Crisis Now: Transforming Services is Within Our Reach (March 2016)David Covington
This new report from the National Action Alliance on Suicide Prevention's Crisis Services Task Force surveyed the status of mental health crisis care and the state of the art represented by new crisis care systems and solutions. The Task Force finds gaping holes in crisis care that are contributing to criminalization of people with mental illness, the increasing suicide rate, and rising health care costs. We present consensus recommendations to improve and expand crisis care, and discuss current policy opportunities.
Crisis Services Task Force Work Plan (August 2015) David Covington
In August 2015, the National Action Alliance for Suicide Prevention launched the Crisis Services Task Force. David Covington and Mike Hogan worked together with a group of consensus national experts, government and health plan administrators, provider executive leaders, people with lived experience and family members of those with serious mental illness.
Crisis Now Business Case - Update for NASMHPDDavid Covington
In February 2018, shared this presentation on the NASMHPD monthly update call on the history, context and future development and recommendations for Crisis Now.
Crisis Now: Transforming Services is Within Our Reach (March 2016)David Covington
This new report from the National Action Alliance on Suicide Prevention's Crisis Services Task Force surveyed the status of mental health crisis care and the state of the art represented by new crisis care systems and solutions. The Task Force finds gaping holes in crisis care that are contributing to criminalization of people with mental illness, the increasing suicide rate, and rising health care costs. We present consensus recommendations to improve and expand crisis care, and discuss current policy opportunities.
Crisis Services Task Force Work Plan (August 2015) David Covington
In August 2015, the National Action Alliance for Suicide Prevention launched the Crisis Services Task Force. David Covington and Mike Hogan worked together with a group of consensus national experts, government and health plan administrators, provider executive leaders, people with lived experience and family members of those with serious mental illness.
Crisis Now Business Case - Update for NASMHPDDavid Covington
In February 2018, shared this presentation on the NASMHPD monthly update call on the history, context and future development and recommendations for Crisis Now.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
On Wednesday, May 24, 2017, Reps. Grace F. Napolitano (D-CA-32) and John Katko (R-NY-24) co-hosted a bipartisan briefing in coordination with the National Action Alliance for Suicide Prevention (Action Alliance) on transforming mental health crisis care, as part of a series of events for National Mental Health Awareness Month.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Clinician’s Research Digest, An APA Journal – Supplemental Bulletin 39, “Improving Access to Behavioral Healthcare Services: The Georgia Crisis & Access Line,” part of a series on research-informed day-to-day clinical practice.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
An overview of the Initial Design and Prize Guidelines for a proposed $10M+ Healthcare X PRIZE, released for public comment on April 14, 2009. Please help us design the best competition possible in creating an Optimal Health paradigm that engages and empowers individuals and communities in a way that will dramatically improve health value.
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
The Arizona Crisis Now Model: AHCCCS OutcomesDavid Covington
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
In 2016, the National Action Alliance for Suicide Prevention published “Crisis Now: Transforming Care is Within Our Reach.” Alignment with these practices cuts cost of care substantially, reduces the need for psychiatric hospital bed usage, ED visits and law enforcement overuse; resulting in better health and declines in suicide rate, justice system involvement/ incarcerations and psychiatric boarding. These challenges are simply greater than previously acknowledged, but the Washington State supreme court ruling on the unconstitutionality of boarding, the suicide death of Virginia State Senator Creigh Deeds’ son, the insistence of hospitals nationwide about the costs and safety and the series of violent incidents from Columbine forward are changing the expectations. These innovative approaches pioneered under the leadership of Arizona Medicaid are now being replicated throughout the US.
On Wednesday, May 24, 2017, Reps. Grace F. Napolitano (D-CA-32) and John Katko (R-NY-24) co-hosted a bipartisan briefing in coordination with the National Action Alliance for Suicide Prevention (Action Alliance) on transforming mental health crisis care, as part of a series of events for National Mental Health Awareness Month.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Clinician’s Research Digest, An APA Journal – Supplemental Bulletin 39, “Improving Access to Behavioral Healthcare Services: The Georgia Crisis & Access Line,” part of a series on research-informed day-to-day clinical practice.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
An overview of the Initial Design and Prize Guidelines for a proposed $10M+ Healthcare X PRIZE, released for public comment on April 14, 2009. Please help us design the best competition possible in creating an Optimal Health paradigm that engages and empowers individuals and communities in a way that will dramatically improve health value.
William Allan Kritsonis, Editor-in-Chief, NATIONAL FORUM JOURNALS (Founded 1982). Dr. LaVelle Henricks, Texas A&M University-Commerce and colleagues published in national refereed journal.
Dr. William Allan Kritsonis, Distinguished Alumnus, Central Washington University, College of Education and Professional Studies, Ellensburg, Washington; Invited Guest Lecturer, Oxford Round Table, University of Oxford, United Kingdom; Hall of Honor, Prairie View A&M University/Member of the Texas A&M University System.
ACT implementation may include a variety of
community stakeholders as well as both local and state
health authorities. If an organization is providing
effective ACT services, many systems which interface
with ACT clients (e.g., behavioral healthcare, primary
healthcare, criminal justice) have an investment in the
outcomes generated by ACT, because clients will not
be showing up in those systems as frequently. Courts,
hospitals, managed-care companies, and the local
mental health authority all interact with the
individuals you are serving. Therefore, it is important
to engage these key stakeholders in the
implementation process.
Brandis M
YOU MATTER.
FAMILY MATTERS.
SECCION 1
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Pen, & Poem sheet, paper
START: EXPLAINING WHAT MENTAL HEALTH IS AND WHAT THE GOAL OF THE GROUP. 2 sentences of guidelines.
GOALS:
Introduce the concept of healthy relationships
· INTRODUCTION OF MYSELF
· INTRO OF MEMBERS
· INTRO ACTIVITY: READ POEM “THIS WAS ONCE A LOVE POEM” BY JANE HIRSHFIELD
This was once a love poem,
before its haunches thickened, its breath grew short,
before it found itself sitting,
perplexed and a little embarrassed,
on the fender of a parked car,
while many people passed by without turning their heads.
It remembers itself dressing as if for a great engagement.
It remembers choosing these shoes,
this scarf or tie.
Steps:
1. Hand everyone the poem. Have them read it. After, hand them a piece of paper, and ask them to write one word of the poem or in general that describes how they’re feeling.
2. Explain what the purpose of the poem is. Have everyone show and talk about what they wrote on the piece of paper. Validate their feelings. Re-Explain the purpose of the group.
Questions to consider:
1. What is love?
2. Define healthy, unhealthy, and abusive. Define a healthy/unhealthy relationship
3. What are your expectations in future relationships?
SECCION 2
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Activity paper, pen
START:
· EXPLAIN THE GOALS OF THE SECCION.
· ACTIVITY: START OFF WITH MOOD METER ACTIVITY.
Steps:
1. Define family. What does family mean to you?
2. Members will complete form (shorter version of course) of https://www.thebalancedlifellc.com/images/forms/Couples-Counseling-Initial-Intake-Form.pdf
3. Discuss with the members their answers. Get to know each other deeper.
Questions:
1.
Running head: GOALS AND OUTCOMES IN CONTEXT 1
GOALS AND OUTCOMES IN CONTEXT 4
WEEK3 PART 1
Goals and Outcomes in Context
Student Name
Institutional Affiliation
Course
Date
Goals and Outcomes in Context
The health need identified is the lack of access to healthcare in a systematic and preventive way by Riverbend City citizens. Access to healthcare is a glaring concern in the neighborhood. One qualitative theme from the interview is the problematic access to preventative healthcare. It shows that lack of access to healthcare is a problem since very few people feel like they have access to healthcare, especially preventive healthcare. The problem affects the people who work and those who do not. Some of the top concerns regarding preventive healthcare are the lack of sufficient programs and resources for obesity prevention and chronic disease. The other qualitative theme from the interview is structural barriers that impede individuals' access to long-term medical care. It indicates the need for the city to empower organizations ...
Running Head STRATEGIC ALLIANCE 1STRATEGIC AL.docxtodd521
Running Head: STRATEGIC ALLIANCE 1
STRATEGIC ALLIANCE3
Strategic Alliance in Health Care
Strategic alliance in health care arises about with accountable care in organization as related reforms aims to increase coordination between health care providers. Due to the uneven nature of health care system. Strategic alliance in health care along with successful coordination will pivot in large part on the ability of health care organization to successful partner across organizational boundaries. Furthermore, under Medicare partnership accountable care organization has lower quality enactment. This is arrived at by the use of qualitative interviews released that providers are motivated to partner for resource complementarity, risk lessening and legislative requirements. By way of conjointly bringing together official as well casual responsibility device. Strategic alliance in health care may provide an important window to screen a potential wave of health care consolidation or in contrast new models of independent providers’ successfully coordinating patient care.
There has been development in the number of physicians joining the practices and physician practice joining hospital and health care system. As result coordination of clinical care often requires working transversely in organizational boundaries. This is predominantly true when providing care to intricate or high need patients who often require attention for post- acute care facilities such as skilled nursing facilities, rehabilitation centers and home health agencies strategic alliance in health care aims to encourage coordinating through financial incentive and rewards for meeting quality performance targets and total cost of care benchmarks. With required dynamic trust of association. So as to meet desired cost and quality objective. Strategic alliance in health care is recognized arrangements between two or more independent organization to succeed shared or harmonious goals. This is substantial growth in such relationships in health care sector. Notably, these arrangements between autonomous organizations are non-ownership relation based. The primary motivation for this strategic alliance in health lie in understanding needs for resources and capabilities needs to frontier transaction cost and the need to respond to external requirements from Medicare. The benefit of the strategic alliance in health care contribution risk or gaining resources, personnel benefits including improved staffing and management capabilities and organization benefits including growth, opportunities to learn and gain new proficiencies and mutual support and group collaboration.
Numerous methods have been used hence mixed method analysis which involves survey data, performance data, and semi-structured interviews. Questions examined involved to what range is strategic alliance in health benefit to the health sector organization, second how is strategic alliance performance in different organ.
Running Head BEHAVIORAL HEALTH SERVICES1BEHAVIORAL HEALTH .docxsusanschei
Running Head: BEHAVIORAL HEALTH SERVICES 1
BEHAVIORAL HEALTH SERVICES 9
The Louisiana Medicaid Program Behavioral Health services
Introduction
Louisiana Medicaid has provided health care to its members for quite some time now. Mostly, the behavioral health system has incorporated the consumers, the community and other health care providers in the process of giving efficient services to the members (Ortenberg & Roth, 2013). Their focus has been to improve access to the treatment services that have become vital to people. Additionally, the system ought to expand the services that are being provided by the Louisiana Medicaid health behavior systems. The demand for that service has grown, and it’s the duty of the system to expand the services to meet the request. Finally, it’s also the goal of the health behavior system to provide care that is accessible to all at ease.
Description of Behavioral Health Services
The following are some of the services provided at the Louisiana Medicaid behavior care
Addiction services- This includes the individual-centered outpatient services. The health care provider provides rehabilitation and recovery process to the patients. The health care provider will help in the promotion of skills that are responsible for coping with the current lifestyle. The department will assist in the elimination of substance use symptoms and behaviors that may prevent recovery.
Crisis intervention- The department is responsible for the individuals experiencing a psychiatric crisis. When a disaster occurs, victims may be affected by such occurrences may cause psychological problems. Therefore, the crisis intervention program will do a preliminary assessment then followed by a crisis resolution. After that, the medical professional will then do referral and linkage to the relevant community service for further treatment processes.
Group psychotherapy- in this section, a group of individuals with similar behavior challenges will have to sit together and share their experiences. Apparently, they share personal coping skills and practices. Typically, the session will help the patient to identify which method works for them and open up to help in the recovery process.
Psychosocial rehabilitation- The section mainly helps in the elimination of behaviors or barriers that may prevent the healing of the mental Illness. Such behaviors may be to stay away from friends who smoke if the patient if fighting an addiction of smoking.
Care conference- It involves a group of medical practitioners meeting to discuss the treatment of a crisis.
Care Advocacy
The care advocacy in this field is very active and mainly focusses of the various activities that promote all the Medicaid’s members full stabilization after an illness or the whole recovery process of the member. Apparently, the care advocacy unit is concerned with ensuring that the members fully participate in their care. Mostly, various integrated intervention methods have been created ...
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxAASTHA76
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use Only - see specific sponsoringTitle:Union County of Georgia cancer prevention programagency for the proper forms)Date:12-May-17RFA no.PI:Project Period:2017/2018Budget Period:2017-2018Year 1Field researchResearch assitants( Salaries & benefits)250,000Transport120,000Research tools( questionaires and interviews)50,000420,000Screening actvitiesLocal hospital staff service fees80,000Electricity consumed by equipment20,000Maintenace expenses40,000140,000MarketingNutrionists service fees150,000Local gym service15,000Formation of chamber fo commerce180,000Education workshops ( schools and community centers)50,000395,000
pasterme:
rate as of 7/1/05
subject to change
confirm with the SPH
Business Office
pasterme:
part-time student rate as of 7/1/04 subject to change confirm with the SPH Business Office
pasterme:
rate subject to change Please review all budgets with the SPH
Business Office.
Running head: COMMUNITY COALITION 1
COMMUNITY COALITION 3
Community Coalition
Kimberly Crawford
Kaplan University
January 8, 2018
Community Coalition
1. Choose 5 partnerships to engage and explain why you would invite each of these people//organizations to be a part of the coalition.
The creation of community health promotion and education programs takes into consideration several agencies or parties who help in the achievement of the desired health goals. Each of the partners will address its roles using different approaches depending on their area of expertise. This is an important factor to consider as different institutions address health promotion using different approaches and perspectives. The overall outcome from the contribution of every partner should be able to restore and promote the physical, emotional, spiritual, psychological, and social wellness of the community in relation to the health issue being suffered (Minelli, & Breckon, 2009). Chronic diseases are currently the leading causes of death in the community due to their complexity and the severe effects on human health. The community health promotion and education program will be provided by the ‘Health Concerns Coalition’ which will be made up of the following partners; community religious groups, Cancer Supportive Care Foundation, an association of cancer-survivor patients, nutritional organizations, and the local authority.
1. Cancer Supportive Care Foundation – This is an important part of the coalition as it will offer technical expertise in education and diagnosis of chronic diseases. The foundation team will include medical experts who will diagnose the community members of any chronic illnesses. Examinations for diseases such as breast cancer, prostate cancer, diabetes and blood pressure will be conducted by this partner as they will provide modern machines needed for the diagnosis of chronic illnesses.
2. Community religious groups – Community religious groups ca ...
A pilot evaluation of the Family Caregiver Support Program.docxblondellchancy
A pilot evaluation of the Family Caregiver Support Program
Ya-Mei Chen a,*, Susan C. Hedrick b, Heather M. Young c
a School of Nursing, University of Washington, United States
b Health Services, School of Public Health, University of Washington, Research Career Scientist, VA Medical Center, United States
c University of Washington, Grace Phelps Distinguished Professor and Director of Rural Health Research Development, Oregon Health and Sciences University, United States
Evaluation and Program Planning 33 (2010) 113–119
A R T I C L E I N F O
Article history:
Received 26 November 2008
Received in revised form 30 July 2009
Accepted 8 August 2009
Keywords:
Family Caregiver Support Program
Program evaluation
Caregiver
Support services
A B S T R A C T
The purposes of this study were to evaluate a federal and state-funded Family Caregiver Support
Program (FCSP) and explore what types of caregiver support service are associated with what caregiver
outcomes. Information was obtained on a sample of 164 caregivers’ use of eleven different types of
support service. Descriptive and comparative analyses were used to detect the differences between users
and nonusers of caregiver support services. Six measures included were caregiving appraisal scale,
caregiving burden, caregiving mastery, caregiving satisfaction, hour of care, and service satisfaction.
Using consulting and education services is associated with lessening of subjective burden; using
financial support services is associated with more beneficial caregiver appraisal, such as better caregiver
mastery. The findings are practical and helpful for future caregiver service and program development
and evaluation and policy making for supporting caregivers. In addition, the evaluation method
demonstrated in the study provided a simple and moderately effective method for service agencies
which would like to evaluate their family caregiver support services.
Published by Elsevier Ltd.
Contents lists available at ScienceDirect
Evaluation and Program Planning
j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / e v a l p r o g p l a n
1. Introduction
An estimated 52 million Americans function as informal
caregivers of ill or disabled individuals, and 23 percent (22.4
million) of U.S. households are caring for a relative or friend who is
at least 50 years old (AARP, 2004; Coleman and Pandya, 2002). One
fifth of all family members of seriously ill patients have to quit
work or make another major life change in order to provide care,
and almost one third report the loss of their entire savings (GAO,
1994). Furthermore, financial or other unmet needs may impede
caregivers’ ability to function effectively, both in their own day-to-
day lives and in their role as an ongoing support system for their
patients (Kristjanson, Atwood, & Degner, 1995; Tringali, 1986). As a
result, the need to provide support to caregivers has gradually
gained societal attention, a ...
Clearing the Error: Patient Participation in Reducing Diagnostic ErrorJefferson Center
To generate new, patient-centered insights into diagnostic error, we convened diverse groups in public deliberation to recommend and evaluate actions that patients and/or their advocates would be willing and able to perform to improve diagnostic quality.
Similar to Peer Support Outcomes Quick Guide 2016 (20)
Recommendations for Urgent and Emergency Psychiatric HealthcareDavid Covington
NHS Clinical Commissioners and RI International together published today recommendations for urgent and emergency psychiatric healthcare, which resulted from a convening of international experts in crisis care in London in June 2018.
Presentation with Lifeline Director Dr. John Draper and Arizona Medicaid Director Tom Betlach on the Crisis Now model, business case, Retreat facility model and Arizona Medicaid contracting and financing approach/details.
Zero Suicide in Healthcare: The Story of an International Declaration and Soc...David Covington
Keynote at the 2018 Suicide Prevention Australia conference in Adelaide, South Australia traces the story of Zero Suicide and highlights the champions who have led this breakout innovation. Suicide prevention has labored heroically to stand in the gap (like Leonidas' fateful Spartans) but we need a massive infusion of support, and Zero Suicide activates healthcare as a partner.
Peer supports is the key to transformation of mental health systems and the start of a bonafide social movement, akin to the revolutions we've seen with the disability community.
The Retreat Model: Crisis Facility AlternativesDavid Covington
The Retreat Model targets three services: 24/7 Outpatient Lobby with Immediate Care, 23 Hour Temporary Observation Recliners and Sub-acute Crisis Stabilization with 2 – 4 day average length of stay. But, it's the way in which these Urgent Care Crisis Centers are deployed that makes all the difference.
New Crisisnow.com Website dedicated to transforming mental health crisis syst...David Covington
National Association of State Mental Health Program Directors (NASMHPD) Executive Director, Dr Brian Hepburn,announced today the creation of a new website dedicated to providing the
framework needed to optimize mental health crisis services within communities.
Suicide Prevention Experts Convene in Washington DCDavid Covington
Last year, over 45 thousand people died by suicide in the U.S., one person every 11.7 minutes, while over a million people attempted suicide. With suicide rates in the U.S. steadily climbing, suicide remains the 10th leading cause of death in the US, the American Association of Suicidology (AAS) recognizes that the only way to impact this serious public health issue is to draw from scientific research and initiate implementation of effective strategies. We anticipate over 1,500 attendees to this year’s conference in the heart of political advocacy, Washington, D.C, April 18 - 21,
2018 at the Hyatt Regency Capitol Hill.
American Association of Suicidology Honors US Rep Grace F. NapolitanoDavid Covington
The leadership and members of the American Association of Suicidology (AAS), are proud to announce Grace F. Napolitano as the distinguished recipient of the 2018 AAS Public Policy award. This Award honors Napolitano’s dedication, service, and commitment to suicide prevention throughout her public service career. AAS President, Julie Cerel, PhD, will present the award to the congresswoman during AAS’s 51st Annual Conference at the Hyatt Regency Capitol Hill on Thursday, April 19, 2018 at 9:45 a.m.
RI International Fife Crisis to Recovery MuralDavid Covington
Amazing mural in the RI International Fife crisis center by staff member Lucy who uses art to cope with some of the challenges she faces and has faced in her life.
In 2016, metropolitan area Phoenix law enforcement engaged nearly 22,000 individuals that they transferred directly to crisis facilities and mobile crisis without visiting a hospital ED. This is Crisis Now.
The Way Forward: Federal Action for a System That Works for All People Living...David Covington
Report to Congress December 13, 2017 from the Interdepartmental Serious Mental Illness Coordinating Committee led by SAMHSA Assistant Secretary for Mental Health Dr. Elinore McCance-Katz and including 14 non-federal members.
AAS Dream Speaker Results Post Phoenix 2017 SurveyDavid Covington
Nearly 400 participants in the 50th anniversary American Association of Suicidology conference replied to a survey, in which they shared their ideas for dream speakers at the 2018 conference.
Mercy Maricopa Integrated Care Maricopa County (Metropolitan Phoenix) Diversions from EDs through Law Enforcement Direct Hand-offs to Crisis Facilities and Mobile Crisis Teams
Covington Appointed to HHS Federal Committee ISMICCDavid Covington
RI International CEO and President David W. Covington, LPC, MBA, will participate in the inaugural meeting of the Interdepartmental Serious Mental Illness Coordinating
Committee (ISMICC) on Thursday, August 31, 2017. David was selected as one of 14 targeted appointments to serve alongside leaders from 10 federal agencies (representing a leading research, advocacy, or service organization for adults with a serious mental illness). The Department of Health
& Human Services formally announced the non-federal
members on August 16, 2017.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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Peer Support Outcomes Quick Guide 2016
1. Peer Support: Quick Guide to Supporting Evidence
Updated October 2016
Peer Supports as recognized by federal/national health entities:
Substance Abuse and Mental Health Services Administration:
Peer supports “help people become and stay engaged in the recovery process and reduce the
likelihood of relapse. Because they are designed and delivered by peers who have been successful in
the recovery process, they embody a powerful message of hope, as well as a wealth of experiential
knowledge. The services can effectively extend the reach of treatment beyond the clinical setting
into the everyday environment of those seeking to achieve or sustain recovery.”
Acknowledgement of Consumer-Operated/Provided Services as an evidence-based practice through
its toolkit: Consumer-Operated Services: How to Use the Evidence-Based Practices KITs. HHS Pub. No.
SMA-11-4633, 2011.
Centers for Medicare and Medicaid Services:
Dennis Smith, SMD Guidance #07-011: “Peer support services are an evidence-based mental
health model of care which consists of a qualified peer support provider who assists individuals
with their recovery from mental illness and substance use disorders. CMS recognizes that the
experiences of peer support providers, as consumers of mental health and substance use
services, can be an important component in a State’s delivery of effective treatment. CMS is
reaffirming its commitment to State flexibility, increased innovation, consumer choice, self-
direction, recovery, and consumer protection through approval of these services.”
John O’Brien, Senior Policy Advisor, Disabled and Elderly Health Programs Group, Center for
Medicaid and CHIP Services, September 24, 2011: “Good News: Peer specialists are included in all
health home proposals that include individuals with a significant MH condition.”
Cindy Mann/Pamela Hyde, Informational Bulletin, May 7, 2013: Family and youth peer support
services “significantly enhanced the positive outcomes for children and youth.”
Health Resources and Services Administration:
Specific to Maternal and Child Health, Behavioral Health: “Parent peer support has been important
in providing education, support and advocacy services.”
Veteran’s Administration:
Nationally, the VA recognizes only 5 Peer Training models for its behavioral health services, including
the Recovery Innovations (d/b/a RI International) and Georgia Mental Health Consumer
Network/DBHDD curriculums (ABHW, January 2013).
National Association of State Mental Health Policy Directors:
In its policy brief “Workforce and the Public Mental Health System” calls to “Increase the role of
peer and family supports and recovery supports through systematic adoption of payment strategies
2. (Medicaid and other third party insurance) that provide meaningful employment for certified peer,
family and recovery workers…The use of peer and family members in the workforce not only
increases workforce capacity but also expands the use of a best practice and optimizes lower cost,
community-based services.”
Annapolis Coalition’s (see note bottom) National Action Plan on Behavioral Health Workforce
Development calls to “GOAL 1: Significantly expand the role of individuals in recovery, and their
families when appropriate, to participate in, ultimately direct, or accept responsibility for their own
care; provide care and supports to others; and educate the workforce.” It further states that
“Persons in recovery and their family members are explicitly recognized as pivotal members of the
workforce, as they have critical roles in caring for themselves and each other, whether informally
through self-help and family caregiving or more formally through organized peer- and family-
support services. These individuals are the unsung heroes and heroines of the workforce and
provide a unique perspective that enhances the overall relevance and value of the care provided.”
Association for Behavioral Health and Wellness (ABHW):
This association which encompasses several managed behavioral health companies such as Aetna,
Beacon, Cenpatico, and OptumHealth endorsed effectiveness of peers and peer support services.
(ABHW, January 2013)
Peer Supports: Sampling of National Data
Center for Medicare and Medicaid Services, HCBS Clearinghouse, Thomson Reuters (Campbell, Eiken,
2008) reported several positive and neutral research findings. The positive findings include the
following:
“In a randomized controlled trial, people with access to peer support had fewer hospital
admissions and one-third the number of inpatient hospital days in a 10-month period, when
compared to people who did not have access to peer support.”
“…people received one of three case management options: 1) a case manager and a peer
specialist, 2) a case manager and a non-consumer assistant, or 3) a case manager working
alone… people served by a peer specialist and case manager showed greater improvements in
several quality of life measures than people in the other two groups.”
Optum Health and Yale University found a significant reduction in hospital days after enrollment in peer
supports (Bergeson, Ronfield 2011).
Pecoraro, et.al. (2012) found for individuals who had peer team intervention, insurance claims
demonstrated a 33% ($35,938) decrease in inpatient medical admissions, a 38% ($4,248) decrease in
emergency department visits, a 42% ($1,579) increase in behavioral health/substance abuse (BH/SA)
inpatient admissions, and a 33% ($847) increase in outpatient BH/SA admissions.
Tsai, Rosenheck (2012): An intensive peer-support (GIPS) model of case management that was
implemented in a supported-housing program for homeless veterans with a broad range of psychiatric,
substance use, and general medical problems. Findings show a greater increase in social integration
ratings, a greater number of case manager services, and faster acquisition of Section 8 housing vouchers
3. after program admission compared with outcomes at the same site before GIPS implementation and at
the other sites before and after implementation.
Davidson, 2012:
• “ENGAGE [peer support program] participants have a significantly greater increase in social
functioning from baseline to 9-months than Standard Care (est.= -.43, p =.01) and Skills Training
(est.= -.31, p=.05).”
• “ENGAGE participants had a significantly greater increase in ratings of the importance of
additional alcohol use treatment from baseline to 3-months than Skills Training (est.=-3.05,
p<.001) and Standard Care (est.= -2.89, p<.001)”
• “ENGAGE participants demonstrated a significantly greater reduction in problems with alcohol
use in the past 30 days from baseline to 3 months than Standard Care (est.= 8.84, p<.001) and
Skills Training (est.= 7.89, p<.001)”
• Citizens Project [peer support program] findings: Level of service engagement much higher
when Peer Support is provided
• Addition of peers reduced:
o readmissions by 42% and
o days in hospital by 48%
• Addition of peers:
o Decreased substance use
o Decreased depression
o Increased hopefulness
o Increased self-care
o Increased well-being
Significant Differences between Conditions over Time for Intervening Variables
Condition Drug Use Hope Depressed Poor Self-Care Well-Being
Base- line 9 Mos. Base-line 9 Mos. Base-line 9 Mos. Base-line 9 Mos. Base-line 9 Mos.
Usual Care
.54 (1.23)
.53
(1.17)
39.03
(11.45)
38.63
(7.75)
4.21
(2.06)
3.20
(1.91)
2.04
(1.40)
2.80
(1.36)
43.56
(28.20)
53.65
(19.76)
Peer Support
.85 (1.52)
.05
(.21)
43.467
(12.52)
45.68
(10.59)
4.03
(2.28)
2.64
(1.99)
2.09
(1.69)
1.68
(1.04)
44.70
(29.41)
61.40
(28.41)
Statistical
Significance p = .004 p = .04 p = .002 p = .02 p = .016
Solomon (2010): Outcomes of team-based case management services improve when peer specialists
are included on the teams, and vocational outcomes also are improved through peer-provided services.
Magellan Behavioral Health (2013): Montgomery County, Pennsylvania study on Peer Support Whole
Health found that pre- and post-program results from surveys completed by participants show an
improvement within the 10 health domains of the PSWH&R training. For the 8 week program, baseline
versus post-training measurement showed participants increased their average to excellent responses
by 20% on the Stress Management domain and 13% on the Healthy Eating domain.
4. Kamon and Turner (2013): Peer supported participants had more primary care visits, fewer hospital/ER/
detoxification admissions, and significant increases on domains of recovery capital, (services, housing,
health, family, alcohol & other drugs, mental health, legal, and social).
Ja et al. (2009): Peer-supported participants’ housing stability increased from 21% at baseline to 63% at
12 months; residential treatment decreased from 24% to 7%; and probation/parole status decreased
from 82% to 32%.
Mangrum (2008). Peer Support clients were significantly more likely to be abstinent 30 days before
discharge compared to non-peer supported criminal justice clients and non-criminal justice clients. Also,
peer-supported clients were more likely to complete treatment (60%) than those in non-ATR treatment
and had better outcomes if drug court or probation was involved.
Rowe, et.al. (2007): There were significantly lower levels of alcohol use in the experimental group at 6
and 12 months. The experimental group decreased alcohol use over time while control group increased
alcohol use over time. Drug use decreased significantly in both groups to the same extent.
Min, et.al. (2007): Significantly fewer people in a peer-supported group were re-hospitalized over a 3-
year period than the comparison group.
Dummont and Jones (2002): At baseline all study participants had experienced substantial hospital stays
with a majority having had four or more admissions and a median ‘longest stay’ of over one month. The
median annual income of the group was only $8,400. At 12 months, the experimental group had better
healing outcomes, greater levels of empowerment, shorter hospital stays and less hospital admissions
(which resulted in lower costs than control group).
Clarke, GN, Herincks, HA, et.al. (2000): Participants receiving Peer-based Case Management had fewer
hospitalizations and longer community tenure than those who were receiving “usual” care or “standard
case management.”
Trainor, J., Shepherd, M., Boydell, K,. Leff, A. & Crawford, E. (2002): members receiving peer support
used fewer mental health services, noted an increase in community involvement and contacts, found
consumer/survivor organizations to be more helpful than traditional mental health services, and found
other consumer/survivors as individuals to be more helpful professionals with mental health issues.
Rowe, M, Bellamy, C, et.al. (2007): Peer Support significantly reduced alcohol, drug use, and criminal
justice involvement in individuals with dual diagnosis over traditional treatment.
Tondora, et.al., National Institute of Mental Health, (2010): 290 adults with a Serious Mental Illness
randomly assigned to three groups: 1) Usual Care plus Illness Management & Recovery supports (IMR);
2) Usual care plus IMR plus a peer-facilitated person-centered planning process; and 3) usual care plus
IMR and person-centered planning with peer-run community connector program. Findings:
• Peer-facilitated care planning increased the sense that treatment was responsive and inclusive
of outcomes that mattered to the person
• The peer-run community connector program increase hope, belongingness, treatment
engagement and decreased psychotic symptoms. (Summary from Ahmed, 2013)
5. Sledge, et.al., National Institute of Mental Health, (2011): 74 participants who had been hospitalized at
least twice in the last 18 months randomly assigned to usual care versus usual care plus peer recovery
mentor. Findings include that the inclusion of Peer Mentorship decreased the number of
hospitalizations, decreased the duration of hospitalization, and decreased substance use and depression
(Summary from Ahmed, 2013)
Corrigan (2006): Participation in peer support was associated with increased levels of empowerment as
measured by an empowerment scale (from Repper and Carter, 2011, Literature Review)
Forchuk, et.al. (2005) Peer Support used as part of discharge planning reduces readmission rates and
increases discharge rates.
Nelson, et.al.: (2006) At 9 months of participating in consumer initiatives, significant reduction in use of
emergency room services compared to those who were not active in this initiative; and (2007) at 36
month follow-up participants scored significantly higher on community integration, quality of life, and
instrumental role involvement and significantly lower levels of symptoms distress (from Repper and
Carter, 2011, Literature Review)
Grantham, Dennis, Published 2/14/13, Accessed 2/15/13, Behavioral Healthcare magazine, “Peer
supports show women the way to addiction recovery”: As shown below, women in the New Pathways
for Women project which uses peer outreach workers demonstrate significant behavior changes over
time, including a reduction in high-risk behaviors and an increase in self-help behaviors. After six months
of involvement with the NPW project, 40 percent of women have elected to enter drug or alcohol
treatment.
Intake and six-month follow-up data, New Pathways for Women project (Philadelphia)
Notes:
1 The Annapolis Coalition is a not-for-profit organization focused on improving workforce development in the mental health
and addiction sectors of the behavioral health field. Since 2000, the Coalition has functioned as a neutral convener of diverse
individuals, groups, and organizations that recruit, train, employ, license, and receive services from the workforce. The
Coalition conducts strategic planning, identifies innovation, and has provided technical assistance in workforce issues to
federal and state agencies, private organizations, and commissions, including the New Freedom Commission on Mental
Health (2003) and the Institute of Medicine (IOM, 2006).
Substance use in past 30 days At intake At six months Change
Crack/cocaine 165 (87%) 42 (22%) -75%
Heroin 20 (11%) 3 (2%) -85%
Drinking to intoxication 95 (50%) 67 (35%) -29%
Binge drinking 78 (41%) 53 (28%) -32%
Marijuana 81 (43%) 38 (20%) -53%
Attended self-help group in past 30
days
30% 62% 206%
Involved in substance use treatment
program
40%
6. 2 CSU and other community-based services utilization for the study group receiving Peer Support was higher leading analysts to
be interested in whether a randomized study group/control group was actually the best sampling technique. Funds were not
available to explore an additional phase of research.