Conference Agenda
The training meeting consists of two components:
- IMPACT Training Conference: September 22 & 23
- Optional Post-Conference Workshops on Problem-Solving Treatment (PST) and Financing IMPACT Care: September 24
The two day IMPACT training conference provides:
- introduction to evidence-based team care for depression
- detailed exploration of team roles and how to build an effective integrated care team
- practical skills for all members of the integrated care team, especially the care manager
- implementation strategies from organizations that have successfully implemented IMPACT
The one day post-conference workshop on Problem-Solving Treatment (PST) provides:
- introduction to this brief and practical evidence-based psychotherapy
- detailed skills training in the technique
The one day post-conference workshop on Financing IMPACT Care provides:
- introduction to financing IMPACT care
- examples of financing IMPACT care in various settings
Conference attendees may participate in one or both of these training components, depending on their needs. A detailed agenda for each is provided below.
Wednesday, September 22
(Bay Auditorium)
8:00 Registration & Continental Breakfast
8:30 Welcome, Introductions (15 min)
8:45 IMPACT: A Practical Approach to Team-Based Depression Care (1 hr)
(Jürgen Unützer)
- What is depression and why treat it in primary care?
- Overview of the IMPACT model of depression care
- Summary of the evidence supporting IMPACT
- Description of the stepped-care treatment algorithm for depression
- The value of a team approach to depression
9:45 Key Components of Depression Care Management – Part 1 (45 min)
(Jürgen Unützer, Rita Haverkamp, Rachel Quintanilla)
- Key components of the IMPACT program as they are implemented by the care manager
- Methods for identifying depression
10:30 Break
10:45 Key Components of Depression Care Management – Part 2 (1 hr 15 min)
- Initial session / patient education / treatment options and planning
- Follow-up contacts / PHQ-9 / symptom tracking
- Relapse prevention
- Care manager role in supporting medication therapy
12:00 Lunch
12:45 Antidepressant Medications (1 hr 30 min)
(Jürgen Unützer)
- Key principles of antidepressant therapy and types of medications commonly used in primary care
- Patient education about antidepressants
- When to initiate, titrate, and switch antidepressants
- Combination therapy and drug interactions
2:15 Break
2:30 Challenging Cases (1 hr)
(Jürgen Unützer)
- The role of the consulting psychiatrist and how it differs from traditional consultation
- Difficult cases that may benefit from psychiatric consultation: persistent depression, comorbid medical conditions or chronic pain, comorbid psychiatric conditions, comorbid alcohol/substance abuse
- Managing patients at risk for suicide
3:30 Behavioral Activation and Brief Introduction to Problem-Solving Treatment (1 hr)
(Rita Haverkamp)
- The role of behavioral activation in managing depression
- Ways to encourage behavioral activation
- Integrating behavioral activation into depression care management
- What is Problem-Solving Treatment and how does it fit with Behavioral Activation?
4:30 Homework Assignment (30 min)
5:00 Adjourn Day 1
Thursday, September 23
(Bay Auditorium, Sound Room)
8:00 Continental Breakfast
8:30 Review of Day One, Q&A (1 hr)
9:15 Concurrent Sessions (1 hr)
A: Depression and Chronic Medical illness (Bay)
(Wayne Katon)
- The intersection of depression and medical illness: diabetes, congestive heart failure, coronary artery disease
- The integration of services for depression, diabetes and heart disease
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B: Depression and Adolescents (Sound Room)
(Laura Richardson, Lori Higa)
- Screening for adolescent depression
- Interactions between mental and physical health in adolescents
- Collaborative care to improve outcomes for depressed adolescents in primary care settings
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10:30 Break
10:45 Concurrent Sessions (1 hr)
C: Depression and Chronic Pain (Bay)
(Stephen Thielke, Jürgen Unützer, Lori Higa)
- The interaction between depression and chronic pain
- Effects of chronic pain on depression symptoms and treatment
- Care management for both depression and chronic pain
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D: Depression and Moms (Sound Room)
(Nancy Grote, David Harrison)
- Impact of maternal depression on child mental health and development
- Psychosocial interventions for treating maternal depression
- Using medications to treat depression during pregnancy and post-partum period
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12:00 Lunch
12:45 IMPACT Implementations – Part 1 (2 hr 15 min)
(Jürgen Unützer, Rachel Quintanilla, Rita Haverkamp, Virna Little, Nancy Jaeckels, Diane Powers)
- Overview and goals of AIMS Center (Advancing Integrated Mental health Solutions)
- Adaptations of the IMPACT model for diverse practice settings and populations (e.g. HMO setting, FQHC setting, low-income Latino population, state-wide implementation)
2:45 Break
3:00 IMPACT Implementations – Part 2 (30 min)
- More adaptations of the IMPACT model for diverse practice settings and populations
3:30 Implementation Planning and Team Building (1 hr)
(Jürgen Unützer, Diane Powers)
- Implementation process and timeline
- Building the team
- Clinical tracking systems
- Action planning for implementing IMPACT in your setting
4:30 Panel Discussion with Presenters (30 min)
- Questions and answers on all topics addressed in the training
5:00 Adjourn Day 2
Friday, September 24, 2010
Optional Workshop Track I – Problem Solving Treatment (PST)
PST Workshop Morning – Didactic
(Bay Auditorium)
8:00 Continental Breakfast
8:30 Problem-Solving Treatment (PST): Introduction and Initial Session (1 hour 30 min)
(Patricia Areán, Rita Haverkamp)
- The theoretical model and evidence base for PST
- Key steps of problem-solving treatment
- Discuss key elements of initial PST session
- Observation of initial PST session
10:00 Break
10:15 Problem-Solving Treatment (PST): Follow-up Sessions (1 hour 15 min)
(Patricia Areán, Rita Haverkamp)
- Key elements of successful follow-up sessions
- Observation of follow-up PST session
11:30 Problem-Solving Treatment (PST): Group PST, Certification Process (30 min)
(Patricia Areán, Rita Haverkamp)
- Group PST
- Case supervision
- Certification process
12:00 Discussion (30 min)
12:30 Lunch
PST Workshop Afternoon – Role Playing
(Bay Auditorium, Cove Room)
1:15 Problem-Solving Treatment (PST): Initial Session Role Play (1 hour)
(Patricia Areán, Rita Haverkamp)
- Role playing to facilitate practice of core PST skills
2:15 Break
2:30 Problem-Solving Treatment (PST): Follow-up Session Role Play (1 hour)
(Patricia Areán, Rita Haverkamp)
- Role playing to facilitate practice of core PST skills
3:30 Discussion (30 min)
4:00 Adjourn
Optional Workshop Track II - Financing IMPACT Care
( Sound Room)
8:00 Continental Breakfast
8:30 Financing IMPACT Care: Overview (45 min)
(Jürgen Unützer)
- Cost of providing IMPACT care
- Cost effectiveness of IMPACT
- Developing a business case for IMPACT
9:15 Financing Integrated Mental Healthcare (50 min)
(Barbara Mauer)
- Four Quadrant model
- Overview of healthcare reform and implications for financing integrated mental healthcare
- Examples of financing
- Primary care in mental health
- Mental health in primary care (CHPW GA-U program)
10:05 Break
10:20 Financing DIAMOND Care (50 min)
(Nancy Jaeckels)
- Payment structure for state-wide DIAMOND Initiative in Minnesota
- Lessons about cost of care and payment from first two years of DIAMOND experience
11:10: Billing and Reimbursement for IMPACT Care (1 hr)
(Virna Little, Jürgen Unützer)
- Financing IMPACT care in various settings (e.g. FQHC, school health centers)
- State variations in funding structures and options
- Sustainability planning for implementation
- Resources for billing and reimbursement information
- Medicare hierarchical condition coding for care management
12:10 Lunch
1:00 Financing IMPACT Care: Case-based Discussion of Specific Situations from Participant Questionnaires – Part 1 (1 hr 15 min)
(Jürgen Unützer, Barbara Mauer, Nancy Jaeckels, Virna Little)
- Options for financing collaborative care for depression in specific practice settings
2:15 Break
2:30 Financing IMPACT Care: Case-based Discussion – Part 2 (1 hr 30 min)
(Jürgen Unützer, Barbara Mauer, Nancy Jaeckels, Virna Little)
- Options for financing collaborative care for depression in specific practice settings
4:00 Adjourn
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