This assignment is in the tradition of problem-based learning - the focus is on a problem that you could possibly face in real life, one that requires a team effort to solve. It is also important to note that in problem based learning, the solutions are ill defined, that is there is no one specific way to solve the problem.
The Metroplitan Health has been asked by the Ministry of Health to submit a proposal for the funding of an outpatient treatment program for one of two evidence based options. Please see the?Handout for the Team Project for a memo of instruction from the Director.
- Option A
- The Memo? To: Clinical staff of Metropolitan Health Centre From:? April Jenkins, Program Manager, Mental Health Services? I am pleased to announce an extraordinary opportunity is presenting itself and the window of opportunity is narrow. I have had a call from Barry Brown, Assistant to the Deputy to the Minister of Health. Barry has indicated that there is an identified need for an outpatient program devoted to the treatment of adults with anxiety disorders, obsessive-compulsive disorders, and stress related disorders. [Or treatment of adults with eating disorders if you team chooses that] He has also advised me that their consultants are suggesting that in the current budgetary environment, cost effectiveness and outcome effectiveness are important considerations.? Also the consultants to the Ministry have indicated that a transdiagnostic approach called the ?unified protocol? [or CBT-e in the case of eating disorders] is beginning to gain attention. Barry made it clear that if we are prepared to adopt that model and develop a program that meets the ministry?s standards, that a formal proposal on our part would be quite favourably considered. This is quite an opportunity! The ministry is looking to fund an outpatient program for patients 18 years of age and older. Art Smith and Gladys Jones will work with me to develop the final proposal from a business point of view. We are asking you to serve as a clinical advisory team.? Your work will allow us integrate the clinical with the business aspect in our final proposal. Clearly that means that your team is crucial to our ability to make the most of this situation. What my team requires are the following: ? Art, Gladys and I need you to ?educate? us as to the nuts and bolts of the unified protocol. We need to know the contents and implementation procedures. We will not be able to have much of a shot if we can?t do this. ? Of course we also need to be educated with regard to the theoretical rationale for the unified protocol, the evidence for its clinical effectiveness, and thoughts on cost effectiveness of the model.? ? In addition to your description, please provide an annotated list of four or five key references that we should review in preparing our report.??
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