![]() ![]() There is currently a lack of research regarding ACEs scores among graduate students in the helping profession. (1998) found that higher numbers of adverse childhood experiences (ACEs) correlate to an increase in health risks and risky behaviors in adulthood. ![]() Traumatic childhood events have the potential to shape later life experiences and choices (Layne et al., 2014). Finally, we will focus on an extended case study of a patient our team has treated for more than 10 years. We will describe the kind of patients who require this high intensity service, the essential elements of the method, empiric outcomes data, barriers and facilitators to effectiveness, the implications of the structure of the team, and the financial model that we have developed for our work. ![]() At a time when “burnout”threatens the integrity of our field, this model improves outcomes, decreases costs, and improves staff and patient retention. This practice requires that the team understands each discipline’s role and that team communication is built into practice. Our model focuses on comprehensive evaluation, an integrated formulation that adequately addresses all of the problems, and a rehabilitative holistic treatment plan that targets both physical and mental health conditions provided by a highly coordinated interdisciplinary team of providers. We are currently focusing our attention in Kensington and North Philadelphia, areas of Philadelphia that have been most hard hit by the syndemic with high rates of overdose death, new HIV infection, and epidemic Hepatitis A. Our model of Integrative Medicine provides a methodology and a skill set that has been successful at treating individuals with co-existing chronic physical and mental health conditions including substance use, severe mental illness, chronic pain, trauma, infectious disease, and other chronic conditions that are comorbid and syndemic, difficult or impossible to treat in isolation and occur more commonly in impoverished communities and people of color. We have published a textbook on this subject entitled, Integrative Medicine for Vulnerable Populations: A Clinical Guide to Working with Chronic and Comorbid Medical Disease, Mental Illness, and Addiction. ![]() This has never been more important than now, a time where the iatrogenic opioid epidemic has occurred along with the widening illicit use of fentanyl and fentanyl opioid derivatives. These skills are not given enough focus in current medical school curricula or post-graduate psychology training programs. Decreased cost and improvements in treatment outcomes for complex patients demand that providers learn a new set of clinical skills. We focus our attention on the opioid epidemic as it kills Americans by the tens of thousands and is currently the greatest threat to health. The American healthcare system has failed to address the needs of vulnerable patients with multiple, chronic, co-morbid conditions. Lastly, reflections from the three presenters will be discussed and how this “Reverse Engineering”and compassionate approach helps their clinical work become rewarding, engaging, and buffer against burnout. Further, this presentation will discuss how compassionate care can create a context where evidence-based/informed interventions can be “uptaken”by patients, especially patients that are coming from complex psychosocial contexts. Data will be presented regarding a clinic’s patient satisfaction and provider engagement scores that support compassion being cultivated in the medical clinic through these initiatives. To this end, this presentation will discuss the concept of “Reverse Engineering”and provide attendees actionable steps to help them infuse compassion within their PCBH and medical visits. Integrated behavioral health models are not immune to this reality and while not empirically researched, one could posit that models such as Primary Care Behavioral Health (PCBH) are vulnerable to succumbing to the dearth of compassion in healthcare, and, at times, promoted an algorithmic and biomedical approach to behavioral health needs. This decrease in compassion has correlated to worse health outcomes, lower treatment adherence, and provider burnout, among other healthcare outcomes. Unfortunately, and quite ironically, during this same time (i.e., increasing evidence detailing the importance of compassionate care), an equal amount of research is showing that healthcare in the US is becoming less compassionate. SummaryGrowing research is detailing the importance of healthcare being delivered in a compassionate manner. ![]()
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