This is the third video in a four-part series. Click here to watch the next video and learn about home-based primary care for patients with involved disabilities.

• Describe some of the core functions and features an interdisciplinary team needs to possess when serving people with involved disabilities.

Description: The third video of this four-part series focuses on Anna, a woman who has become increasingly debilitated and isolated. The failure of the traditional medical system to respond to Anna’s needs is contrasted with a team-based approach in which home-based primary care is combined with an array of critical services that address her medical, social, behavioral, and physical functioning needs. Patients and providers then provide insights into how to manage an interdisciplinary team, facilitate communication, and support clinicians in adopting the independent living paradigm.

Discussion Questions:

1. Reflecting on your own practice and experiences in health care, where do you see opportunities to better integrate care for physical health, behavioral health, and physical functioning needs?
2. What are some strategies that might improve the functioning of an interdisciplinary team?

For more resources to support care redesign efforts for people with involved disabilities and other complex health and social needs, visit the Better Care Playbook and the Center for Consumer Engagement in Health Innovation.