Behavioral Consultation and Primary Care pp 71-94 | Cite as
Behavioral Health Consultant Core Competencies
Abstract
In business, a core competency is a skill or knowledge base that is central to how a company and its employees function. Core competencies are often unique to a particular company, and mastery of them is important for establishing consistency across employees and fulfilling the company’s mission.
In Chap. 5, we apply the concept of core competencies to the PCBH model and the work of a BHC. Core competencies for a BHC include 53 specific skills, organized into six domains: (1) clinical practice, (2) practice management, (3) consultation, (4) documentation, (5) team performance, and (6) administrative practices. Each plays an important role in helping the BHC pursue the mission of improved health for all of the patients coming to the clinic for care. Knowledge and allegiance to core competencies assures that the BHC’s work is in keeping with the PCBH model’s purpose.
The BHC Core Competency Tool may be used as a self-assessment and career development tool. In order to assure fidelity to the PCBH model, we recommend that the CC Tool be used to establish competency before a BHC practices independently and repeated annually as part of the BHC job performance evaluation. BHC mentors, or experts in PCBH work, are increasingly available throughout the United States to assist with BHC core competency training.
Keywords
BHC Core Competency Tool Domains of competence Clinical practice domain Practice management domain Consultation domain Documentation domain Team performance domain Administrative practices domain BHC CC Tool Preventive care Population-based care Anticipatory guidance Well-child checks PCBH pathways Empirically supported treatments (ESTs) Stress–diathesis model Neuropsychological evaluations Duke Health Profile Referral problem Life context interview Functional analysis of target problem Best practice guidelines Journals Self-management Home-based practice Meaningful-use requirements EHR systems Behavioral health prescription pad Patient confidence Group medical visits Initial visits Follow-up visits Episode of care Continuity visits Facilitator services Specialty mental health (MH) services High utilizers of medical care Case management strategies Community resources Chemical dependency Marketing Referral question Curbside consultations Presentation handouts Up to date Mental health and substance abuse section SOAP format PCBH chart review tool Curbside consultations PC culture Psychoeducational approach Nursing assistant (NA) Registered nurse (RN) Unscheduled services Exam room posters On-demand consultation PCBH model Manual Risk management protocolsSupplementary material
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