This position is as a Behavioral Health Consultant (BHC). The Primary Care Behavioral Health Program provides a team-based approach to healthcare by integrating behavioral health providers and registered nurses into Primary Care Clinics to deliver evidence-based biopsychosocial assessment, treatment, prevention and management of behavioral health problems and biopsychosocially influenced health conditions for Military Health System beneficiaries. MAJOR DUTIES 1. Serves as a Clinical Psychologist Behavioral Health Consultant (BHC) for the Clinic and Behavioral Health System of Care (BHSOC) Primary Care Behavioral Health (PCBH) program. Makes mental health diagnoses in accordance with the most recent version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) when differential diagnosis is required. Provides individual and group treatment, using various modalities as clinically indicated to include brief problem-focused interventions, cognitive-behavioral therapy, and psychoeducational classes. Assesses acute mental health and behavioral medicine conditions in beneficiaries who present with such issues. Maintains appropriate documentation of patient care in accordance with current unit and hospital standard operating procedures (SOPs) and current DoD, DHA PCBH, Federal and state regulations. Maintains performance and conduct in accordance with current unit and hospital SOPs; current DoD, DHA, Federal and state regulations; and professional ethics. Assesses and provides intervention for individuals with a wide range of chronic medical conditions, and behavioral health issues affecting medical conditions to include assessment and disposition of beneficiaries with acute and chronic risk. Provides treatment via targeted and efficient appointments for initial and follow-up visits. Performs PCBH biopsychosocial evaluations using expert knowledge of clinical and clinical health psychology. Conducts outpatient group classes, stress management, relaxation training, assertive/social skills training, smoking cessation training, substance abuse identification and brief related interventions appropriate for primary care, as well as evidencedbased interventions for mastery of behavioral health conditions (e.g. anxiety, depression, post traumatic symptoms etc.) and behavioral medicine conditions (e.g. insomnia, acute and chronic pain, diabetes, weight management etc.) as required. Participates in quality assurance activities. Provides psychological and clinical consultation to physicians, other professionals and paraprofessionals through established consultation channels. Provides feedback to Primary Care Managers (PCMs) regarding consultation findings and recommendations as directed by the current DHA PCBH Administrative Instruction. Consults with primary care providers to select, approve, and document treatment priorities in SMART goal format. Serves as the authority on primary care psychology for the clinic. Educates clinic staff on the principles of primary care behavioral health via trainings and briefings. Conducts meetings and conferences to review the level of care for appropriateness of treatment in primary care and evaluate and approve referral sources. Establishes cooperative agreements among various providers and clinics throughout the Military Treatment Facility (MTF). Monitors, evaluates, and approves use of community resources. Provides reports and approves consults. Uses objective behavioral outcome measures to evaluate progress in treatment. 2. Provides evidenced-based individual treatment and psychoeducational classes for patients enrolled in primary care clinics. Provides expertise in human behavior as a primary care team member and provides consultation to primary care and specialty clinic providers regarding psychological treatment options to optimize health outcomes. Assists primary care providers with the treatment of patients with known high-risk factors such as suicide, history of trauma, and co-occurring substance use disorders. Conducts PCBH model treatment, monitors, approves, and documents all, treatment goals. Reviews and approves the appropriate modality of treatment for each patient. Develops treatment processes and procedures for orientation of patients. Evaluates information/education processes. Institutes changes to increase effectiveness of treatment efforts. Evaluates appropriateness of treatment goals. Determines appropriate dispositions for severe cases. Provides structure and procedures for organization of case staffing information. Establishes policies for case consultation. 3. Executes performance initiatives (PI) through revision of clinical standards and procedures; and performs a variety of quality management/quality assurance (QM/QA) duties to meet the Joint Commission (TJC) requirements. Evaluates clinical records and monitors all objective instrument administration and scoring for quality assurance. Evaluates environment of care. Monitors all risk management issues and takes appropriate action. Establishes and executes performance initiatives. Works with primary care team to develop processes to increase same day warm handoffs of patients from the primary care provider to the BHC. Works to increase overall penetration into the enrolled clinic population by targeting common conditions with behavioral components that are amenable to BHC intervention. Performs daily activities to increase BHC clinical productivity (e.g. scrubbing PCM appointment lists, circulating in the clinic and consulting with staff, being vocal in morning huddles etc.). Establishes and monitors objective behavioral outcome measures. Evaluates and revises standard operating procedures. Conducts program evaluation. Consults with ancillary care providers. Substantiates the results of crisis intervention. Reviews data provided in reports of special actions. Reviews statistical data to modify program goals. Evaluates and approves educational materials for use by clinic staff and patients. 4. Provides consultation regarding interpretation and approval of outcome measures and screening instruments. Develops, implements, and evaluates professional development activities, coordinates inter and intra-departmental in-service training on PCBH related topics. Evaluates scope of practice and makes adjustments for increased adherence and efficacy as needed. Evaluates training opportunities, development activities, and orientation activities. Performs other duties as assigned