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ICIC23 Reflection from Dr. Cara English, DBH

By June 14, 2023February 12th, 2025No Comments7 min read

Dr. Cara English and DBH Candidate, William Chum at ICIC23

When I return to my “normal” schedule after attending an International Conference on Integrated Care (ICIC), I find it difficult to share the experience in words.  My mind conjures images of the incredible people, places, and stories that come together for three days during these events, giving every attendee a memory book of knowledge and experiences that truly change the professional you were into someone new. There is so much energy, enthusiasm, passion, and support thrumming through these events; it’s enough to fuel any provider for weeks following the events. At the same time, you know it will be a year or more before you see international colleagues again, and you experience a bit of grief at the loss of them in your daily life. ICIC events breathe life back into the work, even for those who are quite passionate enough on their own. We easily get bogged down in the day-to-day tasks with our heads down. Being at an ICIC event is akin to flying high above, seeing the fuller picture – fuller than you’ve ever seen it before, so that your understanding is more complete and your determination to keep going is renewed. 

ICIC23 was held in Antwerp, Flanders, the northern part of Belgium bordering the Netherlands and Germany; a primarily Dutch-speaking region roughly the size of Connecticut in the US.  One of the many benefits of attending ICIC events is visiting places you’ve never been and learning about the local healthcare challenges that providers are working to solve. Having served on the ICIC Scientific Committee for a few years now, I have had the opportunity to preview some of the topics that will be discussed in presentations. Seeing these presentations in person, hearing the contextual anecdotes that accompany abstracts, and having the opportunity to discuss work further with speakers is a wonderful learning experience. 

Typically, there are a large number of presentations coming from the region where the event is held, and that was true for Belgium and for Flanders, in particular. I learned about how health care is structured and funded in this region, as well as some of the unique challenges that are being addressed in design and delivery. As you can imagine, despite massive differences in payment structure in countries with national healthcare services, many of the problems that patients and caregivers face are not unique to Flanders. Listening to the stories of patients and caregivers from Flanders and other parts of the world, I heard once again how we continue to miss the mark in making care “patient-centered,” despite our best attempts to include patients and their families in the design and delivery of care pathways. 

One attendee shared her frustration as a patient in a session I attended. She pointed out that the conference was being held next door to the Antwerp Zoo, and that attending the sessions felt a little like being “put in the zoo” as a patient. Leaders, clinicians, managers – all attending to put the patient back at the center of care, and yet, it still felt to this attendee that we were still isolating ourselves from the true patient lived experience. That metaphor sticks with me because in reflecting on integration efforts as a human – not a clinician, leader, manager, etc. – it’s clear to me where we’re falling short. But how do we bridge the gaps with our unwieldy systems of care? 

Another attendee in that same session remarked that as a researcher, it occurred to her that we were trying to solve the problems inherent in our systems using the same thinking that created the problems to begin with; that it felt as though we were trying to play a strategic and logical game of chess when what we really needed to realize is that we are playing the wrong game, entirely. 

As a psychology-minded provider, metaphors hit differently with me. These two shared metaphors really got me thinking, and I haven’t stopped since having that discussion that day. This is what I love about ICIC events. True inter-professional discussions, diverse perspectives that you do not normally get to have in day-to-day work, and a reminder why all of this is so important and must be built into the new systems we’re all working towards.   

Dr. Cara English and DBH Candidate, William Chum at ICIC23

Truly, I could share takeaways from ICIC23 for days – months, even. To save your eyes, I’ll wrap this reflection up with something I feel is truly remarkable about these events: the IFIC team. Despite the mad chaos that goes with getting 1300+ people to hundreds of sessions – both live and virtual – in three days’ time, I have never felt more welcomed and special at a conference than I do when I’m at an IFIC event. The friendliness and inclusion that this team of incredibly knowledgeable and hard-working individuals shares with each person who approaches speaks volumes about the heart behind the mission. They make IFIC feel like home, and they make you feel that you belong, even if it is your first time. It was wonderful to have a CGI student attending this year, and we talked about this after being invited to sit with the IFIC team at networking events and dinners. Having traveled so far to attend this event, being welcomed in this way was certainly the cherry on top of an incredible professional and personal opportunity.  

Everyone – especially those in the CGI community – should look into attending an IFIC event.  The upcoming Asia Pacific Conference on Integrated Care will in Sydney, Australia will be held November 13-15, 2023. Abstracts for posters and presentations are open until June 23, 2023. 

DBH Candidate, William Chum with his Poster at ICIC23

CGI Students:

SUBMIT YOUR ABSTRACTS. Posters are displayed digitally, and there is truly no excuse not to submit if you’ve taken the Psychopharmacology course as you had to prepare a poster in that class as an assignment! There is no cost to submit, and we offer assistance through the Writing Center or by simply asking for feedback and assistance from your instructors. All abstracts from accepted posters are published at no cost to the author in the International Journal of Integrated Care.  Want an example? Here’s the first abstract I submitted. Contact me for more information and abstract support. 

Watch Dr. English and William reflect on their time at ICIC23.

Testimonials

As a member of the AAPI community, I’m very familiar with the barriers to mental health services and the need to break through the glass wall of cultural stigma that prevents many from receiving potentially life–saving treatment. I was the only Asian American person in my master’s cohort, the only Asian American person in many of my clinical work settings, the only Asian American person to walk into many of the professional settings that I pushed myself to show up to. In my current practice, I’m constantly reminded by my patients of how difficult it is to find an Asian American mental health provider, though this reminder constantly informs me that more needs to be done for my community. Day after day, I read stories of Asian American people who die by suicide as a consequence of our culture’s avoidance of mental health topics. As a DBH, my biggest goal is to use my expertise in whole–person care to amplify the conversation around mental health and help my community understand that mental healthcare is not a privilege that we are not entitled to, it is a crucial part of our healthcare that will manifest differently in us than what many Western psychology or psychiatry textbooks will describe, and that our unique experience of mental health issues are valid, important, and is time to be part of the larger conversation.

Willam Chum, LMHCDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - September 16, 2022

The Doctor in Behavioral Health (DBH) program has changed my understanding of the subject and career path. Before this academic journey, my knowledge of behavioral health was primarily theoretical, including essential ideas and methods. However, the DBH curriculum combined intense academic research with practical application, helping me understand behavioral health from multiple angles. Recognizing mental health as part of total health changed my perspective. The biopsychosocial model, which showed how biological, psychological, and social variables affect mental health, was stressed in the DBH curriculum. This comprehensive approach made me realize how complex human behavior is and how important it is to address mental health issues. Effective interventions must target the individual’s surroundings, relationships, and life experiences, not just symptoms. The curriculum also gave me enhanced evidence-based practice training to execute successful solutions. Studies methods and data analysis classes improved my critical thinking and allowed me to evaluate and apply behavioral health studies. This gave me the confidence to contribute to the field’s knowledge base through practice and research.

Dr. Rhea Hill, DBH, LPCDBH Alumna, Cummings Graduate Institute for Behavioral Health Studies - February 17, 2025

This program will change how you present to the world, not just as a professional but as an individual. Understand this is work but the work is worth it and the journey is undeniably transformative. If you are seeking a doctorate for the title, this is not the program for you. If you are seeking a doctorate to interrupt and disrupt the course of healthcare, then this is the program for you. You won’t find a more supportive program with professors who are dedicated to your success and your education. This program is not about the regurgitation of information. It is about the appropriate applied application of knowledge and information to push forward and become an advocate for equitable and quality care for all.

Brandy K. Biglow LMHC, CCTP, QSDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - February 5, 2024

The Doctor of Behavioral Health (DBH) program has definitely transformed my understanding of behavioral health. Understanding the links between physical and mental health has taught how to make better treatment decisions. The DBH program has also given me insights that otherwise would not be possible and allows me to view individuals through a lens that I was previously ignorant of. This program has helped me grow into a more confident individual, provider, and parent.

Cory H. Cannady, BCBA, LBADBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - March 13, 2024

The DBH program has reinforced my vision of viewing behavioral health (BH) as an integrated component of the healthcare system rather than a siloed service. As a practitioner in the focused BH realm of substance use disorder (SUD) treatment, I observe on a regular basis how identifying and serving SUD patients is often missed, ignored and stigmatized in primary healthcare, despite the fact that early intervention at these check-points often has the potential to intervene earlier and lessen the negative SUD outcomes frequently seen by the time a patient reaches specialty SUD services. Reinforcement received in my DBH program has motivated me to promote integration as a leader in my workplace and is a primary factor in considering the long-term trajectory of my individual career path.

Kenneth L. Roberts, MPS, LPCC, LADCDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - November 5, 2024

Graduating from the DBH program has influenced and enhanced my approach to addressing behavioral health challenges and making a difference in the field by preparing me to become a serious business owner. Through the DBH program, I understand now that becoming a business owner not only assists me in reaping the financial benefits of working for myself, but the program also offers me a sense of freedom to make a difference in an individual’s life.

Dr. Rebecca K. Wright, DBH, LBA, BCBA, QBADBH Alumna, Cummings Graduate Institute for Behavioral Health Studies - December 18, 2024

I have always wanted to pursue a higher degree but never found a program that met my needs. When I investigated the DBH program, I can honestly say I was excited. It was a program that would expand my knowledge in behavioral health but also how it relates to physical health. The philosophy of treating the whole person was exactly what I was looking for.

Elizabeth Nekoloff, M.Ed., LPCC-S, NCCDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - January 16, 2025

Prior to obtaining my DBH, I practiced behavioral health within the boundaries of behavior analysis. The DBH degree has given me the ability to broaden my scope of competence allowing me to provide a higher quality of care to my clients through a person-centered approach, while still staying within my scope of practice. I was in the beginning stages of opening my business when I enrolled in the DBH program which set my trajectory towards being a stronger leader. The program equipped me with essential healthcare leadership and entrepreneurial skills, allowing me to ensure high-quality services for my clients and foster a supportive work environment for our staff. It has also given me the confidence to expand my business and pursue other healthcare ventures, reaching a broader range of patients in need.

Dr. Pauline Tolentino Pablo, DBH, BCBA, IBADBH Alumna, Cummings Graduate Institute for Behavioral Health Studies - January 21, 2025

Although I have worked with many patients who have mental health diagnoses, or behaviors which make managing their medical diagnoses and day to day life difficult, the DBH program at CGI is broadening that knowledge and providing a deeper understanding of behavioral health and how best to help these individuals manage their health and improve their quality of life. This will allow me to provide and advocate for more meaningful and seamless integrated care, providing new tools for my intervention toolbox, and the confidence and skills to collaborate within and lead whole person focused interdisciplinary teams. I also anticipate building upon my knowledge as a nurse case manager and long time caregiver, as well as my personal passions and professional vision, learning about processes and operations, to be in position to start up and lead my own company one day, offering the services and care I know every person should have access to.

Hollie Wilson, MSN, RN, CCMDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - February 11, 2025

The DBH program will open opportunities for me to contribute to healthcare system innovation, particularly through trauma-informed care and integrated behavioral health settings. I will be better positioned to advocate for and implement holistic care models that improve health outcomes for underserved populations. Ultimately, this program will help me transition into higher-level roles, such as a director or consultant in behavioral health, where I can influence broader system changes and contribute to the future of healthcare delivery.

DeKyn Rashad Peters, MPH-CHES,BSW/BA,APCDBH Candidate, Cummings Graduate Institute for Behavioral Health Studies - March 4, 2025

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