t4
Good review article on the topic (note section on PCMH & team-based care): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814294/
The CFHA Podcast team, live from the 2019 CFHA conference in Denver, CO! We share our highlights from the conference, complete with a "failure bow."
Links: Post by Dr. Frank DuGruy: https://www.integratedcarenews.com/2019/the-never-ending-story-of-integrated-care/
Massachusetts New Health Plan Proposal: https://www.boston.com/news/health/2019/10/18/charlie-baker-health-care
California Implicit Bias Training: https://www.latimes.com/california/story/2019-09-12/california-implicit-bias-legislation-doctors-lawyers
2019 & 2020 CFHA Conference info: http://integratedcareconference.com
The CFHA podcast crew invites special guest Andy Valeras, DO, to discuss two of his articles on complexity science and its application to healthcare. "Embrace complexity" is his message! The crew also interviews the founders of a new startup in Arizona pioneering collaborative care.
Healthcare's wicked questions: https://doi.org/10.1037/fsh0000425
Caring is complex: https://www.ncbi.nlm.nih.gov/pubmed/30920271
EvolvedMD:http://www.evolvedmd.com
The CFHA team tackles the central role of food in health/ healthcare and the gaps in our knowledge as teams in providing nutritional guidance and support. Also, two special segment featuring the planners of the plenary experiences of the annual conference and a conversation with Christine Runyan, PhD on the ethics of integrated care.
Helpful links: https://www.forbes.com/sites/brucejapsen/2019/07/25/congress-warms-to-paying-for-social-determinants-and-health-industry-cheers/#4d06afca4ac3
Congress is potentially getting in on the act of attending to social determinants including nutrition.
Cleveland Clinic's food as medicine initiative (https://www.greaterclevelandfoodbank.org/programs/food-as-medicine) or Boston Medical's preventive food pantry (https://www.bmc.org/nourishing-our-community/preventive-food-pantry)
Nutrition and behavioral health: https://psychscenehub.com/psychinsights/the-simplified-guide-to-the-gut-brain-axis/
https://nutritionfacts.org/topics/mental-health/ - plant-based diet and its impact on mental health
The CFHA team discusses burnout, compassion fatigue, moral injury and wellness for healthcare providers. Resources discussed:
http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx
https://nam.edu/clinicianwellbeing/wp-content/uploads/2019/07/Factors-Affecting-Clinician-Well-Being-and-Resilience-July-2019.pdf
https://www.sciencedirect.com/science/article/pii/S0002934318311550#!
https://zdoggmd.com/moral-injury/
https://www.amazon.com/Resilient-Clinician-Robert-J-Wicks/dp/0195316975/ref=sr_1_1?crid=3TBQGSYVW5HKK&keywords=the+resilient+clinician&qid=1564066638&s=gateway&sprefix=the+resiliant+%2Caps%2C130&sr=8-1
Penwell-Waines, L. (2018). Perspectives on Healthcare Provider Well-Being: Looking Back, Moving Forward. Journal of Clinical Psychology in Medical Settings, 25(3), 295–304. http://doi.org/10.1007/s10880-018-9541-3
Penwell-Waines, L., Runyan, C., Kolobova, I., Grace, A., Brennan, J., Buck, K., et al. (2019). Making Sense of Family Medicine Resident Wellness Curricula: A Delphi Study of Content Experts. Family Medicine, 1–7. http://doi.org/10.22454/FamMed.2019.899425
The CFHA crew discusses the importance of family, broadly defined, in the provision of high quality healthcare. Shownotes:
Genograms reference for show notes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2380035/ Ecomaps reference for show notes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2218299/
https://uhfnyc.org/publications/publication/plan-and-provider-opportunities-move-toward-integrated-family-health/
ACGME1 and experts from STFM2 recommend family doctors gather familial, social, cultural & spiritual context information from their patients 1Accreditation Council for Graduate Medical Education (ACGME). (2014, July 1). ACGME program requirements for graduate medical education in family medicine. 2 Schirmer, J. M., Taylor, D., & Zylstra, R. (2008). New Set of Core Principles of Behavioral Medicine. Society of Teachers of Family Medicine.
https://www.aafp.org/afp/2011/1001/p780.html
https://www.ajpmonline.org/article/S0749-3797%2898%2900017-8/fulltext
The CFHA podcast team reviews the latest integrated care research along with special guest Matt Martin (blogger, researcher at ASU). Also, Dr. Serrano interviews Kent Corso on the topic of innovators in integrated care.
Shownotes: Poetry at end of show: https://psycnet-apa-org.cfha.idm.oclc.org/doi/10.1037/fsh0000397
Health payment literacy article: https://psycnet-apa-org.cfha.idm.oclc.org/doi/10.1037/fsh0000402
Meta-analysis of pediatric integrated care: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2422331
High value aspects of primary care article: http://www.annfammed.org/content/17/3/221.full
Childhood obesity: https://academic.oup.com/tbm/advance-article-abstract/doi/10.1093/tbm/ibz055/5445306
Suicide in primary care: https://www.ncbi.nlm.nih.gov/pubmed/29809038
Buprenorphine care: https://annals.org/aim/fullarticle/2708164/next-stage-buprenorphine-care-opioid-use-disorder
Depression screening and detection: https://uhfnyc.org/media/filer_public/61/87/618747cf-9f4b-438d-aaf7-6feff91df145/bhi_finalreport.pdf
Integration framework: https://uhfnyc.org/publications/publication/continuum-based-bh-integration-among-small-primary-care-practices/
Bonus (not discussed): https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-019-0223-8
The CFHA team discusses the intersection of race/ culture and the provision of health care by teams. Implicit bias and cultural humility are discussed as foundational frameworks for teams to embody. Also mixed in, a reference to Dr. Serrano's love of the band, Chicago.
Black Moms Die More http://www.precinctreporter.com/2019/04/25/health-crisis-black-moms-die-more/
Dr. Dana Matthew video: http://integratedcarenews.com
The CFHA Podcast team discusses how to assess your clinic's level of integrated care and why being self-reflective about this is important. Check in for insights, tools and perspectives on how to do this. Many thanks to our sponsor: UW Health (http://careers.uwhealth.org).
Also, check out the links below discussed during the podcast:
Article: https://jamanetwork.com/journals/jama/fullarticle/2729345?resultClick=1
List of Assessment Tools: https://www.integration.samhsa.gov/operations-administration/assessment-tools#SSA
MeHAF: https://www.integration.samhsa.gov/MeHAF_Site_self_assessment_tool.pdf
PIP: http://pip.w3.uvm.edu/pip.php
Our Amazon Smiles Link: https://smile.amazon.com/ch/13-3832381
The CFHA podcast team describes the varied ways in which we often miss sexuality as a key piece of primary care and some tips on dealing with particularly challenging situations. Dr. Travis Cos is also interviewed around his work in training a large network of Behavioral Health Consultants in Philadelphia, PA. This podcast is sponsored by UW Health (Madison, WI). Go to careers.uwhealth.org for more on great careers at UW Health. Show notes as always located at: https://www.cfha.net/blogpost/1730738/CFHA-Podcast-Shownotes
The CFHA podcast team discusses the challenge of determining BHC ratios. Also hear an interview with Dr. Boris Todorov, Clinical Psychologist, Vice President and Director of Clinical Services of Primary Care Psychology Associates, LLC. in Northbrook, IL. Dr. Todorov discuses PCPA’s private practice business model in which they deploy Behavioral Health Clinician (BHC) to medical clinics to provide care as part of the primary/specialty care medical team.
Hear the CFHA podcast team reflect on the gifts of integrated care in 2018. See our show notes at: https://www.cfha.net/blogpost/1730738/315455/December-2018--Integrated-Care-in-2018-Episode-Show-Notes or go to integratedcarenews.com for the link and other integrated care news!
Ep. 10: Structuring the Primary Care Consult & Welcome from the New FSH Journal Editors.
Join the CFHA podcast team live at the CFHA 2018 conference in Rochester, NY. We discuss the plenary session by Dr. Eduardo Salas on the science of teams and interview Christine Borst (ASU professor) and David Humphreys (UK Family Therapist).
The CFHA Podcast team takes on the issue of workforce development and the challenges of improving capacity by building a workforce in the context of multiple, confusing mental health guilds. See our show notes also at: https://www.cfha.net/blogpost/1730738/310248/To-Guild-or-Not-To-Guild-The-New-Integrated-Care-Professional-Identity
Hear the CFHA podcast team discuss the role of integrated care in working at the opioid crisis. See our show notes at: https://www.cfha.net/blogpost/1730738/308520/August-2018--The-Opioid-Crisis--Integrated-Care or go to integratedcarenews.com for the link and other integrated care news!
Interviews with Dr. Ronald Epstein and Dr. Andrew Philip highlight the past, present and future of integrated care. Dr. Epstein gets us excited about the Rochester conference and its historical significance. Dr. Philip talks to us about the Center for Integrated Health Solutions.
The CFHA Podcast Team discusses a recent list serve discussion that went viral on warm handoffs.
The CFHA Team interviews Drs. Julie Oyemaja & Brian Sandoval along with the co-editors of a special edition in the Journal of Clinical Psychology in Medical Settings. It's all things PCBH in this podcast as we look at the big trends related to PCBH in this special edition.
The CFHA podcast team gets together to discuss their favorite upcoming sessions at the CFHA conference in October (http://integratedcareconference.com)and briefly discuss core competencies for team members on integrated care teams. Show notes coming soon.
The CFHA Podcast team discusses the models of integrated care, why they are important, how they have differing goals, and how they are the training wheels of workforce development. Also, featured is an interview with Joan Fleishman, PhD who discusses her history as a program developer and behavioral director in a now large integrated primary care clinic.
April 2018 Show Notes Announcements: CFHA Annual Conference | October 18, Rochester, NY
News Items: Grace: Congressman Vern Buchanan Says These are Seven Ways to Attack Opioid Epidemic | Bradenton Herald Jeffrey: Literacy-Adapted Cognitive Behavioral Therapy versus Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial | Annals of Internal Medicine Deepu: Senate Finance Panel's Opioid Hearing to Focus on Changes to Medicare, Medicaid | Morning Consult Senate Finance Committee Bipartisan Initiative: Addressing Substance Use Disorder and the Opioid Epidemic | Morning Consult Neftali: Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits? | Health Services Research Also mentioned: Eugene S. Farley, Jr. Health Policy Center | Aurora, Colorado Creating a Culture of Whole Health | Eugene S. Farley, Jr. Health Policy Center Make Health Whole Website | Eugene S. Farley, Jr. Health Policy Center
Topic Discussion: AIMS Center (Collaborative Care resources & Implementation Research) | University of Washington Collaborative Care Implementation Guide | AIMS Center Behavioral Health Integration and Complex Care Initiative Culture Eats Strategy for Lunch | Curt Coffman & Kathie Sorensen
Special Segment: Faculty page of Dr. Joan Fleishman | Oregon Health & Science University Trauma Informed Care Benefiting Both Patients and Staff | Trauma Informed Oregon Brené Brown’s Website
The CFHA Podcast Team discusses the work of community health workers, promotoras, peer specialists, care managers and other new members of the modern medical care team. Special segments include a review of the Association for Community Health Improvement Conference by Dr. Jeffrey Ring and an interview with Family, Systems & Health co-editor Dr. Jodi Polaha who sponsored a conference recently on the podcast topic.
News Items: Deepu: https://theincidentaleconomist.com/wordpress/do-antidepressants-work/ Grace: https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm599560.htm Amber: https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2017.9b9 More information about the Brief Addiction Monitor mentioned in Amber’s news item: https://manual.jointcommission.org/BHCInstruments/RomInstr00017 Neftali: https://www.macrumors.com/2018/01/24/apple-health-records-update/
Topic Discussion: Faculty webpage of Dr. Frank DeGruy, whose talk Deepu summarized for us: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/familymed/about/faculty/Pages/FrankdeGruy.aspx The four websites Deepu was recommended to follow were: https://theincidentaleconomist.com https://morningconsult.com/ http://thehealthcareblog.com http://healthcare-economist.com Website for Dr. Parinda Khatri with Cherokee Health (also cited by Deepu): https://www.cherokeehealth.com/about-us/our-leadership-team Website for Dr. Katie Kanzler who is doing the work with Promotoras & Acceptance and Commitment Therapy: http://profiles.uthscsa.edu/?pid=profile&id=47C0WR06D; https://reach.uthscsa.edu/node/108 SAMSHA-HRSA Center for Integrated Health Solutions page on Peer Providers - https://www.integration.samhsa.gov/workforce/team-members/peer-providers The Rural Health Info Hub has a helpful, brief explanation of some of the types of care coordinators: https://www.ruralhealthinfo.org/toolkits/care-coordination/2/care-coordinator-model/types
Jeff’s Segment Association for Community Health Improvement: http://www.healthycommunities.org/ The Institute for Diversity & Health Equity (Affiliate of the American Hospital Association): http://www.diversityconnection.org/ Equity of Care Pledge: http://www.equityofcare.org/pledge/online-form.shtml National Urban League: https://www.nuljobsnetwork.com/ American Public Health Association: https://www.apha.org/
Jodi’s Segment Dr. Jodi Polaha’s faculty page: https://www.etsu.edu/com/familymed/faculty/polaha_jodi.php A 2017 Profile of the work being done by Dr. Polaha’s team that was published in the Atlantic: https://www.theatlantic.com/health/archive/2017/06/therapy-for-everybody/531120/ AAFP Risk Stratified Care Management Rubric - Preview & link to purchase (free to AAFP members): https://nf.aafp.org/Shop/practice-transformation/risk-stratified-care-mgmt-rubric Peek, C.J., Baird, M.A., & Coleman, E. (2009). Primary care for patient complexity, not only disease. Families, Systems & Health, 27, 287-302. doi: 10.1037/a0018048 In this article from CFHA’s journal Families, Systems, and Health, the authors argue that an organized method for assessing complexity is necessary for providing patient-centered (rather than solely disease-focused) care. Reddy, A., Sessums, L., Gupta, R., Jin, J., Day, T., Finke, B., & Bitton, A. (2017). Risk stratification methods and provision of care management services in Comprehensive Primary Care Initiative practices. Annals of Family Medicine, 15, 451-454. doi: 10.1370/afm.2124 This study reviews four methods that practices use to stratify patient risk, including the AAFP rubric that Dr. Polaha mentioned. Closing Discussion The MeHAF Tool for assessing integration: http://www.mehaf.org/learning-resources/tools-materials/ (Neftali specifically referenced the Integrated Care Site Self Assessment Survey)
Social justice and integrated care overlap. Why? How? Listen in as the CFHA podcast team discusses how the two are inexorably intertwined.
Show notes: Announcement Links: 2018 Conference Information: http://www.integratedcareconference.com/ March ACEs Webinar: http://www.cfha.net/page/Webinars IntegratedCareNews.com: http://www.integratedcarenews.com/
News Items: Fifty years after the Kerner Commission, a new report cites the same concerns about race and poverty | The Washington Post: https://www.washingtonpost.com/news/post-nation/wp/2018/02/26/fifty-years-after-the-kerner-commission-a-new-report-cites-some-of-the-same-concerns-about-race-and-poverty/ 50 Years After the Kerner Commission | Economic Policy Institute: https://www.epi.org/publication/50-years-after-the-kerner-commission/ "I Was Almost a School Shooter" | Youtube: https://www.youtube.com/watch?v=0szyYWi9rBo Respect first, Then gun control | The New York Times:https://www.nytimes.com/2018/02/19/opinion/parkland-gun-control-shootings.html
The CFHA (Collaborative Family Healthcare Association) podcast team gets off to a rocking start with team introductions and our first "In The News" segment where we riff off of the latest news impacting the world of healthcare and integrated care. Show notes are below!
News Articles: Neftali - https://www.samhsa.gov/health-information-technology/laws-regulations-guidelines Jeff - https://www.nih.gov/news-events/news-releases/nih-study-shows-steep-increase-rate-alcohol-related-er-visits Grace - https://www.medscape.com/viewarticle/891504 Deepu - https://www.washingtonpost.com/national/health-science/what-ive-learned-from-my-tally-of-757-doctor-suicides/2018/01/12/b0ea9126-eb50-11e7-9f92-10a2203f6c8d_story.html Pamela Wible's Ted Talk: https://www.tedmed.com/talks/show?id=528918 Other resources referenced: Unbroken Brain: A Revolutionary New Way of Understanding Addiction by Maia Szalavitz Author's website: http://maiasz.com/books/unbroken-brain/ NPR Fresh Air feature: https://www.npr.org/sections/health-shots/2016/07/07/485087604/unbroken-brain-explains-why-tough-treatment-doesnt-help-drug-addicts The Heart and the Bottle by Oliver Jeffers Author's website: http://www.oliverjeffers.com/picture-books/heart-and-the-bottle A Return to Love: Reflections on the Principles of a Course in Miracles by Marianne Williamson Author's website: https://marianne.com/a-return-to-love/
This brief snippet introduces the podcast and teases our format for 2018. The podcast will cover all sorts of topics related to the world of integrated care. This podcast is sponsored by the Collaborative Family Healthcare Association.