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Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)

CPT4 code

Name of the Procedure:

Health and Behavior Intervention, each 15 minutes, face-to-face; family (without the patient present).

Summary

Health and Behavior Intervention (HBI) is a structured therapeutic session where healthcare providers work directly with family members to address health and behavior issues of the patient. The patient is not present during the session, allowing family members to discuss concerns, learn strategies, and receive support on how to assist in the patient’s care.

Purpose

The procedure aims to address behavioral health issues that impact medical compliance, improve the family’s ability to support the patient, and enhance overall health outcomes. The goal is to equip family members with the necessary skills and knowledge to better manage the patient’s condition.

Indications

  • Chronic medical conditions (e.g., diabetes, asthma) where behavior impacts health outcomes
  • Mental health disorders (e.g., anxiety, depression) affecting treatment adherence
  • Behavioral problems impacting family dynamics and patient health
  • Situations where family involvement is crucial for patient management

Preparation

  • Families may be asked to bring relevant medical records or previous assessments of the patient.
  • No specific medical preparation is usually necessary, but family members may need to prepare questions or topics for discussion.

Procedure Description

  1. A healthcare provider such as a psychologist or behavioral therapist meets with the family in a confidential setting.
  2. The session begins with a discussion about the patient’s condition and the family’s concerns.
  3. The provider educates the family on the patient’s illness, behavior management techniques, and coping strategies.
  4. Interactive discussions and role-plays may be used to improve understanding and skills.
  5. The provider offers tailored advice and support, helping the family set realistic goals and expectations.

Duration

Each session typically lasts 15 minutes, but multiple sessions might be scheduled to cover various aspects comprehensively.

Setting

Usually conducted in a healthcare setting like an outpatient clinic, family practice office, or counseling center.

Personnel

  • Licensed Psychologist
  • Behavioral Therapist
  • Social Worker

Risks and Complications

  • Emotional distress as challenging topics may be discussed
  • Potential for family conflicts to arise during sessions

Benefits

  • Improved understanding of the patient’s condition
  • Enhanced ability to manage and support the patient’s needs
  • Better family dynamics and reduced stress
  • Greater adherence to medical treatment plans and improved health outcomes

Recovery

  • No physical recovery needed
  • Families might experience immediate improvement in their ability to support the patient
  • Follow-up sessions may be scheduled to ensure ongoing support and address new challenges

Alternatives

  • Individual therapy sessions for family members
  • Support groups for families dealing with similar conditions
  • Educational workshops and seminars on specific health conditions
  • Home-based behavior interventions with a focus on direct patient support

Patient Experience

  • Since the patient is not present, family members receive focused support and education.
  • Families might feel more comfortable discussing sensitive issues without the patient being there.
  • Emotional support and guidance help empower families, reducing feelings of helplessness or frustration.

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