ON Chiropractic Fall 2014 | Page 13

ON Chiropractic What to Look For in a CBT Colleague Experience Providing One-toOne & Group Therapy Experience with Patient Population Your Patients' Needs Warmth & Ability to Form Rapport Appropriate Credentials Experience Providing One-to-One and Group Therapy For patients with chronic pain or cognitive barriers to recovery, Dr. Cheng recommends developing referral relationships with practitioners with extensive experience in providing therapy. Like becoming a highly proficient chiropractor, becoming highly proficient in mental health care through therapy takes time and practice. Working with practitioners who specialize in working with patients, as opposed to focusing solely on research or teaching, may be beneficial. Warmth & Ability to Form Rapport The ability to form rapport with patients quickly and effectively is a soughtafter characteristic of professionals who provide mental health services. In some cases, a strong ability to connect with patients can speed recovery. In practice, while one candidate for patient referrals and consultations may bring a higher credential, you may choose to refer a specific patient to a psychotherapist with deeper and more relevant professional experience. No matter who you choose to work with, the parameters of the collaboration are very important, as are the specific needs of the patient. This is why developing a healthy mixture of referral and consultation relationships is the best bet. Then when you identify a patient to refer for mental health care, you can select a practitioner that you believe is most likely to aid the patient in question. Bringing CBT Capacity In-House T here are two ways to provide CBT within the four walls of your practice. The first is to expand the group of practitioners working within your clinic to include a mental health care provider, such as a clinical psychologist or a psychotherapist. When doing this, go back to the matrix outlined above and try to select the partner that is most likely to be able to support the type of patients you most frequently treat. That professional will likely bring with them a network of additional practitioners to whom he or she can refer more complex cases, or cases which fall outside of their own expertise. Once you’ve identified the right candidate, the process of incorporating them into your practice would be very similar to that of bringing in an RMT or an additional chiropractor. Negotiate equitable terms to cover issues like use of space, staff time and revenue sharing and try your best to set reasonable expectations. The other approach to bringing CBT capacity in-house is to seek out advanced training yourself or for your existing team of practitioners. As described above, a reference source like Mind Over Mood is a great place to start. If you develop an interest in additional training, there are many avenues to pursue: 1 Additional Reference Materials: While Mind Over Mood is a good starting point, there are several relevant canons of academic and popular literature that www.chiropractic.on.ca 13