Roughly 1 in 10 patients with a behavioral health problem
receives care from a psychiatrist in any given year due, in part, to the severe
shortage of psychiatrists in most of the US. A psychiatric workforce that can
partner effectively with primary care is essential to improving this situation.
However, most psychiatrists are trained as solo practitioners who provide
individual face-to-face care to a relatively small number of patients each year,
whether in private practice, a community mental health center or another
Transforming Clinical Practice Initiative
UW Psychiatry is partnering with the American Psychiatric
Association (APA) to train and support a
national network of psychiatrists in Integrated Care Psychiatry. The effort is
a result of a $2.9 million Transforming Clinical Practices grant from the Centers for Medicare and Medicaid Services to
the APA and will offer both online learning modules and in-person training at
APA annual meetings and district branch meetings. Ultimately, psychiatrists
will be able to join ongoing learning communities designed to continuously
share information and advice about how to implement the skills of integrated
care into their practices and to transform clinical practice.
The effort aims to train 3,500
psychiatrists during the four years of the program. Psychiatrists trained in
the earlier years will participate in a learning network and serve as trainers
for later cohorts. Each of the consulting psychiatrists will support as many as
50 primary care providers and consult on the care of about 400 patients a year.
When fully implemented, psychiatrists will be able to support approximately
150,000 primary care providers and consult on the care of well over 1 million
patients each year.
Anna Ratzliff, MD, PhD,
associate director for education at the AIMS Center and
director of the University of Washington Integrated Care Training Program, is
leading the training effort.
Integrated Care Approach, an online training module, teaches psychiatrists the
principles behind effective integrated care and the skills necessary to provide
psychiatric consultation to an integrated care team. Psychiatrists learn how to
adapt psychiatric skills for team-based patient assessment and treatment,
incorporate Collaborative Care principles into current practice, and start a
new Collaborative Care team or improve upon an existing one. The module is full
of interactive activities and guided reflections and is available for CME
Care Psychiatry training will be made available at APA
annual meetings and district branch meetings. APA
members interested in receiving training should email email@example.com.
Consultant Role Training Module
The UW AIMS Center developed
a training module that introduces the role of the psychiatric consultant on a
Collaborative Care team with an emphasis on building connections with the PCP
and care manager. Special attention is given to patient assessment and
diagnosis, caseload consultations, and role as educator. Running time: 22