142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Interprofessional medical and behavioral health clinic in an urban setting:The role of social work

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:10 AM - 11:30 AM

Patricia A. Findley, DrPH, MSW , School of Social Work, Rutgers,The State University of New Jersey, New Brunswick, NJ
Suzanne Willard, PhD , College of Nursing, Rutgers University, Newark, NJ
Kathy Gunkel, DNP , College of Nursing, Rutgers University, Newark, NJ
Mary Wagner, PharmD, MS , Department of Pharmacy Practice and Administration, Rutgers University, Piscataway, NJ
We describe an interprofessional care model that has been implemented in a health and wellness clinic in Newark, New Jersey to address primary care and preventive care needs of an urban, medically underserved, and vulnerable population with a focus on both care and teaching interprofessional care.  The nurse-managed health center uses an interprofessional collaborative practice model that draws upon the expertise of advanced practice nursing, social work, pharmacy, and violence prevention specialists to address physical and/or mental health issues. This collaborative care model with team-based care reflects one method for addressing care coordination and communication issues that have resulted in fragmented care that has become the focus of the Affordable Care Act. In this model, professional team members are also faculty members of a university, whereby they are able to provide supervision for field placements/internships on site and teach classroom-based courses on interdisciplinary care. Students have an opportunity to observe and model professionals’ interaction while learning and impacting lives of clients they serve. Started in late January 2013, to date, the clinic has seen 317 patients (30%male/70%female)with an average age of 41 years and a majority being (56%) being Hispanic. Patients have been diagnosed with hypertension (27%), depression (23%), substance use (28%) and asthma (15%); 10% experience violence. Twenty-three percent of patients see a social worker, 24% a psychiatric nurse practitioner and 19% a pharmacist for intervention. This presentation will describe the model and how the team works together, including students, to collaboratively intervene on medical/chronic disease and behavioral health issues.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Provision of health care to the public
Public health or related nursing

Learning Objectives:
Describe a model of interprofessional care for use with an urban population Explain establish an interprofessional model. List the types of issues and diagnoses that social workers on which social workers can intervene in an urban setting, and how to do that in an interprofessional manner

Keyword(s): Urban Health, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 20 years of clinical expertise in the health setting and over 15 years doing research in this area. I am a co-investigator on the funded project that is being presented and I supervise the social worker on site as well as two graduate level social work field students.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.