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Behavioral Health Toolkit for Primary Medical Providers Foreword

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Behavioral Health Toolkit for Primary Medical Providers Foreword MDwise.org Behavioral Health Toolkit for Primary Medical Providers Foreword Dear Primary Medical Provider: The MDwise primary medical provider Behavioral Health Toolkit was designed to assist PMPs in their efforts to assess and treat behavioral health problems in the primary care setting, as well as to provide guidance regarding when to refer a MDwise member to a behavioral health provider. The compiled materials were chosen to assist you in following the MDwise Clinical Care Guidelines which describe best practices. We also included materials designed to help you effectively and efficiently treat MDwise members with behavioral health needs. Also included in the packet are materials that can be given to your members. Primary care physicians are in a unique position. Patients trust their family physician and may go to them for mental health concerns before they would consider approaching a counselor or psychiatrist. Physician’s can help make their offices welcoming to those hesitant to discuss mental health concerns by doing the following: • Resources – Include materials on mental health in waiting rooms. • Private area – Have a private area to discuss mental health issues with or without children present. • More knowledgeable staff – Evidence through discussions and materials that primary care staff are knowledgeable about mental health issues and resources. • Supportive, non-judgemental staff – Show support to those with mental illness by engaging in active listening, using positive language, and providing prompts to discuss mental health concerns. • Screening tools, questionnaires, checklists – Ask about and screen for developmental, emotional and behavioral issues during well-child visits to help normalize mental health issues. Families want screening as a part of routine clinical practice. APP0184 (12/18) 2 Table of Contents Page Number Making a Referral to Behavioral Health Providers ........................................................................ 5 When to Refer to a Behavioral Health Provider ...................................................................................................................................... 6 Referral for Behavioral Health Services Form ............................................................................................................................................. 7 Depression ............................................................................................................................................. 8 MDwise Clinical Care Guidelines .................................................................................................................................... 9 Major Depression in Adults .............................................................................................................................................................. 10 Major Depression in Children and Adolescents ................................................................................................................... 14 Practitioner Toolkit .......................................................................................................................................................... 16 Two Question Screen ......................................................................................................................................................................... 17 PHQ-9 Patient Depression Questionnaire ............................................................................................................................. 18 Patient Health Questionnaire (PHQ-9) .................................................................................................................................... 19 Patient Health Questionnaire (Modified for Teens) .......................................................................................................... 20 Using the PHQ-9 to Assess for Depression ........................................................................................................................... 21 Depression Flowchart .......................................................................................................................................................................... 22 Member Materials .............................................................................................................................................................. 23 What is Depression? ............................................................................................................................................................................. 24 My Depression Action Plan ............................................................................................................................................................... 26 What to Expect When You Go To Counseling ................................................................................................................... 27 Frequently Asked Questions About Medication For Depression ............................................................................... 30 Attention Deficit Hyperactivity Disorder (ADHD) .................................................................. 32 MDwise Clinical Care Guidelines ................................................................................................................................. 33 Practitioner Toolkit .......................................................................................................................................................... 37 Vanderbilt ADHD Diagnostic Parent Rating Scale ............................................................................................................. 38 Vanderbilt ADHD Diagnostic Teacher Rating Scale .......................................................................................................... 41 Member Materials ............................................................................................................................................................. 44 What is ADHD ....................................................................................................................................................................................... 45 What Does Treatment for ADHD Involve? ........................................................................................................................... 47 Why is My Child Having Trouble in School? .......................................................................................................................... 49 ADHD Homework Tips .................................................................................................................................................................... 51 Strategies for Managing ADHD Symptoms ............................................................................................................................ 52 Daily/Weekly Academic Report ......................................................................................................................................................54 Famous People with ADHD ..............................................................................................................................................................55 3 Table of Contents (continued) Page Number Autism Spectrum Disorder .............................................................................................................. 56 MDwise Clinical Care Guidelines ................................................................................................................................. 57 Practitioner Toolkit .......................................................................................................................................................... 59 Modified Checklist for Autism in Toddlers ............................................................................................................................. 60 Member Materials .............................................................................................................................................................. 64 What is Autism? ........................................................................................................................................................................................ 65 If You Think Your Child Has Autism, There is Help ......................................................................................................... 67 Pervasive Developmental Disorders/Autism: A Parent’s Guide ................................................................................. 69 Planning for Good Visits to the Doctor .................................................................................................................................... 70 Altered Pain Responses in PDD .................................................................................................................................................... 72 Early Intervention Services ................................................................................................................................................................ 73 Sleep Disturbances in PDD/Autism ............................................................................................................................................. 74 Impact on Families in PDD/Autism ..............................................................................................................................................
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