The National Register created a training series to help position Health Service Psychologists as essential team members in integrated healthcare. Ten modules are now available on the National Register's continuing education site, CE.NationalRegister.org, for Registrants and Trainee Registrants. See below for a sample video you can share with your colleagues: Dr. Neftali Serrano’s presentation on Integrated Care Models.
Preview the Integrated Healthcare Training Series
This training series includes a comprehensive review of clinical and administrative facets of integrated care:
- Key Concepts such as the behavioral healthcare consultation, the Triple Aim, reverse integration, and collaborating with medical personnel.
- Medical conditions including hypertension, diabetes, cardiovascular disease, respiratory disease, arthritis, and obesity.
- Psychosocial conditions including depression, ADHD, insomnia, chronic pain, trauma, and substance abuse.
- Healthcare overview such as establishing and financing integrated care, EHRs and privacy, billing and coding.
Dr. Khatri covers the role of psychologists in the primary care settings, population-based healthcare, and the four C’s of primary care (First Contact, Continuity of Care, Comprehensive Care, and Coordinated Care). She describes the pace of the primary care environment including warm handoffs from medical personnel and curbside consults with patients, and some of the mistakes psychologists frequently make in the primary care environment. She discusses collaboration with medical personnel to encourage behavior change in patients.
The Triple Aim with Kent Corso, PsyD (16 minutes)
Achieving the Triple Aim – enhanced quality of care and patient experience, plus reduced cost of care: a foundational principle of integration. Dr. Corso describes the rationale for the Triple Aim in light of the problem of exploding costs with erosion of quality of care and patient satisfaction. Also covered are efforts to place patients at the center of the care model, the importance of behavior change to enhance overall health, and how addressing behavioral health affects overall healthcare costs.
Dr. Serrano describes the foundations of the current integrated care movement, including the development of common models and terminology. He describes the three primary integrated care models – the Impact Model, SBIRT, and the Behavioral Health Consultant Model, and tools to evaluate various types of integrated care models.
Interfacing in the Primary Care Environment with Kent Corso, PsyD (23 minutes)
Dr. Corso discusses interfaces between primary and behavioral healthcare and the evolution of integrated care from Engel’s biopsychosocial model. The utility of integrated behavioral care is discussed in light of population health models, cultural norms, and healthcare accessibility and costs are covered along with the 5 formal models of integration: Primary care behavioral health, co-location, medical family therapy, care management and reverse integration.
Reverse Integration with Bob McGrath, PhD (13 minutes)
The integration of primary care into specialty mental health care (reverse integration) is discussed. Dr. McGrath also covers the SAMHSA four quadrant model, aimed at how to ensure full health care penetrance across each quadrant (high and low mental illness, high and low medical illness). The roles of the Behavioral Health Home and Certified Community Behavioral Health Clinics are covered along with obstacles to reimbursement under these models.
Dr. Serrano discusses strategies for screening in the integrated care clinic. “Mindful” screening, the tagging-tracking method, and various tools useful in screening (M-CHAT, versions of the PHQ, WHODAS, and other tools). Use of the HER in tracking and implementation of the IMPACT protocol are discussed.
Evaluating Clinical Outcomes With Kent Corso, PsyD (20 minutes)
Dr. Corso discusses methods of evaluating clinical outcomes in the context of the Triple Aim. General and specific assessment instruments are discussed, along with HEDIS metrics and the PQRS. Other methods of establishing metrics that address both population health and minority population healthcare needs are addressed.
Adherence with Jeff Reiter, PhD (10 minutes)
Dr. Reiter covers intervention to improve adherence to medical and behavioral healthcare regimens. The role of patient and provider communication, motivation, and patient access to resources, support systems and education are also covered. The use of the Valued Living Questionnaire is addressed.
Hypertension: Biopsychosocial Assessment and Treatment with Jeffrey Goodie, PhD, ABPP (12 minutes)
Dr. Goodie presents an approach to the assessment and management of hypertension in the integrated care setting. Assessment and follow-up instruments and strategies are covered.
Hypertension: Pharmacological Interventions with Morgan T. Sammons, PhD, ABPP (12 minutes)
Dr. Sammons presents an overview of medications commonly used in the management of hypertension, including beta blockers, calcium channel blockers, diuretics, and angiotensin converting enzyme (ACE) inhibitors. Indications, doses, and side effects are covered.
Diabetes: Biopsychosocial Assessment and Treatment with Jeffrey Goodie, PhD, ABPP (13 minutes)
Dr. Goodie presents a comprehensive assessment and management package for psychological management of diabetes in the integrated care environment. Instructions for assessment, patient involvement, and follow-up are covered.
Diabetes: Pharmacological Interventions with Morgan T. Sammons, PhD, ABPP (17 minutes)
Dr. Sammons presents an overview of medications commonly used in the management of both Type I and Type II diabetes in the integrated care environment. Diagnosis, ADA treatment recommendations, and drug classes are discussed, including insulin, sulfonylureas, biguanides, and glucagon-like-peptide agonists.
Cardiovascular Disease: Biopsychosocial Assessment and Treatment with Jeffrey Goodie, PhD, ABPP (11 minutes)
Dr. Goodie surveys the psychological management of cardiovascular disease, including hypertension, congestive heart failure and sequelae of myocardial infarction. Tools for assessment and ongoing psychological management are addressed.
Cardiovascular Disease: Pharmacological Interventions with Morgan T. Sammons, PhD, ABPP (16 minutes)
In this presentation, Dr. Sammons presents a survey of drugs used to treat common medical conditions including cardiovascular disease, obesity, and diabetes. Doses, indications, contraindications, and side effects are covered.
Respiratory Disease with Marlin Hoover, PhD, MS, ABPP-CL (9 minutes)
Dr. Hoover discusses integrated management of respiratory diseases, including drugs commonly used to treat asthma and chronic obstructive pulmonary disease (COPD). Principles of psychological management in the integrated care setting are addressed.
Cognitive Impairment: Screening and Strategies with Jeff Reiter, PhD, ABPP (11 minutes)
Dr. Reiter discusses the problem of cognitive impairment in primary care, reviews the USPSTF guidelines regarding screening for cognitive impairment, and suggests strategies for intervening with cognitive impairment.
Arthritis: Pharmacological Interventions and Psychological Management with Marlin Hoover, PhD, MS, ABPP-CL (12 minutes)
Dr. Hoover outlines pharmacological interventions and psychological management of osteo and rheumatoid arthritis in the integrated care setting, including supportive psychological approaches and drugs used to manage the disorders.
Overweight and Obesity: Biopsychosocial Assessment and Treatment with Jeffrey Goodie, PhD, ABPP (15 minutes)
Dr. Goodie discusses assessment and psychological management of overweight and obesity conditions. Assessment instruments and principles of psychological treatment in the integrated setting are covered.
Obesity: Pharmacological Interventions with Morgan T. Sammons, PhD, ABPP (12 minutes)
Dr. Sammons discusses the medical management of obesity, including definitions and medical and surgical approaches for overweight and obesity.
Introduction to Psychopharmacology for the Behavioral Health Consultant with Morgan T. Sammons, PhD, ABPP (7 minutes)
Dr. Sammons outlines the Behavioral Healthcare Consultant’s role in collaborating in the prescription of psychotropic drugs.
Depression: Assessment and Management with Marlin Hoover, PhD, MS, ABPP-CL (14 minutes)
Dr. Hoover discusses techniques of assessment and management of depressive spectrum disorders in the integrated care environment.
Depression: Psychopharmacological Interventions with Morgan T. Sammons, PhD, ABPP (12 minutes)
Dr. Sammons discusses pharmacological management of depression in the integrated care environment. Common classes of antidepressants are discussed, including specific drugs, indications, contraindications, doses, and side effects. Combined management is addressed.
ADHD: Psychopharmacological Interventions with Morgan T. Sammons, PhD, ABPP (6 minutes)
The pharmacological management of attention deficit disorder is discussed. Stimulant and non-stimulant drugs are covered, including indications, contraindications, doses, side effects, and appropriate age ranges.
Anxiety: Pharmacological and Psychological Management with Marlin Hoover, PhD, MS, ABPP-CL (10 minutes)
Dr. Hoover discusses common anxiety presentations in the integrated care environment and covers both pharmacological and psychological management strategies for the psychological practitioner.
Chronic Insomnia: Biopsychosocial Assessment and Treatment with Jeffrey Goodie, PhD, ABPP (16 minutes)
Dr. Goodie discusses assessment and psychological management of chronic insomnia. Assessment instruments and principles of psychological treatment in the integrated setting are covered.
Chronic Insomnia: Psychopharmacological Interventions with Morgan T. Sammons, PhD, ABPP (6 minutes)
Pharmacological and combined treatment options for the management of insomnia in the integrated care environment are discussed. Specific drugs, including benzodiazepines, the Z drugs, and other sedative hypnotics are covered in detail.
Chronic Pain: Pharmacological and Psychological Management with Marlin Hoover, PhD, MS, ABPP-CL (10 minutes)
Dr. Hoover discusses various presentations of acute and chronic pain in the integrated care environment and presents assessment and management techniques using pharmacological and non-pharmacological approaches.
Family Issues: Assessment and Management with Jeff Reiter, PhD, ABPP (13 minutes)
Dr. Reiter covers assessment and management of family issues in the integrated care environment. Assessment instruments, cultural issues, and brief interventions are covered.
General Stress: Assessment and Management with Jeff Reiter, PhD, ABPP (11 minutes)
Dr. Reiter covers various manifestations of stress in the integrated care environment and presents treatment options appropriate for the brief primary care consult.
Trauma: Assessment and Management with Jeff Reiter, PhD, ABPP (13 minutes)
Dr. Reiter covers various aspects of acute and chronic trauma, including assessment and management techniques appropriate for brief clinic visits.
Substance Abuse: Assessment and Management with Jeff Reiter, PhD, ABPP (13 minutes)
Dr. Reiter discusses assessment and management of substance abuse issues, including assessment devices and intervention strategies for individuals and families in the primary care environment.
Pediatrics: Assessment and Management with Armando Hernández, PhD (29 minutes)
Dr. Hernández discusses assessment and management of a range of pediatric psychological and behavioral disorders in the integrated care environment. A special focus on children from diverse cultural backgrounds is included.
Cultural Competence: Awareness, Sensitivity, and Competence with Armando Hernández, PhD (28 minutes)
Dr. Hernández discusses various aspects of cultural awareness, sensitivity, and competence when dealing with multicultural issues in the integrated care environment. Culturally appropriate assessment and intervention tools are covered.
Billing and Coding with Kent Corso, PsyD (18 minutes)
Dr. Corso describes the variability of billing and coding systems by state and healthcare system.
Electronic Health Records with Parinda Khatri, PhD (20 minutes)
Dr. Khatri describes informed consent issues related to EHRs and how sharing patient information helps integrate psychologists into the healthcare team.
Population Health with Parinda Khatri, PhD (24 minutes)
Dr. Khatri describes the concepts of population care including measuring the health of the community instead of the individual, the triple aim, patient and family centered care, and value based payment models.
The 15-Minute Relationship with Bob McGrath, PhD (13 minutes)
Dr. McGrath re-envisions the traditional psychologist-patient relationship to fit the integrated primary care environment and pace, and provide the patient with functional stability rather than a transformative experience.
Nuts and Bolts of Establishing an Integrated Care Practice with Bob McGrath, PhD (28 minutes)
Dr. McGrath describes the process of establishing an integrated primary care practice including hiring, training, facilitating team member relationships, administrative services, office structure, and working with insurers.
Financing Integrated Care with Neftali Serrano, PsyD (28 minutes)
Dr. Serrano discusses the challenges of financing integrated care including the variability by geographic locations, a fragmented financing system, specialty mental health regulations, and a lack of reimbursement for population health efforts. Dr. Serrano offers suggestions for negotiating with healthcare systems to emphasize the value of integrated care.
Federally Qualified Health Centers (FQHC): A Primer for Psychologists with Parinda Khatri, PhD (9 minutes)
Dr. Khatri describes the mission of FQHCs centered on underserved and low income populations, her experiences at Cherokee Health Systems, and opportunities for psychologists to work in integrated settings in FQHCs.
The Philadelphia Experience: A Path to Sustainability and Workforce Development with Natalie Levkovich (31 minutes)
Summary: Ms. Levkovich describes her experiences at the Health Federation of Philadelphia and provides a perspective on the role of BHCs in Federally Qualified Health Centers. She discusses funding and reimbursement, and provides examples of capacity building, community partnerships, and workforce development in an FQHC that is primarily dedicated to providing care to underserved populations.
Registrants and Trainee Registrants can access the videos by clicking "Areas of Study" and "NEW: Video-Based Learning" after logging in.
Featured experts for the full series include:
Parinda Khatri, PhD
Neftali Serrano, PsyD
Robert McGrath, PhD
Kent A. Corso, PsyD, BCBA-D
Jeff Reiter, PhD, ABPP
Marlin Hoover, PhD, MS, ABPP-CL
Jeffrey Goodie, PhD, ABPP
Morgan T. Sammons, PhD, ABPP
Armando Hernández, PhD
Mi-Young Ryee, PhD
The National Register of Health Service Psychologists is approved by the American Psychological Association to sponsor continuing education for psychologists. The National Register maintains responsibility for this program and its content.