Abstract
There are obstacles related to our history of separating behavioral and physical health treatment that can only be overcome through mindful, day-to-day delivery of integrated services. The new BHC’s challenge is to address these obstacles methodically, as this is of fundamental importance to building a solid foundation. To support the BHC in this endeavor, we offer a BHC Start-Up Checklist. This is a long checklist; it begins with the first week, and many items continue to be of importance over the course of years of PCBH practice. By following this checklist, the new BHC will begin to develop a new identity different from that of other positions she has held in the past. This identity will include becoming a powerful educator on behavioral health interventions that help patients improve quality of life. Over time, the BHC’s identity will expand to include that of a systems wizard, where she strives to initiate change to clinic and patient care processes. Soon she will be able to stand in the shoes of her PCP/RN colleagues, finding ways to help better connect them with the services that she has to offer. Starting strong requires keen attention to many details, and growing stronger requires perspective and perseverance in overcoming obstacles.
This chapter provides 12 figures designed to help the BHC create a strong PCBH services and succeed in developing a strong BHC identify. These figures include handouts the BHC can use to teach PC colleagues about the PCBH model and how to connect patients with the BHC. We recommend that the reader print out three figures from the book website prior to reading the chapter: The BHC Start-Up Checklist, BARRIERS to Using BHC (BUB) Questionnaire, and BARRIERS to Same-day Services (BUS) Questionnaire.
“I have learned that success is to be measured not so much by the position that one has reached in life as by the obstacles which he has had to overcome while trying to succeed.”
Booker T. Washington
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Robinson, P.J., Reiter, J.T. (2016). Starting Up and Growing Up. In: Behavioral Consultation and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-13954-8_10
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DOI: https://doi.org/10.1007/978-3-319-13954-8_10
Publisher Name: Springer, Cham
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