TYPE OF WORK:
Clinical psychologist is required to function in a patient-centered medical home (PCMH) location as a full-time equivalent provider as an Internal Behavioral Health Consultant (IBHC) and/or Behavioral Health Care Facilitator (BHCF) and Traumatic Brain Injury Psychological Healthcare Provider (TBIPH) as outlined in DoDI 6490.15 Integration of Behavioral Health Personnel Services Into Patience-Centered Medical Home Primary Care and Other Primacy Care Service Settings and the BHOP Practice Manual.
7.1. Internal Behavioral Health Consultant in the Patient Centered Medical Home (PCMH). The type of work may include, but not limited to, the following:
7.2. Participates in and successfully completes two phases of Air Force IBHC training. Demonstrates core competency skills to IBHC independent practice within 90 days of starting. The 90-day threshold for demonstration of core competency skills will be extended if the Air Force is unable to provide training opportunities within 90 days.
7.3. Phase I training is approximately four days onsite at a CONUS location. The candidate shall have a 100% pass rate (minimum of a “3” rating in each competency area of the clinical competency tool) before proceeding to Phase II.
7.4. Phase II training will occur within 90 days of completion of Phase I training for a two day course. The candidate shall have a 100% pass rate (minimum of a “3” rating in each competency area of the clinical competency tool) in order to be deemed acceptable for the position.
7.5. Travel. This training is locally funded and paid for by the government. Specific travel information will be defined during the ordering process. The ability to successfully complete orientation, AHLTA training and pass core competencies of BHCF training must all be demonstrated after completion of the training course.
7.6. Replacement/Turnover of an employee: If the candidate does not pass the course the contractor shall submit a replacement candidate upon notice of the candidate’s failure to pass any training phase.
7.7. Provides brief (typically no more than four to five appointments in total) cognitive/behavioral interventions in primary care under the Air Force consultation model (i.e., per the Air Force Behavioral Health Optimization Program Practice Manual). Services will mimic the pace of primary care (i.e., patients seen for 15- to 30-minute appointments) with approximately 8-14 appointments a day.
7.8. May provide classes in format appropriate for primary care (e.g., stress management class, sleep enhancement class, chronic pain class).
7.9. Works independently in the absence of direct oversight and adheres to Air Force values. Effectively uses appropriate communication format in addressing and resolving professional issues.
7.10. Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and occasionally dangerous.
7.11. Must possess organizational, problem-solving, and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.
7.12. Successfully consults with PCMs on-demand about general issues and specific patients.
7.13. Ensures PCMs receive same-day verbal and/or written feedback on patients referred.
7.14. Delivers brief presentations/trainings to primary care team members regarding behavioral health issues and IBHC services
7.15. Participates in team efforts to develop, implement, evaluate, and revise clinical pathway programs needed in the clinic.
7.16. Provide concise documentation of care and recommendations in the patient’s electronic medical record within the allowable timeframe defined by the MTF standard after the patient is seen.
7.19. Duties may include supervision of providers who are in training or not fully licensed.
7.20. Duties may include participating in Air Force-approved research projects relating to Primary Care Behavioral Health.
7.21. Consults with medical personnel, legal authorities, and military commanders as required.
7.22. Participates in military-specific training (e.g., use of the Air Force Guide for Suicide Risk Assessment, Management, and Treatment, pre-post deployment screening, PTSD, and combat stress, etc.).
7.23. Attends and participates in meetings during normal duty hours and professional staff conferences and other appropriate professional activities such as, but not limited to the following: quality improvement meetings, professional staff meetings, commander's staff meetings, primary care staff meetings, and others required by applicable regulations, MTF guidance, or as directed by supervisor.
7.24. Care Facilitator (CF) in a Patient Centered Medical Home (PCMH). The type of work may include, but is not limited to, the following:
7.25. IBHCs, TBIPHs who are assigned to MTFs that have between 3,000 and 7,500 adult enrollees in the Family Health Clinic will provide both IBHC and CF services per the BHOP Manual.
7.26. Participates in and successfully completes Air Force care facilitator training. Demonstrates core competency skills to CF independent practice within 240 days of starting. The 240-day threshold for demonstration of core competency skills will be extended if the Air Force is unable to provide training opportunities within 240 days.
7.27. Care facilitator training is an interactive computer-based training that is approximately three days in length. The candidate must complete all CF training requirements before engaging in CF patient care services.
7.28. Contact referred patients to assess medication treatment adherence for depression, anxiety, and PTSD disorders.
7.29. Use validated brief symptom inventories to assess current symptom severity.
7.30. Assess barriers to treatment adherence and help patient problem-solve solutions to barriers.
7.31. Provide patients with education regarding their behavioral health condition and treatment regimen.
7.32. Maintain patient information in a patient registry.
7.33. Maintain accurate and current notes in the electronic medical records of all patients contacted for review by the managing physician.
7.34. Performs case management functions.
7.35. Attends and participates in meetings during normal duty hours and professional staff conferences and other appropriate professional activities such as, but not limited to the following: quality improvement meeting, professional staff meetings, commander's staff meetings, primary care staff meetings, and others required by applicable regulations, MTF guidance, or as directed by supervisor.