Psychiatrist - Primary Care -Collaborative Care

Location: BOSTON, MA
Job ID: 174995-1A
Date Posted: Jun 22, 2022
Category: Physician

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Job Description

About the Job

The Collaborative Care Model is a particular model of care of primary care-behavioral health integration. The specific model is based on the original work of University of Washington AIMS center, described within the IMPACT model.

In this model of care a behavioral health clinician (typically an independently licensed social worker or mental health counselor) is embedded as a member of the primary care team. The behavioral health clinician (BHC) is on-site, within a primary care practice. The BHC evaluates patients with identified behavioral health conditions, typically depressive and anxiety disorders, that are suitable to treatment by the Primary Care Provider within a primary care setting. The BHC can deliver evidenced-based brief psychotherapies within the primary care setting. The BHC also collaborates with a consulting psychiatrist (off-site) assigned to the practice to review patients that may not be making progress in treatment, have diagnostic uncertainty, or may benefit from a medication initiation or optimization 

The consulting psychiatrist is a BC/BE psychiatrist with comfort in the ambulatory setting. The psychiatrist may have background or experience in consultation-liaison psychiatry. Comfort with using an electronic health record. Experience in primary care-behavioral health integration is a plus. Comfort supervising non-psychiatrists, participating in care teams, effectively communicating with other health professionals.

The consulting psychiatrist participates in weekly phone consultations and case-reviews with BHC. Weekly case reviews are typically 60-120 minutes in length per BHC (approximately 2 primary care practice locations), based on numbers of cases. A BHC will typically have an active caseload of 150 patients, of which a subset would require review with the consulting psychiatrist. Consulting psychiatrist documents treatment or diagnostic recommendations within the shared EHR. Consulting psychiatrist is available for additional direct communication from the primary care providers as needed (i.e. EHR messages, email, phone). Several times per year, the consulting psychiatrist is expected to make on-site visits for case reviews or education to the primary group. The consulting psychiatrist works closely with the program medical director. Future directions may include use of telemedicine technology to deliver face-to-face clinical care within the primary care setting. Please send CV to: [email protected]