Oct. 17-18, 2023 | Hybrid
2023 Integrated Health Care conference
Day one: Oct. 17, 2 to 7 p.m.
2–2:10 p.m.
Welcome
- Ronald O’Donnell, clinical professor, College of Health Solutions, Arizona State University
2:10–2:40 p.m.
Health Problems of Nepalese Labor Migrants
- Rajendra Karkee, assistant teaching professor of global health, College of Health Solutions, Arizona State University
Labor migrants in precarious work environments are exposed to various health risks and there is a lack of information on the health of international Nepalese labor migrants. A scoping study revealed that international Nepalese labor migrants suffer significant disabilities and mortalities. The main health problems incurred by them are mainly mental-health problems, accidents, injuries and infectious diseases.
2:40–3:10 p.m.
Virtual Reality Systems for the Development of Daily Living Skills for Children with Autism Spectrum Disorder in Thailand and Southeast Asia
- Pornteera Imsuwansakorn (Bewa), Doctor of Behavioral Health candidate, College of Health Solutions, Arizona State University
ASD children in low- or middle-income countries are a vulnerable population with social and daily living skills impairments. Existing treatment approaches in LMICs are insufficient to meet the need. This presentation will review evidence for VR ASD interventions in Thailand and other Southeast Asia LMICs.
3:10–4 p.m.
Integrated Health Care In Vietnam: Barriers and Solutions to Implementation
- Dr. Pham Le An, associate professor pediatrics; vice chairman, Vietnamese Association Family Physician; director, Family Medicine Training Center; director, Grant and Innovation Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
Dr. An is a longstanding champion of primary care based in the patient-centered medical home and of integrated health care in Vietnam. He will describe the history of health care reform in Vietnam to promote primary care and integrated health care, highlighting progress to date and challenges to implementation moving forward.
4–4:40 p.m.
The Practice Integration Profile Goes Global: Results from Southeast Asia
- C.R. Macchi, clinical professor, College of Health Solutions, Arizona State University
- Dr. Pham Le An, associate professor pediatrics; vice chairman, Vietnamese Association Family Physician; director, Family Medicine Training Center; director, Grant and Innovation Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
- Do Thi Hoai Thuong, faculty, Grant and Innovation Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
The Practice Integration Profile (PIP 2.0) is widely used to measure the level of integrated care across five domains: workspace, patient identification, clinical services, patient engagement and practice workflow. We will review a study to adapt the PIP 2.0 in Cambodia, Thailand and Vietnam, with an emphasis on provider evaluation of the PIP 2.0 and results of the PIP in Asia. Dr. Phan Le An will provide a case study on the results of implementing the PIP 2.0 in Vietnam.
4:40–5:10 p.m.
Chronic Pain: An Integrative Clinical Approach to a Complex Global Challenge
- Nina Russin, Doctor of Behavioral Health candidate, College of Health Solutions, Arizona State University
Chronic pain is a complex problem involving the convergence of physiological, psychological and environmental factors. With the aging of the population globally, numbers of chronic pain patients are increasing, particularly older adults. Treatment, as described in this presentation, will require integrative strategies that combine resources inside and outside of traditional medical settings.
5:10–6 p.m.
The COVID-19 RAPID Model and its Applicability to Meeting the Challenge of Noncommunicable Diseases
- Flavio F. Marsiglia, Regents Professor and director of Global Center for Applied Health Research, School of Social Work, Watts College of Public Service and Community Solutions, Arizona State University
- Hyunsung Oh, associate professor, School of Social Work, Watts College of Public Service and Community Solutions, Arizona State University
Latinx communities in Arizona have been disproportionately impacted by the COVID-19 pandemic, resulting in limited access to testing, medical care and financial aid. To address these issues, a community-university collaboration designed and tested the R.A.P.I.D. (Respectful, Action-oriented, Proactive, Inclusive, and Direct-resources) model engaged the expertise of community health workers to address the social determinants of health that contribute to COVID-19 disparities. We will introduce the R.A.P.I.D. model, the leading role of CHWs, their experiences, observations and challenges during the initial implementation phase.
6–7 p.m.
An Integrated Health Care Curriculum for Social Workers in Low- and Middle-Income Nations
- Andrea M. Barnes, Doctor of Behavioral Health candidate, College of Health Solutions, Arizona State University
- Elreacy Dock, Doctor of Behavioral Health candidate, College of Health Solutions, Arizona State University
- Ronald O’Donnell, clinical professor, College of Health Solutions, Arizona State University
- Jessica Hogan, assistant teaching professor, College of Health Solutions, Arizona State University
- Hai Trung Nguyen, vice dean of social work faculty, University of Labor and Social Affairs, Hanoi, Vietnam
- Hue Thi Nguyen, lecturer of social work faculty, University of Labor and Social Affairs, Hanoi, Vietnam
Developing competencies and a curriculum for the practice of integrated health care is a challenge in LMIC’s due to barriers such as lack of buy in to add behavioral health consultants to primary care and lack of a workforce. We developed and evaluated a curriculum for integrated health care for social workers in Hanoi, Vietnam, and have further tested the model in India. We will review the curriculum and implementation challenges.
Day two: Oct. 18, 2 to 7 p.m.
2–2:50 p.m.
Improving Access to Behavioral Health Around the Globe: Re-Thinking the Entire System
- Jeff Reiter, clinical associate professor, College of Health Solutions, Arizona State University
The challenges of accessing mental health care have never been more prominent. Why is access so difficult and what can be done to improve it? This talk will introduce attendees to the wide array of strategies proposed and underway around the globe to help more people obtain behavioral health care.
2:50–3:40 p.m.
Global Warming and Disease, from Cellular Adaptation to Population Prediction
- Pope Moseley, research professor, College of Health Solutions, Arizona State University
Pope Moseley is a lung and intensive care physician and biomedical sciences researcher. With over 30 years of trailblazing expertise, Moseley commands NIH-funded multidisciplinary research groups, passionately exploring heat-related illnesses and humans' adaptation to heat stress. In addition to his important work on human adaptation to heat stress, Dr. Moseley and colleagues at the University of Copenhagen developed methods to predict individual disease outcomes using population-wide data of an entire country's population.
3:40–4:30 p.m.
Green Health: Prescribing Exposure to Green Environments to Improve Health
- Tran Ngoc Dang, vice director, Grant and Innovation Center; lecturer, Department of Environmental Health, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City
- Ronald O’Donnell, clinical professor, College of Health Solutions, Arizona State University
Increased time spent in green environments is associated with better physical and mental health. Behavioral prescriptions to spend more time in green environments, from your local park to a small garden or even houseplants in your home, have been helpful in reducing harm from heat and air pollution. We will discuss how clinicians can prescribe green health and wellness for to their patients and introduce a brief self-report measure of green health exposure.
4:30–5:20 p.m.
Turning Despair into Joy with Pain Relief Psychology
- David Clarke, president, Psychophysiologic Disorders Association; assistant director, Center for Ethics, Oregon Health and Science University; faculty associate, Arizona State University
Forty percent of primary care patients suffer from pain or illness not caused by injury or disease. The psychosocial stresses responsible for this form of illness can be diagnosed and treated successfully with new techniques that have been validated by many recent controlled trials. This new, highly effective approach is practical and accessible for both medical and mental health professionals.
5:20–6 p.m.
Social Work Practice and Integrated Health Care in Bangladesh: Challenges and Opportunities
- Md. Habibur Rahman, associate professor and chairman, Department of Sociology and Social Work, The People’s University of Dhaka, Bangladesh
Social work practice in Bangladesh lacks recognition as a profession, a cohesive identity, and practice standards. Prof. Rhaman will describe examples of social work practice consistent with integrated care. He will outline his plans to collaborate with ASU to implement the integrated healthcare curriculum with his students in Bangladesh.
6–7 p.m.
Habit Science and Mindfulness Practice to Improve Health Behaviors and the Global Syndemic
- Ann Sebren, teaching professor, College of Health Solutions, Arizona State University
- Ronald O’Donnell, clinical professor, College of Health Solutions, Arizona State University
Evidence continues to show that most patients at risk for noncommunicable diseases fail in their efforts to improve health habits, such as diet, physical activity and tobacco smoking. Emerging approaches based on habit science are clearly popular with consumers but have not been widely adopted by clinicians. Mindfulness-based approaches for habit change are proposed and fit well with habit science approaches. A model that integrated habit science and mindfulness for improving health behaviors with be reviewed.