Emerson Evans (AACO) presented on a SAMHSA-funded behavioral health navigator program on 12-12-13. This program in Philadelphia was discussed with the Philadelphia EMA Ryan White Part A Planning Council.
The document discusses integrating chronic disease prevention programs in Colorado to improve health outcomes. It describes bringing categorical programs together under the Prevention Services Division to more strategically align resources. This allows focusing on key priorities like tobacco, physical activity, nutrition, and screening programs. Integration provides flexibility, elevates important issues, and increases effectiveness and efficiency. It is an ongoing process that involves developing a state chronic disease plan and coalition to address complex chronic disease problems through collaborative efforts.
The document discusses the Wellness Improvement Network's Health Improvement Programme, which aims to address challenges related to chronic illness in workforces. It notes that chronic diseases reduce productivity and sustainability through increased absenteeism. The programme focuses on lifestyle changes and treatment compliance, which account for 50-75% of health costs. It utilizes a data-driven approach and benchmarks from the Wellness Council of America to craft interventions, ensure management support, and evaluate outcomes. The programme's technology platform provides comprehensive live reporting to drive compliance, monitor lifestyle changes, and reveal opportunities for high returns on healthcare investments.
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
This document outlines the vision and goals of Forward Thinking Birmingham, a partnership providing community mental health services for children, young people, and young adults. Their vision is to create more choice and control over services, improving life chances. Their 2020 ambitions are to provide compassionate, dignified, tailored care from skilled staff delivered safely and equitably. The partnership involves multiple organizations working together to provide a full continuum of mental health services from universal promotion to inpatient care through an integrated system centered around a single access point.
This document summarizes a rapid assessment conducted in Ugandan communities to understand the perceived economic benefits of community-based health insurance (CBHI). Interviews with 30 heads of households found that CBHI improved economic well-being by enabling work and education despite illness. Members reported CBHI reduced financial stress from medical costs and improved access to healthcare. The health plan used these findings to update policies, increase rates, implement a recognition program, and integrate insights into marketing strategies to better serve communities.
1. Eating disorders, especially anorexia nervosa, affect many young people in the UK, costing billions annually. Specialist community eating disorder services for children and youth (CEDS-CYP) are most effective but availability varies greatly.
2. A pilot program in Wigan demonstrated the benefits of CEDS-CYP, with high family satisfaction and improved outcomes. Additional funding of £30 million over 5 years will support transforming eating disorder services in England for those under 18 through developing more CEDS-CYP teams.
3. Greater Manchester aims to improve eating disorder care through a networked approach across clusters, developing workforce training, sharing best practices, and potentially consolidating tier 4 inpatient and
The document discusses integrating chronic disease prevention programs in Colorado to improve health outcomes. It describes bringing categorical programs together under the Prevention Services Division to more strategically align resources. This allows focusing on key priorities like tobacco, physical activity, nutrition, and screening programs. Integration provides flexibility, elevates important issues, and increases effectiveness and efficiency. It is an ongoing process that involves developing a state chronic disease plan and coalition to address complex chronic disease problems through collaborative efforts.
The document discusses the Wellness Improvement Network's Health Improvement Programme, which aims to address challenges related to chronic illness in workforces. It notes that chronic diseases reduce productivity and sustainability through increased absenteeism. The programme focuses on lifestyle changes and treatment compliance, which account for 50-75% of health costs. It utilizes a data-driven approach and benchmarks from the Wellness Council of America to craft interventions, ensure management support, and evaluate outcomes. The programme's technology platform provides comprehensive live reporting to drive compliance, monitor lifestyle changes, and reveal opportunities for high returns on healthcare investments.
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
This document outlines the vision and goals of Forward Thinking Birmingham, a partnership providing community mental health services for children, young people, and young adults. Their vision is to create more choice and control over services, improving life chances. Their 2020 ambitions are to provide compassionate, dignified, tailored care from skilled staff delivered safely and equitably. The partnership involves multiple organizations working together to provide a full continuum of mental health services from universal promotion to inpatient care through an integrated system centered around a single access point.
This document summarizes a rapid assessment conducted in Ugandan communities to understand the perceived economic benefits of community-based health insurance (CBHI). Interviews with 30 heads of households found that CBHI improved economic well-being by enabling work and education despite illness. Members reported CBHI reduced financial stress from medical costs and improved access to healthcare. The health plan used these findings to update policies, increase rates, implement a recognition program, and integrate insights into marketing strategies to better serve communities.
1. Eating disorders, especially anorexia nervosa, affect many young people in the UK, costing billions annually. Specialist community eating disorder services for children and youth (CEDS-CYP) are most effective but availability varies greatly.
2. A pilot program in Wigan demonstrated the benefits of CEDS-CYP, with high family satisfaction and improved outcomes. Additional funding of £30 million over 5 years will support transforming eating disorder services in England for those under 18 through developing more CEDS-CYP teams.
3. Greater Manchester aims to improve eating disorder care through a networked approach across clusters, developing workforce training, sharing best practices, and potentially consolidating tier 4 inpatient and
This document summarizes the results of a community health needs assessment conducted by Wise Health System. It identifies the top health priorities in the community as obesity, access to primary care, lack of mental health services, uninsured rates, heart disease, physical inactivity, diabetes, poor nutrition, and overuse of emergency rooms. Committees will be formed to address these priorities and develop action plans and metrics to track improvement. The community is invited to get involved by joining a committee and helping to implement strategies to create a healthier community.
This document discusses the benefits of evidence-based parenting programs, such as Triple P, for addressing behavioral issues in children. It notes that Triple P has been shown to reduce problem behaviors by 37.5% and improve parental well-being. The document advocates for implementing Triple P and similar programs on a large scale to help more families and prevent issues from escalating. It argues that parenting support should be integrated across sectors and made widely accessible to improve outcomes for children and families.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15Hatfields, Chadwick Court, London
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
This document discusses the importance of integrating physical and mental health services for young people. It notes that around 80% of those with chronic medical conditions starting in childhood have associated mental health issues. True integration requires an unrelenting focus on outcomes, cross-disciplinary training, coordinated records and systems, and co-located interdisciplinary clinical services. Local examples of integration include integrated neurodevelopmental services and diabetes community nursing working with clinical psychology. The document argues that for children and young people, coordinated and integrated care provides the best offer to enhance their social and emotional competence.
This document summarizes the progress and findings of the Salford CAMHS Schools Link Pilot. The pilot aimed to test improved collaboration between schools and mental health services to better identify and refer children's mental health issues. Key findings include improved communication and information sharing between schools and CAMHS, and schools now playing a more central role in children's ongoing care. The pilot is being expanded to more schools in Salford and lessons learned will be integrated into regular CAMHS processes, with an evaluation planned to assess city-wide rollout.
Assertive Community Treatment (ACT) is an
evidence-based practice that improves
outcomes for people with severe mental
illness who are most at-risk of
■ Homelessness
■ Psychiatric hospitalization
■ Institutional recidivism
Recovery Relationships
ACT services are delivered by a
multidisciplinary team of providers who
conduct assertive outreach in the
community.
Team members develop consistent, caring,
person-centered relationships with clients.
These relationships have a positive impact
on outcomes and quality of life.
People who receive ACT services tend to
utilize fewer intensive, high-cost services
such as emergency department visits,
psychiatric crisis services, and psychiatric
hospitalization. They also experience more
independent living and higher rates of
treatment retention.
Assertive Community Treatment (ACT) began
over 40 years ago and has been studied widely.
Research shows that ACT has consistent, positive
effects upon individuals who have the
most severe symptoms and experience the
greatest impairment. ACT consistently
■ Reduces hospitalization
■ Increases housing stability
■ Improves quality of life
Importance of Fidelity2
Research also shows that fidelity to the ACT
model has a positive effect upon hospitalization
rates. People with mental illness who
receive services from ACT teams that achieve
higher levels of fidelity to the model tend to
experience a greater reduction in hospital days
The document summarizes the challenges of mental health in England, outlines national efforts to promote mental health and prevent mental illness, and describes the support that Public Health England is providing to the system. Key points include: 1) one in four adults and one in ten children experience mental health problems each year, yet three-quarters receive no support; 2) national action includes implementing the Five Year Forward View for Mental Health and a new Suicide Prevention Strategy; and 3) Public Health England is working across the lifespan to promote mental health, with a focus on children, families, and prevention.
The document describes the Pathways Community HUB model for coordinated community health care. It outlines how the model uses care coordinators and standardized checklists to identify at-risk patients, assign them to treatment "pathways", and track outcomes across social services agencies, medical providers, and insurers. The model aims to reduce duplication and improve outcomes by focusing on social determinants of health. It has shown success in reducing low birth weights and infant mortality rates in some communities by holistically addressing clients' medical and social needs through organized care coordination.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
- Three children in every classroom have a diagnosable mental health difficulty, yet most do not receive help until much later in life. Early intervention can improve outcomes.
- Perinatal mental illness is a major risk factor for children's mental health, but only half of mothers are identified and receive treatment despite regular contact with primary care. Integration of perinatal services is important.
- Conduct problems are very common in children but often go unidentified and untreated. Parenting interventions can be effective but often do not reach enough families. Increased screening and support is needed.
- Schools play a key role in children's mental health but often lack guidance on local support services and resources to promote wellbeing. Increased partnerships between
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
This document summarizes a presentation on extending early intervention services to additional mental health conditions beyond psychosis. It discusses how early intervention aims to improve outcomes by promptly starting effective treatments and providing intensive support. The network's priorities are outlined, which include identifying conditions early in adolescence/early adulthood where early intervention may be effective. Obsessive compulsive disorder is provided as an example condition that meets the priorities, as evidence demonstrates it often has onset in young people, can become severe and enduring without treatment, and responses well to early interventions. The case is also made for early intervention in anorexia nervosa based on evidence that outcomes are better when treatment is provided within the first three years.
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Mental Health & HIV Integration - Melissa Sharer and Malia DuffyCORE Group
This document discusses integrating mental health services into HIV care. It provides examples of JSI's work on mental health and HIV integration projects in Vietnam, Uganda, Zimbabwe, and internally. Key points include:
- Mental health is underprioritized in many countries' health budgets.
- Depression is more common among people living with HIV.
- JSI piloted a simplified three-step approach to integration in Zimbabwe involving screening, brief interventions, and referral.
- The pilot showed reduced stigma among healthcare workers and an effective referral system, though challenges remain in addressing substance use and accepting all referrals.
This document summarizes a health self-assessment process for people with learning disabilities in the North West region of England. It identifies four key targets: ensuring annual person-centered reviews, equal access to health services, safety for those using health services, and developing local services. The assessment found some areas had improved in meeting these targets through actions like increased involvement of advocates and carers, access tools for hospitals, and establishing transition teams. However, the region maintained an overall "amber" rating, indicating more work is still needed. Next steps include all areas developing action plans and considering a joint health and social care self-assessment for the future.
The document discusses emerging thinking on the long term design of the UK's national payment system for mental health services. It aims to support improved patient outcomes, efficient use of resources, and appropriate allocation of risk. The payment system should incentivize integrated care, especially for those with long term conditions or multiple needs. Several regulatory levers are proposed to guide behavior change, including improving data quality, introducing different payment approaches for different types of care, and allowing local innovation. Next steps include publishing a long term strategy and supporting documents on specific areas like enabling long term condition coordination and mental health.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15Hatfields, Chadwick Court, London
Evelyn Torres and Sebastian Branca's update on AACO's Client Services Unit (CSU), Housing Services Program (HSP), and Quality Improvement (QI) programs
This document outlines 15 topics related to communication skills, including assignments on communication skills, the importance of positive and negative assertive communication, group discussions on current topics and problems, media and modes of communication, listening skills, humor in communication, conversation through photographs, interviews and mock interviews, objectives of communication, technical communication, the role of personality, and oral conversations. Inputs from newspaper and magazine clippings are also included.
This document summarizes the results of a community health needs assessment conducted by Wise Health System. It identifies the top health priorities in the community as obesity, access to primary care, lack of mental health services, uninsured rates, heart disease, physical inactivity, diabetes, poor nutrition, and overuse of emergency rooms. Committees will be formed to address these priorities and develop action plans and metrics to track improvement. The community is invited to get involved by joining a committee and helping to implement strategies to create a healthier community.
This document discusses the benefits of evidence-based parenting programs, such as Triple P, for addressing behavioral issues in children. It notes that Triple P has been shown to reduce problem behaviors by 37.5% and improve parental well-being. The document advocates for implementing Triple P and similar programs on a large scale to help more families and prevent issues from escalating. It argues that parenting support should be integrated across sectors and made widely accessible to improve outcomes for children and families.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15Hatfields, Chadwick Court, London
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
This document discusses the importance of integrating physical and mental health services for young people. It notes that around 80% of those with chronic medical conditions starting in childhood have associated mental health issues. True integration requires an unrelenting focus on outcomes, cross-disciplinary training, coordinated records and systems, and co-located interdisciplinary clinical services. Local examples of integration include integrated neurodevelopmental services and diabetes community nursing working with clinical psychology. The document argues that for children and young people, coordinated and integrated care provides the best offer to enhance their social and emotional competence.
This document summarizes the progress and findings of the Salford CAMHS Schools Link Pilot. The pilot aimed to test improved collaboration between schools and mental health services to better identify and refer children's mental health issues. Key findings include improved communication and information sharing between schools and CAMHS, and schools now playing a more central role in children's ongoing care. The pilot is being expanded to more schools in Salford and lessons learned will be integrated into regular CAMHS processes, with an evaluation planned to assess city-wide rollout.
Assertive Community Treatment (ACT) is an
evidence-based practice that improves
outcomes for people with severe mental
illness who are most at-risk of
■ Homelessness
■ Psychiatric hospitalization
■ Institutional recidivism
Recovery Relationships
ACT services are delivered by a
multidisciplinary team of providers who
conduct assertive outreach in the
community.
Team members develop consistent, caring,
person-centered relationships with clients.
These relationships have a positive impact
on outcomes and quality of life.
People who receive ACT services tend to
utilize fewer intensive, high-cost services
such as emergency department visits,
psychiatric crisis services, and psychiatric
hospitalization. They also experience more
independent living and higher rates of
treatment retention.
Assertive Community Treatment (ACT) began
over 40 years ago and has been studied widely.
Research shows that ACT has consistent, positive
effects upon individuals who have the
most severe symptoms and experience the
greatest impairment. ACT consistently
■ Reduces hospitalization
■ Increases housing stability
■ Improves quality of life
Importance of Fidelity2
Research also shows that fidelity to the ACT
model has a positive effect upon hospitalization
rates. People with mental illness who
receive services from ACT teams that achieve
higher levels of fidelity to the model tend to
experience a greater reduction in hospital days
The document summarizes the challenges of mental health in England, outlines national efforts to promote mental health and prevent mental illness, and describes the support that Public Health England is providing to the system. Key points include: 1) one in four adults and one in ten children experience mental health problems each year, yet three-quarters receive no support; 2) national action includes implementing the Five Year Forward View for Mental Health and a new Suicide Prevention Strategy; and 3) Public Health England is working across the lifespan to promote mental health, with a focus on children, families, and prevention.
The document describes the Pathways Community HUB model for coordinated community health care. It outlines how the model uses care coordinators and standardized checklists to identify at-risk patients, assign them to treatment "pathways", and track outcomes across social services agencies, medical providers, and insurers. The model aims to reduce duplication and improve outcomes by focusing on social determinants of health. It has shown success in reducing low birth weights and infant mortality rates in some communities by holistically addressing clients' medical and social needs through organized care coordination.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
- Three children in every classroom have a diagnosable mental health difficulty, yet most do not receive help until much later in life. Early intervention can improve outcomes.
- Perinatal mental illness is a major risk factor for children's mental health, but only half of mothers are identified and receive treatment despite regular contact with primary care. Integration of perinatal services is important.
- Conduct problems are very common in children but often go unidentified and untreated. Parenting interventions can be effective but often do not reach enough families. Increased screening and support is needed.
- Schools play a key role in children's mental health but often lack guidance on local support services and resources to promote wellbeing. Increased partnerships between
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
This document summarizes a presentation on extending early intervention services to additional mental health conditions beyond psychosis. It discusses how early intervention aims to improve outcomes by promptly starting effective treatments and providing intensive support. The network's priorities are outlined, which include identifying conditions early in adolescence/early adulthood where early intervention may be effective. Obsessive compulsive disorder is provided as an example condition that meets the priorities, as evidence demonstrates it often has onset in young people, can become severe and enduring without treatment, and responses well to early interventions. The case is also made for early intervention in anorexia nervosa based on evidence that outcomes are better when treatment is provided within the first three years.
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Mental Health & HIV Integration - Melissa Sharer and Malia DuffyCORE Group
This document discusses integrating mental health services into HIV care. It provides examples of JSI's work on mental health and HIV integration projects in Vietnam, Uganda, Zimbabwe, and internally. Key points include:
- Mental health is underprioritized in many countries' health budgets.
- Depression is more common among people living with HIV.
- JSI piloted a simplified three-step approach to integration in Zimbabwe involving screening, brief interventions, and referral.
- The pilot showed reduced stigma among healthcare workers and an effective referral system, though challenges remain in addressing substance use and accepting all referrals.
This document summarizes a health self-assessment process for people with learning disabilities in the North West region of England. It identifies four key targets: ensuring annual person-centered reviews, equal access to health services, safety for those using health services, and developing local services. The assessment found some areas had improved in meeting these targets through actions like increased involvement of advocates and carers, access tools for hospitals, and establishing transition teams. However, the region maintained an overall "amber" rating, indicating more work is still needed. Next steps include all areas developing action plans and considering a joint health and social care self-assessment for the future.
The document discusses emerging thinking on the long term design of the UK's national payment system for mental health services. It aims to support improved patient outcomes, efficient use of resources, and appropriate allocation of risk. The payment system should incentivize integrated care, especially for those with long term conditions or multiple needs. Several regulatory levers are proposed to guide behavior change, including improving data quality, introducing different payment approaches for different types of care, and allowing local innovation. Next steps include publishing a long term strategy and supporting documents on specific areas like enabling long term condition coordination and mental health.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15Hatfields, Chadwick Court, London
Evelyn Torres and Sebastian Branca's update on AACO's Client Services Unit (CSU), Housing Services Program (HSP), and Quality Improvement (QI) programs
This document outlines 15 topics related to communication skills, including assignments on communication skills, the importance of positive and negative assertive communication, group discussions on current topics and problems, media and modes of communication, listening skills, humor in communication, conversation through photographs, interviews and mock interviews, objectives of communication, technical communication, the role of personality, and oral conversations. Inputs from newspaper and magazine clippings are also included.
Este documento lista el nombre de más de 100 ciudades de América del Sur, incluyendo ciudades principales en Argentina, Chile, Perú, Colombia, Ecuador, Bolivia, Paraguay, Brasil y las Islas Malvinas.
1. The document discusses potential scenarios for the growth of industry in low Earth orbit by 2030.
2. Key factors that could enable growth include decreasing launch costs, increasing demand for small satellites and remote sensing data, and commercial companies demonstrating value from the International Space Station National Laboratory.
3. The baseline scenario envisions private space habitats, reusable launch vehicles, cheaper small satellite launchers, and emerging sectors like materials research, satellite servicing, and on-demand payload return.
The Command College is an 18-month graduate program run by the California Commission on POST for mid-career police officers aspiring to become executives. It accepts 50 students per year who go through a rigorous selection process. The program focuses on executive development, foresight/futures thinking, and innovation/creativity using world-class faculty from outside of policing. Over its history, graduates have forecasted issues like the impact of drones and cryptocurrencies and helped advance the policing profession. The Command College has had over 1,400 graduates since 1991, many of whom go on to serve in executive roles and help shape policy at local, state and federal levels.
Este documento presenta una introducción y la primera lección de un curso de inglés para el turismo en hoteles. La lección uno incluye saludos, despedidas, pronombres, el alfabeto, números, tratamientos formales, meses, días de la semana, horas, parentescos, juguetes, mascotas y frases útiles. Cada palabra en español viene acompañada de su traducción al inglés y su pronunciación usando letras del alfabeto español.
t.Report - Subat 2016 Otomobil & Hafif Ticari Arac DegerlendirmesiTasit.com
2016 Şubat ayında otomotiv sektöründeki gelişmeler
Otomobil ve hafif ticari araçların Şubat ayı içindeki değişimlerinin 2015 yılının aynı ayıyla kıyaslanıp pazardaki küçülme ve büyümenin analizi.
2016 Şubat ayının sıfırda ve 2.elde en çok aranan / satılan, otomobil / hafif ticari araç marka ve modellerinde Top 10 listesi.
Araştırma: Bir önceki aracınızı ne kadar kullanmıştınız?
Este documento resume varias enfermedades cutáneas bacterianas. Describe el impétigo vulgar, su prevalencia, diagnóstico y tratamiento. Luego describe la foliculitis, su clasificación y tratamiento. También resume brevemente la queratólisis plantar, definiéndola y describiendo su etiología, cuadro clínico y tratamiento. Finalmente, presenta información sobre micobacteriosis atípicas, tuberculosis cutánea y lepra, incluyendo su definición, epidemiología, etiopatogenia y tratamiento.
The document provides information from a survey of mothers in Russia on diaper brand usage and preferences over multiple waves from April 2015 to January 2016. It summarizes the following key points:
- Most respondents use 2-5 diapers per day and 0-1 diapers per night, with their children being 1-2 years old.
- 42.3% of respondents changed diaper brands in the last 3 months, with premium brands seeing higher inflows and outflows compared to economy brands.
- The most common reasons for changing brands were quality, rising prices, and discounts. Respondents aim to find the best price-to-quality ratio.
- The majority of respondents prefer bigger package
Калькулятор лояльности и эмоциональный сервис как залог эффективных продаж4Service Group
Чем качественнее сервис, тем больше денег готовы тратить клиенты. Чем больше эмоций получает клиент от продукта, услуги или компании, тем быстрее он перестает быть критиком и становится промоутером.
Well Care Health Plans, Inc.
Presentation to Georgia House Children's Mental Health Study Committee
October 20, 2015
Dauda Griffin, MD
Behavioral Health Medical Director
Remedios Roderiguez, Senior Director
Behavioral Health Operations
Advancing an Action Plan for Community Health Centres in Rural Communitiescachc
The document discusses advancing community health centres (CHCs) in rural communities. It outlines goals of discussing the evolution of CHCs, common challenges and opportunities in rural areas, and initiating discussion on a national rural CHC strategy. Presentations are given by representatives from health centres in Nova Scotia, Ontario, and New York on their centre's history, programs, partnerships, and value in addressing local health needs through a collaborative model. They discuss leveraging community assets, coordinating care, and demonstrating cost savings and improved outcomes through integrated services and addressing social determinants of health.
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013scherala
The document summarizes findings from a study evaluating the impact of the Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) on clinical quality measures at the midpoint of the initiative. The study found that three measures showed statistically significant improvement from baseline to 21 months: screening diabetic patients for depression, developing asthma action plans for children with persistent asthma, and developing care plans for highest risk patients. While other measures trended toward improvement or no change, the results indicate that primary care practice transformation takes time but processes of care are more likely to improve before outcomes. The initiative provides an example of using clinical quality measures to evaluate the impact of implementing patient-centered medical home processes and improving patient care.
Behavioral Health Specialist Meeting: Keeping You in the Loopmednetone
The document summarizes key points from a meeting between Medical Network One and behavioral health specialists. It introduced Medical Network One and described its history of collaborating with BCBSM on initiatives like the Physician Group Incentive Program (PGIP), Patient-Centered Medical Home (PCMH), and Organized Systems of Care (OSC). It discussed how collaboration between Medical Network One and behavioral health specialists might work, including developing shared goals and responsibilities. The document also provided an overview of the PCMH, PCMH-Neighborhood, and OSC models, and explained how performance is measured using standards like HEDIS.
Public healthpresentationapril2012heatherkappmedenison
This document discusses public health leadership challenges in healthcare. It provides examples from the director of cancer support services at a hospital of illustrating gaps in services, advocating to fill them, developing support services, and ensuring sustainability. Some key points include advocating for social work positions, measuring return on investment from social work interventions, and leveraging new accreditation standards around psychosocial support and navigation to make the case for these services.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
Primary Care Integration for a Rural Community Behavioral Health Clinic. 2015 Washington Behavioral Healthcare Conference: Fulfilling the Promise of Integrated Care
Vancouver, WA June 19, 2015
Apresentação realizada no I Seminário Internacional de Atenção às Condições Crônicas, pela diretora do Programa da Gestão de Doenças Crônica dos Serviços Sanitários De Alberta/Canadá, Sandra Delon.
Belo Horizonte, 11 de novembro de 2014
SRF Webinar - What It Will Take to Make Coordinated Specialty Care Available ...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
Tackling NCDs: Resources and Opportunities for Integration within Global Heal...CORE Group
This document summarizes a presentation on integrating management of non-communicable diseases (NCDs), specifically hypertension, into existing community health systems. It describes a project in Ghana called ComHIP that uses a public-private partnership model to screen for hypertension in communities via licensed chemical sellers and pharmacies. Patients identified are referred to community clinics for confirmation and enrollment in the program. Enrolled patients receive ongoing management, monitoring, and support through community health nurses, SMS messages, prescription refills, and lab tests to help control their blood pressure. The goal is to strengthen Ghana's primary healthcare system's ability to routinely address NCDs like hypertension.
Presentation is about the uniqueness of Implementation Research and Role of the Government, specially in Indian context of health programme implementation.
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
Integrating Care Groups into Government Structures: Learning from an Operatio...CORE Group
The document summarizes an operations research study conducted in Burundi comparing a traditional Care Group model led by NGOs to an "Integrated" Care Group model led by the Ministry of Health. The study found that:
1) The Integrated model achieved similar improvements in knowledge and health practices as the traditional model.
2) The Integrated model functioned as well as the traditional model in terms of volunteer attendance and household visits.
3) The Integrated model showed potential for sustainability similar to the traditional model during the initial post-project period.
The Integrated model integrated Care Groups into the Ministry of Health structure using community health workers and showed promise for increasing scale and sustainability while building local capacity.
Nurses play a key role in healthcare quality and patient safety. They are on the frontlines of care delivery and help coordinate care across settings. The document discusses several challenges and priorities for the healthcare system, including improving access, quality, and affordability of care. It also outlines different levels and settings of care, from preventive to continuing care. Quality improvement will depend on nurses practicing to the full extent of their abilities and helping redesign the healthcare system.
This guide provides program managers with information and tools to plan, implement, and evaluate HIV testing and linkage programs in non-clinical settings. It emphasizes the importance of such programs in identifying undiagnosed individuals and linking them to care. The guide was developed with input from experts in health departments and community-based organizations. It covers topics such as targeting high-risk groups, implementing testing strategies, ensuring quality assurance, and evaluating programs. Appendices include a glossary, list of resources, and templates to support non-clinical HIV testing and linkage efforts.
This document provides an overview of population health, public health core functions and essential services, levels of prevention, and population-based interventions. It discusses that population health aims to improve health for entire populations. The three levels of prevention are primary, secondary, and tertiary. Population-based interventions target underlying risks and environmental factors affecting entire populations or at-risk groups. These interventions can occur at the systems, community, or individual level. The core functions of public health are assessment, policy development, assurance, and system management. The 10 essential public health services support these core functions.
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This document provides an overview of population health and public health principles and practices. It discusses key concepts like the three levels of prevention (primary, secondary, tertiary), levels of population-based interventions (individual, community, systems), and the core functions and 10 essential services of public health (assessment, policy development, assurance, system management). The goals are to improve population health through evidence-based and multilevel strategies, and to establish standards and processes to continuously improve public health performance and outcomes.
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Behavioral Health Navigator Presentation by Emerson Evans 12-12-13
1. The Philadelphia Integrative
Behavioral Health Initiative
Emerson Evans
SAMHSA MAI-TCE Project Coordinator
City of Philadelphia Department of Public Health
AIDS Activities Coordinating Office
December 12th, 2013
2. Philadelphia Integrative Behavioral Health
Initiative (PIBHI)
• Supported by Minority AIDS Initiative,
who is supported by Substance Abuse
Mental Health Services Administration
(SAMSHA)
• Bolsters goals and objectives of the
National HIV/AIDS Strategy
• Aims to improve HIV-related health
outcomes
• Part of the “12 Cities Project” (ECHPP)
which funds HIV/AIDS services in the most
heavily impacted areas throughout the
country
DHHS/SAMSHA
PDPH/AACO
PIBHI
3. A Population Based Behavioral Health
Intervention
Program Goals
• Integrated provision of behavioral and primary healthcare
• Reduce
- HIV Incidence
- Impact of psychosocial cormbidities
- HIV related health disparities
• Improve
- Quality of life
- Adherence
- Viral load and CD4 measures
- Retention in care
- Risk reduction
4. Behavioral Health Consulting (BHC) Model at
a Glance
• Goal is to promote integration of behavioral health services within primary care team
• Delivers high-volume, problem-focused care delivered in brief sessions
• Treats any behaviorally-based problem
• Has on-demand availability, fluid schedule
• Provides immediate feedback to PCP on patient behavioral health difficulties
• Looks to achieve key changes supporting HIV patients in large numbers
• Goal is to improve PCP management of behavioral issues
• Aims to improve the care milieu in HIV primary care
5. Behavioral Health Consultant Roles
• Consultation to medical provider
• Provide behavioral health integrated into an
HIV clinical setting
• Screen, triage, refer, and provide patient
focused behavioral health intervention
6. The Philadelphia Integrative Behavioral Health Initiative
Organizational Structure
Project Administration – AACO
Partner A
Partner C
Behavioral
Health
Consultants
Certified
Peer
Recovery
Coaches
Partner B
Patient(s)
HIV Specialty Clinics (9) Integrated Provision of HIV
Primary Care and Behavioral
Health Services
External Services
Peer recovery
coaching
Workforce
development,
capacity building
7. Certified Peer Specialist Roles
• Implementation of client centered action plan
aimed towards attainment of goals and
autonomy
• Assist with linkage to resources and
community engagement
8. Mental Health Clinical Presentations
Mental Health Impression % of BHC patient population (Frequency)
Depression 42.1 % (584)
Anxiety 10.5% (146)
Bipolar 3.5% (48)
Psychopathy, Sociopathy <0% (1)
Psychotic Symptoms 1.7% (23)
Other 26.5% (368)
None 15.6% (216)
Total 100% (1387)
Predominant Diagnostic Mental Health
Impression
***This table contains unduplicated BHC patients from clinic start date up until March 31st
, 2013***
9. Substance Abuse Clinical Presentations
Substance Percentage (Frequency)
Marijuana 4.5% (62)
Alcohol 4.4% (61)
Cocaine 4.75% (66)
Heroin <1% (9)
Benzos <1% (2)
Meth <1% (3)
Other Opiates (pain killers) <1 % (3)
Other substances 3.6% (50)
Multiple substances 3.5 % (48)
None 77.4% (1074)
Total 100% (1387)
Diagnostic Substance Abuse Impression
***This table contains unduplicated BHC patients from clinic start date up until March 31st
, 2013***
179 898
35 275
Substance Abuse and Mental Health Comorbidities
-
+
- +Mental Health
Substance Abuse
10. A Population Based Behavioral Health
Intervention
BHC Clinic Penetration
Clinic BHC Start Date # Patients # BHC Patients % Penetration
Clinic A June 2012 1039 432 41.6%
Clinic B May 2012 731 316 43.2%
Clinic C June 2012 731 370 50.6%
Clinic D September 2012 948 333 35.1%
Clinic E August 2012 1080 270 25.0%
Clinic F May 2012 1677 580 34.5%
Total 6206 1798 28.97%
*Data as of 10/31/13
11. Progress Continued…
Screened 2301 (37.1%)
2nd Visits 982 (42.7%)
3+ Visits 581 (59.1%)
Philadelphia Integrative Behavioral Health Initiative Totals
Oct 2012-Oct 2013
12. Lessons Learned
• It is practical and feasible to provide a population based behavioral
intervention
• It is difficult to integrate behavioral health into a medical setting
that itself is poorly integrated
• Medical providers need updated training on psychopharmacology
to increase competency levels in providing services
• Collaboration among local, state, and federal institutions to
eliminate barriers for reimbursement for innovate mental health
interventions
• The use of peers can be helpful in reducing resistance to behavioral
health services and support retention efforts
• The HIV positive population provides an appropriate outlet to
integrate behavioral health and HIV care
13. Next Steps
• Grant period ends September 2014
• Evaluation efforts have began
- CAREWare
- Collaboration with CBH
- CESD Scores
• Effects of the Affordable Care Act and it’s affect on mental health
• Program sustainability
- Funding
- Funding Sources
- Program structure
- Institutional buy in
Editor's Notes
2
SUSAN SPENCER
Promote integration of behavioral health services within primary care team
Delivers high-volume, problem-focused care delivered in brief sessions
Treats any behaviorally-based problem
Has on-demand availability, fluid schedule
Provides immediate feedback to PCP on patient behavioral health difficulties
Looks to achieve key changes supporting HIV patients in large numbers
Goal is to improve PCP management of behavioral issues\
Receive patient referrals from medical providers and other clinic staff
Refer out for substance abuse t and mental health treatment and supportive services
Promote integration of behavioral health services within primary care team
Delivers high-volume, problem-focused care delivered in brief sessions
Treats any behaviorally-based problem
Has on-demand availability, fluid schedule
Provides immediate feedback to PCP on patient behavioral health difficulties
Looks to achieve key changes supporting HIV patients in large numbers
Goal is to improve PCP management of behavioral issues
Receive patient referrals from medical providers and other clinic staff
Refer out for substance abuse t and mental health treatment and supportive services
Screened are the number of patients who have received at least one visit from the BHC. 2nd visits are only 2nd visits. Some patients have been seen as many as 8 times by the BHC. Unduplicated referrals is 769 separate individuals referred to ancillary mental health and substance abuse treatment services. Note that at Drexel, there is an on site Psychiatry unit which has proven to be beneficial for that clinic. To date, there have been a total of 62 clients receiving peer recovery services. I
If asked about year 1 numbers:
574 Total clients
456 initial visits/screenings
118 2nd visits or more
564 total sessions
It has been difficult to integrate our model into some of the infectious disease clinics. Essentially our model is changing a culture in the clinics and this change has operated differently at the clinics and has met some challenges. Communication and consultation between medical providers and BHCs is essential to the model and some of the medical providers have not been consistent or interested in providing referrals. Also at some of the academic medical clinics where providers are researchers, they are not fully invested in the clinics themselves.
The grant period ends at the end of federal fiscal year 2014 (September) with the possibility of an extension. We have began evaluation efforts to determine if our program is effective in providing behavioral health in an HIV clinical setting that can influence improved patient outcomes such as viral load, CD4 count, and linkage to care. We will be using a custom service for BHC in CAREWare to facilitate our efforts in addition to Center for Epidemiology Scale of Depression which is available at two of our clinical sites. Also we are collaborating with CBH so that they grant the authority for behavioral health consulting to be a billable service for Medicaid. It is unforeseen how the implementation of the ACA will influence the sustainability of our project however, it is important to mention. As the ACA will ideally increase access and utilization of health systems, it is possible for funds to be allocated to improve the mental health and substance use infrastructure. We saw this earlier in the week as VP Biden pledged 100 million to mental health in the country. While this is not nearly enough, it is a start.