Abstract

Even with the expansion of primary care teams to include behavioral health and other providers from a range of disciplines, providers are regularly challenged to deliver care that adequately addresses the complex array of biopsychosocial factors underlying the patient's presenting concern. The limits of expertise, the ever-changing shifts in evidence-based practices, and the difficulties of interprofessional teamwork contribute to the challenge. In this article, we discuss the opportunity to leverage the interprofessional team-based care activities within integrated primary care settings as interactive educational opportunities to build competencies in biopsychosocial care among primary care team members. We argue that this approach to learning while providing direct patient care not only facilitates new provider knowledge and skills, but also provides a venue to enhance team processes that are key to delivering integrated biopsychosocial care to patients. We provide three case examples of how to utilize strategic planning within specific team-based care activities common in integrated primary care settings—shared medical appointments, conjoint appointments, and team huddles—to facilitate educational objectives.

Highlights

  • Providing whole-person care that addresses the complex array of biopsychosocial factors contributing to patients’ health concerns is a perpetual challenge in primary care (PC)

  • These factors can, in turn, contribute to the patient’s decisions regarding engagement in certain health behaviors, such drinking alcohol, that may negatively impact chronic medical conditions. This example clarifies why primary care providers (PCPs) have been encouraged to switch from traditional models of focusing only on biological factors of health toward the biopsychosocial model, which recognizes biological, psychological, Strategic Biopsychosocial Education in Primary Care and social factors and their interactions that contribute to health and well-being [1]

  • Based on previous research demonstrating the efficacy of shared medical appointments (SMAs) for chronic pain [30, 31], we examined an SMA to address chronic pain as a clinical demonstration in a United States Veterans Health Administration (VHA) PC clinic

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Summary

INTRODUCTION

Providing whole-person care that addresses the complex array of biopsychosocial factors contributing to patients’ health concerns is a perpetual challenge in primary care (PC). Interprofessional team education with trainees has been shown to increase knowledge, teamwork, satisfaction, and improve delivery of care to patients [16] This approach of learning through team-based care activities allows for the PC team members to gain new knowledge on specific presenting concerns, and further develop their skills in the team processes that are key to collaboratively providing integrated biopsychosocial care to patients. Biopsychosocial care is a primary educational objective that is reinforced during each meeting by reviewing which team members should assess or provide treatment for biomedical (e.g., PCP prescribes medication), psychological (e.g., BHP develops safety plan with the patient), and social (e.g., social worker connects patient to housing resources) concerns that may contribute to suicide risk. Patients and providers will provide feedback on acceptability and feasibility

DISCUSSION
Findings
34. National Action Alliance for Suicide Prevention
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