We all have COVID-19 on the brain and it got me thinking about the role of high functioning integrated care teams in responding to the pandemic. Turns out, its pretty important. Here are my top 4 ways that integrated care teams can respond adaptively to the COVID-19 crisis. If you have some ideas of your […]
Motivational Interviewing with the Latinx and Spanish-Speaking Community
7 minute read If you provide services at a Federally Qualified Health Center (FQHC), or similar health care center, it would be unusual if you did not meet with patients who are Spanish-speaking. I was thrilled to meet-up with an enthusiastic group of professionals at the recent CFHA conference with the goal of establishing a […]
Docs May Sympathize More with Family Caregivers, But They’re Still Stuck
5 minute read During the years I was my mother’s family caregiver, I had widely different interactions with her physicians. Some embraced me as a partner in her care, talking directly to me during my mother’s medical visits about her symptoms and medications—and largely ignoring her. Afterwards, during the car ride home, my mother would […]
Oral Health and Social Work
5 minute read. This piece is a reprint. Original post: https://www.onwardohsu.org/blog/detail/holistic-health-care When you think of going to the dentist, you likely don’t think of social work. But the OHSU School of Dentistry is changing all that with an innovative, interprofessional curriculum that focuses on the holistic health of patients. The new program, spearheaded by Rosemarie […]
Burned Out at Both Ends
5 minute read Reviewing the signs and symptoms of burnout is similar to listening to those terrible commercials advertising the latest psychotropic medication. Are you feeling tired, fatigued, depressed, anxious, irritable, or restless? Do you have unexplained physical symptoms or difficulty concentrating or sleeping? If so, we have the quick-fix solution for you. Unfortunately, most […]
Forum: Which discipline creates the best BHC?
This is the first in a series of posts showing different perspectives on important topics. Check back in the future for more! Hi everyone and happy 2020! As you can tell from the title of this post, today in the CFHA blog we are going to take on the age-old question “Which discipline creates the […]
Big Ideas for Behavioral Health
5 Minute Read I have big ideas. Ideas that could potentially change how we deliver health care. Ideas about how behavioral health could potentially be involved in almost every visit in primary care. Ideas about how we can be more involved in all things early detection and prevention. Ideas about how chronic disease management is […]
Pain and Acceptance at the End of Caregivers’ Hopes
3 Minute Read This piece originally appeared on the Huffington Post. Posted here with permission. “You are treating her like she’s a piece of meat,” Tony was shouting angrily at me. I hadn’t the power to change the care his 62-year-old wife was receiving in my hospital’s intensive care unit—for the past two years, I had […]
Research Review
Happy Holidays everyone! Welcome to the regular Research Review blog post. The post where I save you time searching the integrated/collaborative care research literature by doing all the work myself! Use that time to buy presents for your loved ones. Here are some themes below: First, I continue to see more articles on integrated care […]
Where are the paraprofessionals in CFHA?
3-4 Minute Read With a couple of notable exceptions, the 2019 CFHA conference in Denver was, as my 8 year old would say, epic. The creative plenary sessions were impressive; a surprise opportunity to co-facilitate the women’s health task force discussion group with Helen Coons left me star-struck; Stacy Ogbeide’s session on treating PTSD in […]
The Art of Patient Interviewing
5 minute read I had the honor of consulting with a storyteller/filmmaker/documentarian and his staff last year. Many of the stories his team tells requires them to interview people who have been through or witnessed terrible things. I was asked to speak with the filmmaking team about considerations when interviewing trauma survivors. This got me […]
Of Conferences and Economics
5 minute read Our attention is a precious commodity these days: low supply but high demand. Even now you are “selling” your attention to “buy” the content of this blog post. Thank you! Please come again. We appreciate your business. Imagine the challenge, then, of selling a three-day conference to busy clinicians, managers, researchers, educators, […]
The Never-ending Story of Integrated Care
A few years ago, I went to a Festschrift for Steve Zyzanski, one of my revered mentors, on the occasion of his retirement. A large group of us gathered to celebrate his life, his contributions, to collectively tell his story and celebrate the greatness of his life’s work. So after all our hot air and […]
Can Healthcare Measure TLC?
Healthcare is awash in quality metrics. Registries of PHQ-9 scores. Frequency of visits. Decreased utilization rates. Reduced response times to emergencies. We believe they create better clinical outcomes through greater accountability of interventions and systems. Of course, there’s a great deal of truth here. But the touchy-feely therapist in me tells me there’s something […]
Family Systems and Complexity Science: Two Sides of the Same Coin
Laying in a field looking up at a partly cloudy sky, a late summer breeze pushes through the trees, portending the coming chill. The breeze sets a sleek starling to flight. Immediately, hundreds of starlings follow, with a thunderous rustle of leaves. Their silent dance above, an exquisitely choreographed molding, is a wonder. Did that […]
Welcome to the 2019 CFHA Annual Conference in Denver!
Known as the Mile High City, Denver is the perfect city to host the 2019 annual conference for integrated care where the sky is the limit. Denver is home to one of the most walkable downtowns in the nation, making it easy to visit countless restaurants, breweries, museums, and parks after a full day of […]
Empowering People & Systems in Integrated Care
Healthcare leadership needs a makeover. The current rates of burnout and turnover in healthcare (including integrated care) are not sustainable. We need leaders who empower others. Empowerment helps staff to work to their full potential, participate in decision making, take ownership for tasks that utilize their expertise, feel valued, and feel committed to their team’s […]
SSSMART Self Management Goals
Ah, goals. We all set them for ourselves. Do I even need to tell you how many times I have vowed to get up 15 minutes early to meditate every morning or given up cookies? More often than not goals require too much additional energy and not enough failsafe measures to be sustainable. Human nature […]













