I read an interesting report by a psychologist who took seriously the observation that the nation's primary care offices are the de facto mental health provider for the population. He works within clinics (rural vermont), and has done the work of transforming his practice (and his psychology staff) to be appropriate to the primary care clinic site, and working with the site to promote appropriate referrals. One tool they use is a "behavioral medicine prescription pad", which they keep in every exam room next to their regular prescription pads. While it may seem to miss the point - to take the one trick with out the organizational change process -- would there be interest in developing and trying out such a psych referral pad? Rob Hamm Robert M. Hamm, PhD Clinical Decision Making Program Department of Family and Preventive Medicine University of Oklahoma Health Sciences Center 900 NE 10th St, Oklahoma City OK 73104 405/271-8000 ext 32306 [log in to unmask] http://www.fammed.ouhsc.edu/robhamm/index.htm -----Original Message----- From: Edward E. Rylander, M.D. [mailto:[log in to unmask]] Sent: Sunday, June 24, 2001 11:04 AM To: [log in to unmask] Subject: Re: Fall Staff Training With the palliative care team and end of life issues going on the last few years is there any interest in tracking the referrals from the clinic and hospital teams to establish a base line rate, construct an intervention to educate the staff and residents on the NHO guidelines for evidence based identification of terminal non cancer patients, and then follow the referral rate to validate the intervention. I see this as the next step from the "epic" education process and a study we could do over a years time. We might even get a grant from the VistaCare foundation or one of the other hospice groups and I know Robert-Wood Johnson also has funds available for end-of-life education programs. Edward E. Rylander, M.D. Diplomat American Board of Family Practice. Diplomat American Board of Palliative Medicine. -----Original Message----- From: Oklahoma Center for Family Medicine Research Education and Training [mailto:[log in to unmask]]On Behalf Of Cheryl B. Aspy Sent: Wednesday, June 13, 2001 10:49 AM To: [log in to unmask] Subject: Fall Staff Training Our next task is to plan the Fall Staff Training Convocation. I have tentatively selected October 26-27. We will have a dinner and activity on Friday evening and then the training will be held at the Department of Family & Preventive Medicine Offices here in OKC beginning with breakfast and finishing about 3:00 pm. Part of the training will address the data collection process for the immunization project using the handheld palms, and the data collection for the NAMCS data that will occur in November, We also need to describe the B-12 study and plan for its implementation. Another suggestion is to train staff members to apply new clinical guidelines in their clinics. We might start with a specific one of interest and then move to others in future training programs. Any suggestions? If you have any other suggestions for program content, please let me know. Also, if you are interested in being a part of the training team, please contact me. Thanks again for you help, Cheryl Cheryl B. Aspy, Ph.D. Professor, Family & Preventive Medicine OUHSC - 900 NE 10th St. Oklahoma City, OK 73104 Voice: 405-271-8000 x 32209 Fax: 405-271-2784