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.
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Relazione al Convegno MediMORE. Prospettive di sostenibilità nello sviluppo della medicina di precisione e conciliazione con gli obiettivi di salute pubblica
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Relazione al Convegno MediMORE. Prospettive di sostenibilità nello sviluppo della medicina di precisione e conciliazione con gli obiettivi di salute pubblica
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
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
Presentation by Andrew Forsyth, originally given at the HHS Region III Regional Resource Forum in Wilmington, Delaware in August 2015. Presented to the Philadelphia Ryan White Part A Planning Council in September.
Dr. Eric Lugada. M.B.Ch.B, PhD Medical Epidemiologist. Transformational leader in the global/public health. Program Director - Department of Defence HIV/AIDS Prevention Program (DHAPP) Uganda. University Research Co., LLC (URC) and Center for Human Services (CHS), Kampala, Uganda.
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
Addressing hearing loss through a health care systems approachAlbert Domingo
Presentation by Dr Albert Francis Domingo, Consultant of the Division of NCDs and Health through the Life-Course, WHO Regional Office for the Western Pacific delivered at the Multi-country Workshop on Ear and Hearing Care in the Western Pacific Region (6-7 Dec 2016, Beijing, China).
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
Presentation by Andrew Forsyth, originally given at the HHS Region III Regional Resource Forum in Wilmington, Delaware in August 2015. Presented to the Philadelphia Ryan White Part A Planning Council in September.
Dr. Eric Lugada. M.B.Ch.B, PhD Medical Epidemiologist. Transformational leader in the global/public health. Program Director - Department of Defence HIV/AIDS Prevention Program (DHAPP) Uganda. University Research Co., LLC (URC) and Center for Human Services (CHS), Kampala, Uganda.
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
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013scherala
Title: Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI): Impact on Clinical Quality at Midpoint
Authors: Judith Steinberg, Sai Cherala, Christine Johnson, Ann Lawthers.
Research Objective:
To assess the impact on clinical quality of practices’ participation in a Patient-Centered Medical Home (PCMH) demonstration. The MA PCMHI is a statewide, three-year, multi-payer demonstration of PCMH implementation in 45 primary care practices. Practices receive technical assistance including learning collaborative, coaching provided by external facilitators, and feedback of aggregated data, to support their implementation of PCMH processes. This study aims to assess the overall impact of this approach to transformation on a practice’s delivery of selected clinical services, including preventive care, care coordination and care management, and its processes and outcomes of care related to the initiative’s targeted conditions of diabetes and asthma at the midpoint of the initiative.
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
Presentation is about the uniqueness of Implementation Research and Role of the Government, specially in Indian context of health programme implementation.
Dr. Kathleen Brady's presentation on PrEP (pre-exposure prophylaxis) for HIV, as given to the Philadelphia HIV Prevention Planning Group (HPG) on March 25, 2015.
Dr. Kathleen Brady (AACO)'s annual epidemiological update. This presentation was given to the Philadelphia EMA Ryan White Planning Council on Thursday, February 20, 2014.
Evelyn Torres and Sebastian Branca's update on AACO's Client Services Unit (CSU), Housing Services Program (HSP), and Quality Improvement (QI) programs
Dr. Sarah Wood and Kimberley Desir's presentation to the RWPC's Positive Committee on Children's Hospital of Philadelphia's PrEP program, Project PrEPare, from April 2013.
Consultant Matthew McClain presented these guidelines and suggestions for updates to the Prevention Planning Group (PPG), based on earlier suggestions from the body.
AACO's Annual Client Services Unit, Housing, and Quality Management PresentationOffice of HIV Planning
Evelyn Torres and Sebastian Branca presented on Philadelphia's AIDS Activities Coordinating Office's Client Services Unit, Housing Services Program, and Quality Management program at the February 6, 2013 meeting of the Needs Assessment Committee of the Philadelphia EMA Ryan White Planning Council.
Nicole Johns of the Office of HIV Planning presented this updated version of the very popular "Where We Live Matters" to the Positive Committee on January 14, 2013.
Dr. Kathleen Brady of Philadelphia's AIDS Activities Coordinating Office (AACO) gave this presentation at the January 9, 2013 Comprehensive Planning Committee meeting.
Reaching the goals of the National HIV/AIDS Strategy. This presentation was originally conducted at the Office of HIV Planning's Community Empowerment Workshop held at St. Luke's Church on October 16, 2012.
Planning in a time of uncertainty and change
This presentation was originally conducted at the Office of HIV Planning's Community Empowerment Workshop held at St. Luke's Church on October 16, 2012.
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
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
Background InformationPDHP was awarded a three-year grant from SAMHSA for the purpose of a Minority AIDS Initiative Targeted Capacity Expansion (MAI –TCE): Integrated Behavioral Health/Primary Care Network Cooperative Agreements. This grant program:Is part of the Congressional Minority AIDS Initiative. Supports the goals of the National HIV/AIDS Strategy, the HHS 12 Cities Project, (Nancy will have the list of cities) and the CDC’s efforts through the ECHPP and is also part of SAMHSA’s Health Reform Strategic Initiative. The purpose of the MAI-TCE program is: Facilitate development and expansion of culturally competent and effective integrated behavioral health and primary care networks within racial and ethnic minority communities. The expected outcomes for the program are:Reduce the impact of behavioral health problems, HIV risk and incidence, and HIV-related health disparities. In response to SAMHSA’s RFA, the Integrated Behavioral Health Initiative was born.
SUSAN SPENCER
Promote integration of behavioral health services within primary care teamDelivers high-volume, problem-focused care delivered in brief sessionsTreats any behaviorally-based problemHas on-demand availability, fluid scheduleProvides immediate feedback to PCP on patient behavioral health difficultiesLooks to achieve key changes supporting HIV patients in large numbersGoal is to improve PCP management of behavioral issues\Receive patient referrals from medical providers and other clinic staffRefer out for substance abuse t and mental health treatment and supportive services
Promote integration of behavioral health services within primary care teamDelivers high-volume, problem-focused care delivered in brief sessionsTreats any behaviorally-based problemHas on-demand availability, fluid scheduleProvides immediate feedback to PCP on patient behavioral health difficultiesLooks to achieve key changes supporting HIV patients in large numbersGoal is to improve PCP management of behavioral issuesReceive patient referrals from medical providers and other clinic staffRefer 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. IIf asked about year 1 numbers:574 Total clients456 initial visits/screenings118 2nd visits or more564 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.