I am an Integrated Care provider and consultant. I will help your practice move in to the model of Integrated Primary Care. You can look forward to some good things as you make the relatively easy transition to Integrated Primary Care. Among many other things you may see increased revenue from new patients who are looking for this model; you may see decreased burnout from your medical providers because they will finally feel like the mental health needs of the 25%+ patients with diagnosable mental illness are finally getting their needs met by a competent, licensed MHP; finally, you may see an increase in quality of care as research indicates that a number of chronic illnesses responded better to an Integrated Primary Care approach than to just medical care alone.
One of the initial concerns that primary care practices often have is that of available space. The space needs of an MHP may be less than you think. Give me a call and we can talk about it.
Research shows that you are much more likely to engage with a mental health practitioner that has been introduced to you by someone you trust in a familiar location, like by your PCP in the medical office you have been going to for the last number of years.
We all have rough times. So maybe you are not one of the 26% percent of the American population that has a diagnosable mental illness, maybe you’re just having a hard time and you would appreciate being able to talk to a therapist once or twice.
Now you get to choose your own adventure…
You tell your PCP you’ve been feeling under the weather and struggling with some increased anger and less desire to do things you have enjoyed in the past.
Option 1: Your PCP tells you, “I know a therapist named Ari Hoffman, I met him a couple times and he seems pretty good. He has an office a few miles from here, here’s his number but I’m not sure if he’s taking new clients.”
Option 2: Your PCP says, “we have a therapist who works with us here, his name is Ari Hoffman. We collaborate all the time and everybody, patients and providers alike, think he’s hot stuff. Let me grab him, he’d love to come meet you right now. This is our new Integrated Primary Care model.”
Which do you prefer? If your primary care provider can offer you this then you are one of a fortunate few. If you don't have this service available then I and many other health experts in the country think you should. Start a conversation with your medical provider, tell him or her about Ari Hoffman Psychotherapy and the Integrated Primary Care Model. Give them my contact info and who knows? In a few months you and others like you who want a comprehensive healthcare experience might just get it.
There are a few different types of integrated care and the distinction is necessary because there are different degrees of collaboration (as discussed in research, i.e. Ader, et.al., 2015.)
Here they are in order from least to most integrated:
Coordinated – primary physical healthcare is hooked up to some degree with identified mental health providers (MHP’s) but they are at a different location
Co-located – the MHP is at the primary care location and the two disciplines (physical and mental health) have constant access to each other. Referrals are warm which means directly from one provider to the other as opposed to telling the patient to go to another office to see another type of provider. In this model the MHP uses a different documentation and billing system than the medical providers
Integrated – same as co-located but in this model the MHP even shares the same documentation and billing systems as the medical providers.
For normal people who were not masochistic enough to go in to the medical field:
Integrated Care is the collaboration of multiple health practitioners with the goals of increased quality of care, decreased cost, and improved patient experience.
Integrated Care generally refers to the integration of physical and mental health which has been proven by research to accomplish this triple aim mentioned above.
I have been practicing psychotherapy with adults, teens, kids, families, couples, and everything in between since 2007. The vast majority of this time has been providing psychotherapy services at locations which were not mental health offices. I worked in schools for a number of years, I did suicide assessments in hospitals, I worked in primary medical locations, I worked on an intensive services team doing in-home therapy, and I even spent some time in jail (as a therapist). I have found that the collaboration between disciplines generally increases the quality and effectiveness of care. While I still see clients in my private practice, I also provide Integrated Primary Care consultation and treatment services. This is a vehicle toward my passion for increasing access to effective and efficient healthcare for everyone. Read further about integrated care and the
Integrated Primary Care model.
Integrated care is not an enhancement for primary care like an aftermarket stereo with subwoofers in your much loved 15 year-old Subaru, it is a totally different way of approaching healthcare.
It is Integrated Primary Care.
Ari Hoffman PsychotherapyLLC