Integrated therapeutic — Study Path Agent

Chapter 1

Foundations of integrated therapeutic care

1

What “integration” means in therapy and healthcare (clinical, functional, organizational)

2

Biopsychosocial model and ICF framework (function-focused thinking)

3

Levels of integration (collaborative → coordinated → co-located → fully integrated)

4

Where integrated therapeutic services are used (primary care, rehab, pediatrics, geriatrics, behavioral health)

Chapter 2

Patient-centered assessment and goal setting

5

Intake and history taking (medical, functional, psychosocial, context)

6

Screening and triage (red flags, urgency, referral and escalation)

↗ Biopsychosocial model and ICF framework (function-focused thinking) (see Chapter 1)

7

Selecting and using standardized outcome measures (PROMs, PREMs, functional scales)

8

Collaborative goal setting (SMART goals, patient values, basic motivational interviewing)

Chapter 3

Integrated care plan design and intervention selection

9

Shared care plan structure (problem list, goals, roles, tasks, timelines)

10

Core therapeutic disciplines and how they integrate

5 subtopics

11

Physical rehabilitation basics (exercise prescription, mobility, pain-sensitive progression)

12

Occupational therapy basics (ADLs/IADLs, energy conservation, adaptive strategies)

13

Speech-language therapy basics (communication supports, swallowing safety, carryover)

14

Behavioral health basics for integrated teams (brief CBT skills, family systems coordination)

15

Nutrition therapy basics (MNT overview, behavior change, coordination with medical care)

16

Integrated intervention design (sequencing, dosing, interaction effects, tradeoffs)

17

Care pathways and protocols (standardization vs personalization)

18

Patient education and self-management support (home programs, coaching, caregiver training)

Chapter 4

Interdisciplinary teamwork and care coordination

19

Team roles and scopes of practice (boundaries, handoffs, supervision)

20

Communication workflows (SBAR, case conference design, huddles, closed-loop follow-up)

21

Care coordination and navigation (referrals, community resources, social needs)

22

Shared decision-making, conflict resolution, and team dynamics

23

Technology to support integrated care (EHR workflows, shared notes, telehealth basics)

Chapter 5

Evidence, safety, ethics, and legal considerations

24

Evidence appraisal for integrated interventions (guidelines, systematic reviews, grading strength)

25

Safety and risk management (falls, medication reconciliation touchpoints, infection control)

26

Ethics and consent in team-based care (privacy, capacity, caregiver involvement)

27

Cultural humility and health equity (bias, access barriers, social determinants)

28

Legal and regulatory basics (HIPAA concepts, licensure limits, duty to report overview)

Chapter 6

Implementation, monitoring, outcomes, and transitions

29

Service delivery models (in-person, home-based, outpatient, hybrid/virtual)

30

Monitoring outcomes and adjusting the plan (measurement-based care loop)

2 subtopics

↗ Selecting and using standardized outcome measures (PROMs, PREMs, functional scales) (see Chapter 2)

31

Clinical reasoning for plan adjustment (responders/non-responders, stepping up/down intensity)

32

Adherence and behavior change supports (barriers, cues, routines, caregiver supports)

33

Discharge planning and transitions of care (handoffs, relapse prevention, follow-up)

↗ Patient education and self-management support (home programs, coaching, caregiver training) (see Chapter 3)

Chapter 7

Documentation, reimbursement, and quality improvement

34

Clinical documentation essentials (SOAP, problem-oriented notes, goal tracking)

35

Coding and reimbursement overview (CPT/HCPCS/ICD-10 basics; payer documentation logic)

36

Quality improvement methods for integrated services (PDSA, audits, dashboards)

37

Program evaluation and reporting (KPIs, patient experience, operational metrics)

38

Data privacy and security in integrated/virtual care (minimum necessary, access controls)