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By Thomas Barrett , DBH Biography of the Presenter The Traditional Behavioral Health Business The Behavioral Health Entrepreneur in the 21 st Century Opportunities in Disease Management Opportunities created by a DBH


  1. By Thomas Barrett , DBH

  2.  Biography of the Presenter  The Traditional Behavioral Health Business  The Behavioral Health Entrepreneur in the 21 st Century  Opportunities in Disease Management  Opportunities created by a DBH  Closing

  3.  6 Acute Psychiatric Inpatient Units (106 beds)  2 Residential Programs  Adolescent and Adult PHP  Chemical Dependency IOP  Out-Patient Medication Management  400 staff with the Medical Directors, CNO, and Director of Clinical Services reporting to a DBH

  4.  Retired U.S. Army Special Operations Officer  Several Years in Private Practice  Director of several Mental Health and Chemical Dependency Programs  Behavioral Health Executive (CEO/AVP Operations Adventist Behavioral Health)  Faculty Associate Arizona State University  Entrepreneur  Dreamer/ Believer

  5.  Individual Therapy(60 Minutes Sessions)  Marital Therapy  Specialty Groups (Depression, Anxiety, etc.)  Drug and Alcohol Counseling  Sex Addiction  Grief

  6.  It began with Freud, Jung and Adler  It evolved to Beck, DeShazer and InSoo Berg and others  Virginia Satir, Munichin, argued for the family  And don’t forget Yalom setting the boundaries for group dynamics  Yet it remained the same business model

  7.  Struggling with anxiety, depression? Start making important changes in your life through effective talk therapy.

  8.  Cheating? Still fighting? Learn new communication skills for a better relationship.

  9.  Benefit from the knowledge and support of others with similar issues

  10.  Is your child anxious? Is ADD/ADHD causing problems? Learn proven strategies to cope better

  11.  But please don’t give me the Oppositional Child  The Conduct Disordered Child  Or the Child Sex Offender

  12.  Pediatricians are ready to refer for behavioral issues  Physicians can triage the most needy patients  A consistent referral stream  Coordinated Care

  13.  Disease Management throughout the Continuum  Builds programs around Diseases  Looks for Opportunities throughout the Continuum  Is a Non-Conventional versus Conventional Behavioral Health Entrepreneur

  14.  Unassigned  Level I: Wellness and Prevention  Level II: Care Management for Select Diagnostic Groups  Level III: Case Management for Chronic Conditions

  15.  Unassigned: Patients diagnosed with a disease but is determined not appropriate for the disease management program  Level I: A wellness & prevention program designed for low risk patients with a chronic disease  Level II: Case Management services for moderate-risk patients diagnosed with a chronic disease  Level III: Clinical Care Management services for high risk patients with a chronic disease

  16. ALS (Lou Gehrig’s Disease)  Alzheimer's Disease and other Dementias  Arthritis  Asthma  Cancer  Chronic Obstructive Pulmonary Disease (COPD)  Cystic Fibrosis  Diabetes  Eating Disorders  End Stage Renal Disease  Heart Disease  Obesity  Oral Health  Osteoporosis  Tobacco Use and Related Conditions 

  17.  Post-Stroke Depression I  Juvenile Diabetes  Asthma  Orthopedic Surgery(Hip, Knees, and Back)  Obesity  Bariatric Surgery  Obstructive Pulmonary Disease  AIDS/Strokes

  18.  Behavioral Health Quality Improvement Consultants for Behavioral Health Organizations  Tele-psychotherapy  Consultation in Primary care with Tele- conferencing

  19.  The Big Idea and the Vision for these two businesses  IBC 720 Behavioral Health Entrepreneurship  A Conversation with a Orthopedic Spine Surgeon

  20.  Addressed the Levels of Care  The realization that a DBH has an opportunity throughout the continuum  What can I prescribe? I can prescribe fitness and include it throughout the continuum  So what now what’s next? The assessment of me!!!!

  21.  Strengths  Weaknesses  Opportunities  Threats

  22.  I am a DBH  I am a clinician  I can construct a business plan  I can screen and assess for emotional disorders  I am skilled at clinical outcomes and I am an out of the box thinker (Just to name a few)

  23.  It is inexpensive  It heals  It activates Dopamine and Serotonin  Thus changes your mood  It gives you a great referral pool for your continuum of care/ disease program

  24.  In America there are fewer cures for obesity undertaken than abroad……..because……there are fewer obese people here…..Carter et al. (1917)  By 2013 Obesity is an epidemic and disease in America

  25.  Cultural Factors  Ethnic and Geographic Factors on Body Composition  Socio- Economic factors  Occupational Factors

  26.  Pharmacology  Surgery  Behavior Modification  Diet and Exercise (Life Style)

  27. • Helps people achieve and maintain a healthy weight • Reduces feelings of stress, anxiety & depression • Builds and maintains healthy bones, muscles & joints • Boosts energy level • Improves quality of sleep Physical Activity Reduces the risk of • Dying from heart disease or stroke • Developing high blood pressure, cholesterol & diabetes • Developing obesity • Developing osteoporosis – exercise builds strong bones & muscles

  28. Franchise: L egal agreement that gives an individual the right to market a company’s products or services in a particular area. Advantages  Provided with an established product or service  Offer management, technical, and other assistance  Equipment and supplies can be less expensive  Guarantee of consistency attracts customers Disadvantages  Can cost a lot of money and cut down on profits  Owners of franchises have less freedom to make decisions than other entrepreneurs  Franchises are dependent on the performance of other franchisees in the chain  The franchisor can terminate the franchise agreement

  29. http://www.anytimefitness.com/gyms/2283/br andywine-md-20613

  30.  Pre-Operative  Human Bone Anxiety and  Epidurals Depression reduction  Work Comps referrals Group  Hire Surgical PA’s as  Post-Operative sales reps Anxiety and  February 2014 kick off Depression Group  Operative Devices for Surgery

  31.  Sustainability  Performance Improvement  Quality  Direction ( How does the end look?)  Focus (concentrate on your market)  Connection/Communication/Community

  32.  Are you Fearful or Fearless?  Are you waiting on the DBH program to do something for you or are you going to do something for yourself?  This is our time……will you sit in the crowd and just cheer or be the eternal critic  Will you sit on the bench…..or get in the game

  33.  Did you drink the Kool-Aid?  A conversation between a DBH Student and Faculty

  34. http://www.youtube.com/watch?v=M_QcRPNf UuE&feature=player_detailpage

  35.  Will the DBH sit in their bassinet drinking Enfamil or will they create an opportunity for themselves?  Will we change the delivery of behavioral health in America?  Will we change our destiny?  What will be our Legacy?

  36.  Trust your Education  Don’t be Afraid to take Risk  Look at Diseases along a continuum for business opportunities  Believe  Questions

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