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. 2023 Nov 16;14:1252037. doi: 10.3389/fpsyt.2023.1252037

Table 1.

Integrated health care team member roles, Primary Care Mental Health Integration program.

Title Role Location Communication Training
Family / patient
  • Review and consent or opt out of program guidelines

  • Participate in treatment planning

  • Primary care sites

  • Hub sites

  • Typical methods

  • EHR messaging with any team member

  • Psychoeducation on the nature of the program

Primary care provider
  • Screen for anxiety, depression

  • Complete a warm handoff as needed

  • Prescribe psychopharmacology for anxiety, depression and attention deficit hyperactivity disorder

  • Seek psychiatric consultation as needed

  • Primary care pediatrics office

  • Registry conference 1x week

  • EHR

  • Sees patients in person or via tele-video

  • Integrated health topics

  • Additional CME training

Primary care site lead
  • Attend weekly registry conferences

  • Attend monthly lead meetings

  • Foster workflow and communication

  • Primary care pediatrics office

  • Registry conference 1x week

  • EHR

  • Integrated health topics

  • Additional CME training

Therapist
  • Perform warm handoffs

  • Brief Therapy – 4-6 sessions

  • HUB therapy – 12-16 sessions

  • Primary care pediatrics office

  • Hub sites

  • Registry conference

  • Treatment team

  • EHR updates for PCP following every visit

  • Sees patients in person or via tele-video if clinically appropriate and patient preferred

  • Master’s level clinicians, or psychologists

  • Weekly integrated care supervision

Psychiatrist
  • Provide ad hoc consultation

  • Assessment and short term treatment

  • Facilitate registry conferences

  • Foster workflow and communication

  • Hub sites

  • Registry Conference

  • Treatment Team

  • EHR updates for PCP following every visit

  • Sees patients in person or via tele-video if clinically appropriate and patient preferred

  • Ad hoc team consultation

Care coordinator
  • Provide referrals to families for therapy, psychiatry, community resources

  • Hub Sites

  • Registry conferences

  • Treatment team meetings

  • Use tele-video or telephone to communicate with families

  • Orientation