Patient | Problem/situation definable | Problem/situation is complicated |
Identified as needing expertise of another provider | Identified as needing professionals from different backgrounds to make sense of problem/treatment |
Clinician | Clinician with expertise to answer patient care question | Clinician with expertise carries out next steps/treatment | Clinicians work together to clarify patients' needs |
| Clinicians from different disciplines work as a team, conduct care team huddles and meet to discuss clinical care, close proximity of team, flexible schedule/time for warm handoffs. | |
Practice | Clinicians from different disciplines (often colocated) are rapidly and reliably accessible to answer questions | | |
System | Support for communication between separate behavioral and medical practices | Support for synchronizing (behavioral and medical) care over time | Support for shared learning about and with the patient. |
Problem | Discrete problem | Definable, discrete problem | Complex, hard-to-define problem that seems intractable to treatment and/or linked to medical or social problem |
Little uncertainty | Moderate uncertainty or routine care need | Professionals need longer dialogue to clarify best strategy to deliver and engage patient in treatment |
Information, when provided, allows advice seeker to act independently | Professional has expertise to address care need | |
| Quick discussion positions professionals to act in loosely connected way | |
| Engages patient in treatment | |