Collaborating patient care

Post on 04-Jul-2015

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Transcript of Collaborating patient care

Dr. Yesheswini Kamaraju,

M.D. Psychiatry

Fellowship- Child & Adolescent Psychiatry

Services

Expertise

Training

Credentials

Experience

Mental health professionals

Generalist or specialist

Group / Team

Crisis work

Acute versus chronic care

Ingredients – collaborative care

Personality traits

Identifying individual factors

Communication

Managing the dynamics

Treatment Modalities

Counseling

Therapy

Medications

Complimentary Treatments [CAM]

Evaluation

Frame work

Referral

Plan follow up sessions

Build net work

Early childhood

Developmental Delays

Screening

Require comprehensive diagnostic assessment

Early identification

Early intervention

Special Needs

Special Needs Medical Needs

Developmental Disabilities

Learning issues

Behavioral issues

Mental health issues

School age children

School phobia

Separation anxiety

Learning issues

ADHD

Middle school

Academic issues

Family / friends issues

School issues

High School

Adolescent development

Peer issues

Family / school pressure

Academic pressure

Young Adults

Life style diseases

Marital issues

Work pressures

Mental health problems

Screening

Diagnosis

Treatment plan

Follow up

Missing pieces

Complete history

What else is required?

Referrals required?

Short term or long term?

Interventions

Expertise in psychotherapy

Specific therapies

Combination modalities

Educational Evaluation

Psychological testing

Pit falls

Lack of collaborative care

Communicating within their own group

Poor follow up care

Evidence based treatment modalities?

Effective Counseling Services

School programs

Screening

Supportive therapy

Community programs

No Waiting ….

Safety issues / acute symptoms / crisis situations

Worsening clinical symptoms

Unsure of further plan

No progress made

Medication side effects

Collaborate

Network with mental health professionals

Hospital association

Crisis / emergency care

Social workers

Approaches

CCE [ Continuing Counselor Education]

Develop manuals

Standardizing treatment approaches

Ethical / legal issues

Support Group

Improvising Care

Supervision of trainees

Case conferences

Open to second opinions

Flexibility with referrals

Summary

Collaborate

Coordinate

Communicate