Integrative Health with Scott Rollett

 In Integrative Health

Scott thinking about integrative health

Transcrips below:

“I did this job in 2004, and we had an LCSW that was co-located in our office. At that point in time, our former CEO was pretty engaged in the behavioral health world. He is a therapist himself by training, so he was very excited about it. And I was kind of like, ‘Eh, you know, it’s a nice service.’ It wasn’t very heavily utilized. It was kind of just having somebody that was co-located in your office. At that point in time, I was kind of under the impression that this is a behavioral health care professional who’s available to help, but she probably saw two to three patients a day. So, not a big demand, you think to yourself. Okay, so this is primary healthcare and she’s available if needed. So, that was kind of the model that we did for a long time, which perpetuated the old model of stating, ‘This is physical health and this is mental health, and they don’t really crossover.’ Unless there’s a referral, or something like that.”

“So, I would say probably around 2007/2008, everybody was talking about the safety of integrative primary care and moving beyond a co-located model. And it was interesting, but I still have my previous bias because by that point, I’ve been here about four or five years, and I didn’t think it was very helpful. I mean, it helped a portion of our patients, but to say, ‘Was there any kind of meaningful interaction there?” I would say no. Even the fact there was an LCSW there was neither good nor bad. Contrast that with today, which if I tried to take our behavioral health providers out of their offices like that, I’d have a riot on our hands, because they’re so interdependent upon each other that it’s been a remarkable transformation. So, as far as personally what I believe now, I have got to the point where I’m very, very proud of what we’ve accomplished over the last five years or so.”

“I said earlier 2008 was kind of when we had the sort of epiphany that, ‘Hey, there’s a different model out there of integrative primary care, and we need to move in that direction.’ What I’ve seen today is amazing, because we have so many patients that are helped by our behavioral health people. And they probably wouldn’t get help otherwise. There’s still that stigma out there that, ‘What do you mean, I have to see a therapist? What do you mean, I have to see a psychiatrist? Am I crazy? I don’t want that. Nobody can know I have an illness.’ You know, the idea of going to a community mental health center for a lot of people is like, ‘Ah, I’m not doing that.’ But here, we have a behavioral healthcare provider right here in our office, right there in the same office as your doctor. Your doctor is saying, ‘You know what? I noticed you’ve been having trouble sleeping, we have somebody that can help you with that.’ So that door is opened. We call that a ‘warm handoff,’ by the way. ‘So, would you like to meet him?’ ‘Well, sure, why not? You’re my doctor, I trust you. If you say that this person can help me, then I’m going to take your word for it.’ ”

“So, I go in and give this warm handoff. They meet the person, they find out, ‘Oh, hey, this wasn’t so bad after all. I really like this person. I talked to her about some things that’ve been on my mind, and you know what? I feel better.’ So when the behavioral health provider says, ‘I’ll place you on next week.’ ‘Okay, sure, I’ll come in.’ And we see this play out all the time, everyday. And what happens is, you know, our model is not really long-term therapy. Our model’s designed to be six to eight, to probably 10 max. This is a behavioral health provider, but you know what? You can do a lot of good work in just a few sessions. So what we’ve seen is, we’ve seen a lot of patients really benefit from this model. And quite frankly, they would not get help at all if that person wasn’t right there in our office working together with our provider team.”

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