[AVAPL Members] Re: Clinical Teams--how are you set up?

  • From: "Bondeson, Mark (Boise)" <Mark.Bondeson@xxxxxx>
  • To: <members1@xxxxxxxxx>
  • Date: Thu, 18 Nov 2010 09:04:53 -0800

Ed

This is really great...as we all struggle with re-design. Thanks for
sharing it with everyone

Mark

 

Mark Bondeson, Psy.D.

ACOS/Behavioral Health

Chief, Psychology Service

Boise, VAMC

208-422-1000 ext 7519

208-794-8222

 

From: avaplmembers-bounce@xxxxxxxxxxxxx
[mailto:avaplmembers-bounce@xxxxxxxxxxxxx] On Behalf Of Padin, Edgardo
(VHACLE)
Sent: Thursday, November 18, 2010 7:27 AM
To: members1@xxxxxxxxx
Subject: [AVAPL Members] Re: Clinical Teams--how are you set up? 

 

Michael:  Here is the MH Redesign Model we recently developed here in
Cleveland.  

 

From: avaplmembers-bounce@xxxxxxxxxxxxx
[mailto:avaplmembers-bounce@xxxxxxxxxxxxx] On Behalf Of Stewart, Michael
O ASHVAMC
Sent: Thursday, November 18, 2010 9:19 AM
To: members1@xxxxxxxxx
Subject: [AVAPL Members] Clinical Teams--how are you set up? 

 

I was wondering if anyone would be willing to give some feedback
backchannel on the way clinical teams are set-up within their Mental
Health Clinic.  

 

We are considering a couple of formats, with "teams" including
psychologists, social workers, psychiatrists, mid-levels, and nurses: 

1) Teams organized around disorders (with permeability for co-occuring
issues) such as a PTSD (combat) Team, PTSD (MST) and some combat et al.
Team, Mood Disorders and non PTSD anxiety Team, and SMI and High Risk
Team. 

 

2) Teams organized (similar to primary care) in a Team A, B, C, D format
where each team is about equal size and has clinicians and med-providers
with skills covering a range of clinical presentations, and access to a
"specialty team" such as PCT as needed. 

 

3) Smaller "specialty Teams" (i.e., a sample of clinicians with
specialized niches) embedded within a general Mental Health Clinic
(closer approximation to our current set-up).

 

Also, considering how patients interact with the teams (following an
initial intake evaluation): 

1) Patient meets with the team as a whole to develop a collaborative
treatment plan

2) A clinician is assigned a patient, who meets with the patient to
develop a collaborative plan and presents recommendations to the team
(i.e., patient not present) and coordinates care (e.g., a Principal
Mental Health Provider)

3) An orientation and treatment planning session whereby patient
collaborates with a provider who then triages patient based on this
plan-this clinician may or may not be further involved with patient once
triaged (closer approximation to our current set-up). 

 

 

Any feedback and considerations would be appreciated-what has worked/
not worked for your clinic, barriers, etc.

 

Thanks!
~Michael

 

Michael O. Stewart, Ph.D.

Psychologist

Local Evidence-Based Psychotherapy Coordinator

Systems Redesign Committee

Asheville, NC VAMC

828-298-7911 x5735

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