When you walk through the halls of an integrated care agency, you might hear something like:  “The treating PCP is an APRN, but she needs to consult the DO about any contraindications between the DPP-4 inhibitor, the SSRI, the Levothyroxine, and the naltrexone.  The patient is slightly agitated and started taking Prozac five days ago. The MA needs to check Lipids and A1-C, then the patient needs to meet with the BHOT to go over the functional plan and review any recent behavioral activations of pain. Patient has her MAT visit next week with the MD and follow-up one week after with the PA. Remember to put in the schedule for the LPN to do vitals.” This workshop explains the various disciplines working in an integrated primary care behavioral health settings, including an overview of common medical terms used in this environment.  It looks at everyday practices in a collaborative primary care behavioral health agency and explains how to better promote alignment of services, integration, and care coordination of patients with medical, mental health, and substance use issues. The presenter will describe common psychotropic medications, classes and indications used in primary care and how to collaborate with medical care providers about these medications.  The presenter uses case study and personal experience to describe how he came to provide clinical care in an integrative, collaborative Federally Qualified Health Center.

Presenter: David Ferruolo, MSW, LICSW, MLADC, EdD.

David Ferruolo is a Clinical Social Worker at Health First. He has over four years direct practice experience at this fully integrated primary care & behavioral health Federally Qualified Health Center providing co-occurring counseling and MAT/Suboxone treatment clinic. In this role he provides supervision of other Social Workers, Occupational Therapists, and Counseling interns as part of HRSA integrated care model grant. David holds a Doctoral of Education degree from Plymouth State University and a Master of Social Work degree from the University of New Hampshire. His NH licenses include:  Social Work and a master’s level Licensed Drug and Alcohol Counselor.