Part 1:

Fundamentals of Practice in Primary Care

Module 1 - Introduction to Primary Care Behavioral Health

1. Describe the purpose of the PCBH Course
2. Describe the history of PCBH and this course
3. Define primary care behavioral health

Module 2 - Principles of Primary Care Practice

1. Summarize the history of and current state of healthcare and behavioral health care in the United States
2. Describe the 4Cs of primary care and their application in behavioral health practice
3. Compare and contrast the generalist and the specialist approach to patient care

Module 3 - Cultural Humility for Primary Care Practice

1. Apply the ADDRESSING framework to the care of primary care patients
2. Describe how their own identity impacts their approach to caring for others
3. Compare and contrast the concepts of Cultural Humility and Cultural Competence

Module 4 - Sharing Responsibility for the Care of Patients

1. Compare and contrast expectations for how primary care behavioral health providers approach the scope of practice to how traditional mental health providers approach the scope of practice
2. Describe shared responsibility for the management of chronic conditions, such as diabetes, depression, and sleep disorders
3. Describe strategies for encouraging PCPs to take an active role in supporting behavioral interventions

Module 5 - Effective Communication with Team Members

1. Compare and contrast expectations for how primary care behavioral health providers exchange information and how traditional mental health providers exchange information
2. Describe common topics and strategies primary care behavioral health providers will focus on when seeking information from other team members
3. Describe common topics and strategies primary care behavioral health providers will focus on when offering information to other team members

Module 6 - Privacy and Documentation of Care in Primary Care

1. Explain the principles of best practices for documentation of BH care in primary care, and how these principles differ from specialty mental health settings
2. Describe best practices for documenting initial assessments in primary care
3. Describe best practices for documenting behavioral health encounters in primary care
4. How to use and explain the role of the computer and EHR

Module 7 - Engagement Skills for Primary Care Practice

1. Describe the rationale for prioritizing engagement in primary care practice
2. Select skills that help promote engagement
3. Recognize and address challenges to engagement

Module 8 - Warm Handoffs and Joint Appointments with PCPs

1. Describe the qualities of a productive warm handoff
2. Describe three helpful occasions for joint appointments with PCPs
3. Describe the elements of effective joint appoints with PCPs and patients

Module 9 - Patient Evaluation in Primary Care

1. Compare and contrast the traditional mental health “intake” and a primary care behavioral health approach to patient evaluation
2. Describe the Engage, Assess, Assist approach to initial encounters
3. Describe the Contextual Interview and ACCESS-V approaches to evaluating patients’ behavioral health needs

Module 10 - Agreeing on Treatment Goals

1. Describe the process of goal setting during initial encounters, with an emphasis on connecting patients’ values with their goals
2. Describe how goal setting informs work done in follow-up encounters and the  iterative approaches to goal setting 
3. Describe how to recognize when goals are “not working” and how best to establish new goals when treatment has stalled

Module 11 - Emergencies and Urgent Behavioral Health Needs

1. Describe the emergency/urgent behavioral health policies and resources specific to their practice organization
2. List useful strategies for communicating with primary care team members about urgent and emergency behavioral health concerns
3. Describe useful strategies for assessing a patient’s urgent needs and responding

Module 12 - Communications: Health Literacy, Interpreters, and Telehealth

1. Describe the behavioral health clinician’s role in identifying patients with limited health literacy and addressing the needs of these patients
2. Describe best practices for working with language interpreters
3. Describe best practices for telehealth