Integrated care: connecting medical and behavioral care | Tom Sebastian | TEDxSnoIsleLibraries

[@healthshopplus1076]

Extremely, relevant and timely information.

[@NohtingT]

I hear a lot nowadays about a more holistic approach to providing medical care. Obviously this includes many dimensions of an individual patient’s life, but the mental aspect is clearly a highly significant one. Of course there are challenges like stigmatization of mental health to overcome in order to better integrate behavioral health into medical care. One important way that this could perhaps be improved is by addressing how primary care physicians and other providers are educated. I’ve heard stories of people who see their primary care physician for mental health services and go through a long and difficult process of determining proper medications and dosages. I’ve sat with family medicine physicians who were treating patients for mental health problems and wondered how extensive their training was. And with the training I wonder if it wouldn’t be helpful to increase research in mental and behavioral health to establish better diagnostic and treatment guidelines for providers. Another area that might help is better collaboration between primary care providers and psychiatrists. A family medicine residency is focused on gaining a somewhat limited depth of understanding on an enormous range of pathologies, including psychiatric pathologies. I know medical residents are already severely burdened but I wonder if an added emphasis to patient mental and behavioral health could improve overall patient outcomes like those mentioned in this talk. This could be a form of the integration that Tom Sebastian talks about and advocates for here. I can see many benefits to focusing on the improvement of patient mental and behavioral health. It seems that by improving someone’s mood or disposition toward life they may be more motivated and inspired to take better care of themselves. So many chronic health problems (like diabetes, heart disease, cancers, degenerative disorders) stem from poor diet, not enough exercise, and other consistent behaviors. Additionally, research has linked many of these chronic health problems with an individual's attitudes, including those things related to their mental health.

[@anibaszawan]

Tom, thank you for sharing your personal journey and also highlighting a key issue with a compelling argument.

[@xzavierlouis4162]

instaBlaster...

[@nataliekunsmanmdintegrated9598]

Holistic medicine IS the future of medicine NOW.

[@javedsultan4830]

Biopsychosocial Model

[@darlaherrera6256]

LOVE this thank you so much! I too deal with anxiety

[@RealRiders]

I am a case manager and our behavioral health clinic just hired a physician.

[@newnew4172]

it is in the family medicine doctors hand

[@jeannierequired1013]

I think the process to acquiring assistance in basic needs is fallible due to income cut offs, controlled eligibility ( for instance 211's authority over all access to low income shelters and housing, and referrals to prevention navigation referrals). This organization of the process is clogged with people who are financially destitute and keeps away people who are truly in need but not categorically qualified. I believe that resource money is wasted by long lists of people waiting for help. The dollars spent nowhere near cover the need. I believe that if people who are in venerable positions were brought in to the planning of the access to resources and allowed to participate in decisions of planning and spending, there would be an effective disbursement of wholistic provision for our communities. The current bottle neck of services serves as an example of how not to provide services. I think having individual resource organizations to respond to the current need would be a positive first step to widen growth of accommodation of service.

[@marykcummings]

Will it EVER change??? 😡

[@jshir17]

*'Behavorial health,' is a ridiculous concept; outward behavior does not indicate one's health and if other people are uncomfortable with your natural body movements or tone of voice, that is their problem, not yours.*

[@MotivationalLoveHub]

Tell that to a child that grew up without the right education, food resources or standard lifelines to improve their way of being. Mental health is very important due to individual needs.

[@jshir17]

@@MotivationalLoveHub Mental health is not behavioral health

[@MotivationalLoveHub]

@@jshir17 Mental health is emotional based on the way a person thinks/experiences that results into behavioral considering their lifestyles through the physical so yes you are correct about them being different they also work hand and hand differently through each individual again considering their lifestyles and past/current experiences

[@mitchellgaudry8820]

Your a mental health professional and you couldn't identify anxiety or depression in yourself ?.... Do you even understand the services Compass offer. Jesus