NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Case management involves several core functions including assessment, planning, linkage, monitoring, and advocacy. It enhances the scope and effectiveness of addiction treatment by supporting clients' movement through the recovery continuum. Case managers act as a single point of contact for clients' multiple needs, advocate for clients, and assist with issues outside the direct scope of substance abuse treatment. The document discusses different models of case management and their key features, as well as the importance of evaluation and quality improvement for case management programs.
Rethinking Mental Health Benefits for Traditionally Under-Served Groups: How One Organization Piloted and Scaled Two Innovative Mental Health Solutions
Every year, 20% of people in the United States experience a mental health disorder. Yet, fewer than half will receive any treatment. Stigma prevents many people from ever seeking care. Those who do reach out to a provider often wait unacceptably long times for an appointment. Even individuals in ongoing treatment are unlikely to have their provider systematically measure their treatment outcomes.
While these issues affect everyone in the United States, under-served communities are disproportionately impacted. One such group is professional caregivers. Caregiving is a stressful, low-wage occupation, and many caregivers live in rural areas without access to behavioral health clinics. Compared to the general population, caregivers are more likely to have experienced a high number of adverse childhood experiences (ACEs). ACEs are correlated with increased lifetime risks of physical and emotional health conditions.
This talk discusses how SEIU 775 Benefits Group piloted and scaled two innovative mental health benefits for caregivers. The first is a mindfulness course offered to caregivers as continuing education credit. The course has been highly successful in reducing caregivers’ anxiety and depression symptoms, while also decreasing stigma. The second is Ginger.io, a HIPAA-compliant mobile app that provides caregivers with access to emotional health coaches via in-app chat, 24 hours a day, as well as video chat appointments with licensed mental health providers. This service has dramatically reduced caregivers’ wait times for mental health appointments.
This talk will touch on a number of important issues for mental health innovators. How can we design mental health solutions that meet the needs of traditionally under-served communities? How do we talk about mental health in a way that increases engagement and reduces stigma? What are the best ways to measure success? And, how do we help populations with lower digital literacy access digital solutions?
The document discusses lessons learned from healthcare reform for psychiatric practice based on North Carolina's experience reforming its public mental health system from 2001 to present. Some unintended consequences of the reforms included the closure of many local management entities, increased admissions at state psychiatric hospitals, budget miscalculations, and poor retention of community psychiatrists. While the goals were to reduce state hospital beds and shift funding to community services, implementation challenges led to service disruptions and increased costs. Recent efforts aim to improve coordination between psychiatry, primary care, and other providers.
This document discusses the key elements of a successful integrated care program between primary care and psychiatry based on the experiences of Packard Health and Community Support and Treatment Services (CSTS). The three main points are:
1) Many primary care patients have mental health conditions and integrating care can help address these conditions and improve physical health outcomes.
2) Core factors for successful integration include recognizing the need, making a conscious plan, establishing a learning environment, strong leadership, understanding practice capacity, and ensuring appropriate staff roles.
3) Integrated care requires overcoming cultural divides between primary care and psychiatry through education, clear communication of roles, and psychiatrist involvement in areas like consultations, co-visits, and case
This document discusses designing healthcare systems and services with a focus on community. It argues that real care occurs within communities, with caring requiring knowledge, trust, patience and focusing on people's lives. The author advocates for rethinking patients, care systems and designing for health throughout communities rather than just treating diseases. Examples are provided of designing services for complex chronic conditions and facilitating physician access in rural areas through community-based solutions. The document emphasizes taking a systems perspective and using participatory and co-creative design approaches to better support health and care within communities.
The document summarizes a webinar on leveraging value-based benefit design to improve member health outcomes and lower costs. It introduces the panelists, who are experts from health plans that have implemented value-based benefit designs. It defines value-based benefit design and provides examples from early adopters, such as tiered benefit structures and lessons learned around member and provider communication and engagement. The document concludes by inviting participants to ask questions.
Big Bang Health is a total population health management solution for self-funded employers that addresses problems with ineffective health management, cost management, and customer service in current plans. It offers a fully integrated solution including claims administration, stop loss insurance, pricing transparency, and reference based pricing, supported by data analytics. This solution aims to improve care coordination and advocacy for high-risk populations that drive up costs through multiple chronic conditions.
The document discusses impulse control disorders and provides information about establishing an Impulse Control Support Service in Western Australia. It notes that impulse control disorders are characterized by a failure to resist urges or impulses that may harm oneself or others. Multiple disorders feature impulsivity, including substance abuse, ADHD, antisocial personality disorder, and borderline personality disorder. The proposed service aims to provide evidence-based treatment and support for individuals with impulse control disorders to reduce social costs and improve outcomes.
Case management involves several core functions including assessment, planning, linkage, monitoring, and advocacy. It enhances the scope and effectiveness of addiction treatment by supporting clients' movement through the recovery continuum. Case managers act as a single point of contact for clients' multiple needs, advocate for clients, and assist with issues outside the direct scope of substance abuse treatment. The document discusses different models of case management and their key features, as well as the importance of evaluation and quality improvement for case management programs.
Rethinking Mental Health Benefits for Traditionally Under-Served Groups: How One Organization Piloted and Scaled Two Innovative Mental Health Solutions
Every year, 20% of people in the United States experience a mental health disorder. Yet, fewer than half will receive any treatment. Stigma prevents many people from ever seeking care. Those who do reach out to a provider often wait unacceptably long times for an appointment. Even individuals in ongoing treatment are unlikely to have their provider systematically measure their treatment outcomes.
While these issues affect everyone in the United States, under-served communities are disproportionately impacted. One such group is professional caregivers. Caregiving is a stressful, low-wage occupation, and many caregivers live in rural areas without access to behavioral health clinics. Compared to the general population, caregivers are more likely to have experienced a high number of adverse childhood experiences (ACEs). ACEs are correlated with increased lifetime risks of physical and emotional health conditions.
This talk discusses how SEIU 775 Benefits Group piloted and scaled two innovative mental health benefits for caregivers. The first is a mindfulness course offered to caregivers as continuing education credit. The course has been highly successful in reducing caregivers’ anxiety and depression symptoms, while also decreasing stigma. The second is Ginger.io, a HIPAA-compliant mobile app that provides caregivers with access to emotional health coaches via in-app chat, 24 hours a day, as well as video chat appointments with licensed mental health providers. This service has dramatically reduced caregivers’ wait times for mental health appointments.
This talk will touch on a number of important issues for mental health innovators. How can we design mental health solutions that meet the needs of traditionally under-served communities? How do we talk about mental health in a way that increases engagement and reduces stigma? What are the best ways to measure success? And, how do we help populations with lower digital literacy access digital solutions?
The document discusses lessons learned from healthcare reform for psychiatric practice based on North Carolina's experience reforming its public mental health system from 2001 to present. Some unintended consequences of the reforms included the closure of many local management entities, increased admissions at state psychiatric hospitals, budget miscalculations, and poor retention of community psychiatrists. While the goals were to reduce state hospital beds and shift funding to community services, implementation challenges led to service disruptions and increased costs. Recent efforts aim to improve coordination between psychiatry, primary care, and other providers.
This document discusses the key elements of a successful integrated care program between primary care and psychiatry based on the experiences of Packard Health and Community Support and Treatment Services (CSTS). The three main points are:
1) Many primary care patients have mental health conditions and integrating care can help address these conditions and improve physical health outcomes.
2) Core factors for successful integration include recognizing the need, making a conscious plan, establishing a learning environment, strong leadership, understanding practice capacity, and ensuring appropriate staff roles.
3) Integrated care requires overcoming cultural divides between primary care and psychiatry through education, clear communication of roles, and psychiatrist involvement in areas like consultations, co-visits, and case
This document discusses designing healthcare systems and services with a focus on community. It argues that real care occurs within communities, with caring requiring knowledge, trust, patience and focusing on people's lives. The author advocates for rethinking patients, care systems and designing for health throughout communities rather than just treating diseases. Examples are provided of designing services for complex chronic conditions and facilitating physician access in rural areas through community-based solutions. The document emphasizes taking a systems perspective and using participatory and co-creative design approaches to better support health and care within communities.
The document summarizes a webinar on leveraging value-based benefit design to improve member health outcomes and lower costs. It introduces the panelists, who are experts from health plans that have implemented value-based benefit designs. It defines value-based benefit design and provides examples from early adopters, such as tiered benefit structures and lessons learned around member and provider communication and engagement. The document concludes by inviting participants to ask questions.
Big Bang Health is a total population health management solution for self-funded employers that addresses problems with ineffective health management, cost management, and customer service in current plans. It offers a fully integrated solution including claims administration, stop loss insurance, pricing transparency, and reference based pricing, supported by data analytics. This solution aims to improve care coordination and advocacy for high-risk populations that drive up costs through multiple chronic conditions.
The document discusses impulse control disorders and provides information about establishing an Impulse Control Support Service in Western Australia. It notes that impulse control disorders are characterized by a failure to resist urges or impulses that may harm oneself or others. Multiple disorders feature impulsivity, including substance abuse, ADHD, antisocial personality disorder, and borderline personality disorder. The proposed service aims to provide evidence-based treatment and support for individuals with impulse control disorders to reduce social costs and improve outcomes.
South Carolina Self-Insured Conference 2013Sedgwick
This document discusses the impact of the Affordable Care Act on the healthcare system and potential implications for workers' compensation. It outlines how provisions like accountable care organizations and health insurance exchanges aim to shift from fee-for-service to value-based care. Evidence-based medicine and reducing unwarranted treatment variation may lower costs. While workers' compensation could see benefits from care coordination and quality incentives, challenges may include ensuring a focus on work-related conditions and navigating multiple clinically integrated networks. Overall, the healthcare system is moving toward integrated models that emphasize preventive care, chronic disease management, and payment reform.
The document discusses improving connectivity and coordination in Canada's mental healthcare system. It notes that while diagnostic tools and treatments have improved, mental health outcomes have remained largely unchanged, with high costs to individuals and the economy. A new platform called FeelingBetterNow aims to address this by providing a patient-centered, technology-enabled system that offers personalized care options based on evidence, and coordinates existing resources to streamline referrals and support self-care. The goal is to empower individuals to access help anywhere, and better integrate care to improve adherence and outcomes.
Permanent supportive housing combines housing and voluntary support services to help tenants gain independence. Support services are customized to individual needs, available outside regular hours, and funding can adapt over time. The document outlines best practices for permanent supportive housing, including documenting community needs, key components like harm reduction and peer support, evidence-based practices, and types of services provided.
The Clinician's Role in Developing a Patient Experience StrategyRenown Health
Learn how clinicians and marketing consultants can work together to develop a patient experience strategy that enables team to work at the highest levels and achieve outstanding results.
Nationwide has a comprehensive internal health and productivity program called "My Health" that integrates various health services and incentives to encourage associate participation. The program relies on trusted relationships and continual outreach to help associates improve their health. It has led to increased health assessment completion, program enrollment and participation as well as decreased disability durations and costs.
Technical Assistance Tools and Resources to Support Your Organization’s Fundi...CHC Connecticut
The document provides information about technical assistance tools and resources to support funding goals. It discusses CHCI's team-based care and substance use disorder model, and how to integrate behavioral health into care teams. Resources are highlighted such as the Weitzman Learning Academy, which provides webinars, consultations, and a Project ECHO program to assist organizations with topics like medication assisted treatment, chronic pain, and care coordination.
Leading the Customer Experience Revolution: Baystate Health, Cleveland Clinic...Renown Health
Leading the Customer Experience Revolution. Customer experience is radically shifting to the forefront in healthcare. Examine the leadership role of marketing in driving excellence in service design, patient experience, and social engagement.
Margaret Coughlin, SVP and Chief Marketing & Communications Officer
Boston Children’s Hospital (Boston, MA); Suzanne Hendery, VP, Marketing & Public Affairs, Baystate Health (Springfield, MA); Paul Matsen, Chief Marketing & Communications Officer Cleveland Clinic (Cleveland, OH); Linda MacCracken, (Facilitator), Senior Principal, Accenture. Presented at the 2016 Healthcare Marketing & Physician Strategies Summit, Chicago, 5/22/2016
London iCAAD 2019 - Dr Tim Leighton -WHAT IS ADDICTIONS COUNSELLING AND HOW S...iCAADEvents
In the UK, the only widely recognised counselling credential is the generic accreditation offered by BACP. While excellent generic counselling skills are absolutely essential for all addictions practitioners, there is a strong argument that additional skills and knowledge are required to work effectively.
The document discusses complex patient journeys and tools to impact them. It begins by defining key dimensions and inflection points of patient journeys. Dimensions include the healthcare, disease/therapy, and human journeys. Inflection points are moments where outcomes are predicted. Behavioral science and cognitive-behavioral therapy can be used to intervene at these points by addressing cognitive, emotional, and behavioral barriers. A case study examines using these tools to help appropriate diabetes patients initiate insulin injections by addressing a patient's needle anxiety through cognitive reframing and desensitization exercises.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
This document summarizes a presentation on solutions to family homelessness. It discusses various interventions like rapid re-housing, permanent supportive housing, and adding family assessments. Data is presented showing that rapid re-housing and permanent supportive housing have had success in keeping families stably housed. A new Family Housing Solutions project is described that uses a standardized family assessment and matches families to different levels of assistance. Preliminary results found most families were referred to rapid re-housing while a smaller number were referred to permanent supportive housing or temporary assistance. Lessons learned focused on coordination challenges and the need for more affordable housing.
This document summarizes Debbie Ohl's presentation on MDS 3.0 care planning. The presentation covers new terms related to MDS 3.0 and care planning such as CATs, CAAs, CPGs, and EBPs. It discusses the expectations of person-centered care planning and the seven components of the care plan. It also outlines the three primary content areas to be considered in care planning, and traces the evolution of care planning from an emphasis on paperwork to a focus on quality of life.
The Challenges of Creating Mobile Games for Regulated Health SituationsSeriousGamesAssoc
For the past several years, game and media producer Beth Rogozinski has turned her attention to making games for mental and behavioral health – some of which have been submitted to the FDA to be regulated as a Class Two medical devices and are available only with a prescription. These games are based on clinical data and random control trials – making the process of developing fun and engaging games even more challenging. Add to that the FDA oversight and rigorous testing and QA specifications and game making becomes serious business indeed. But well worth it. Outcomes with these games and apps can far exceed treatment as usual and for mental and behavioral health patients these games can provide the privacy, dignity and access that they’re never before had.
This document discusses physician engagement strategies for hospitals. It begins by defining physician engagement and its importance in today's value-based healthcare system where strategies revolve around physicians. Various physician arrangement models are presented along with their degree of control and risk for the hospital. Tracking metrics for physician engagement like volume, revenue, and quality are suggested. The importance of understanding physician perspectives and culture is emphasized. Successful engagement requires functional changes like new technology as well as emotional changes like making physicians feel valued, supported and involved in decision making. Tactics discussed include dedicated physician relations resources, communication, and helping physicians with their needs rather than focusing on sales.
ROI of wellness programs - Optimity webinar series Dec 2016Jane Wang
The document discusses return on investment (ROI) for wellness programs and strategies for 2017 cost containment. It provides 2016 statistics showing rising healthcare costs for businesses. The Optimity digital platform produces ROI through holistic employee health support 24/7 via mobile coaching. Case studies show clients achieving engagement increases, cost reductions, and savings of $1.50-$6.50 for every $1 spent on wellness programs. The presentation recommends gathering data, identifying health issues, and tracking results to realize estimated ROI over 2-5 years.
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 Nuka system of care: Lessons for healthcare redesign in Wales" - Dr Step...1000 Lives Improvement
1000 Lives Improvement hosted Dr Stephen Tierney of Southcentral Foundation, to discuss how they transformed a system of care in Anchorage, Alaska, and how their lessons could help in transforming healthcare in NHS Wales.
Innovative indkøb i sundheds- og plejesektoren kan bruges som redskab til at skabe værdifulde og bæredygtige velfærdsløsninger.
Disse præsentationer giver et bud på, hvordan dette kan gøres i praksis og tager på forskellig vis fat på værdien i dialog.
Præsentationerne blev vist d.20.november 2014 i forbindelse med en nordisk konference støttet af Nordic Innovation.
The document discusses the patient-centered medical home (PCMH) model, which aims to transform primary care delivery in the US healthcare system. It describes the principles of the PCMH model, including having a personal, long-term relationship with a primary care provider and their care team. The document also notes challenges with the current US system, such as rising costs, lack of care coordination, and physician shortages. It argues that the PCMH model could help address these issues if implemented according to best practices.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
1) The document discusses treatment planning, including identifying problems, establishing goals, deciding on treatment methods, and evaluating progress.
2) It covers assessing a client's learning style and tailoring interventions accordingly, with a focus on cognitive, conceptual, and affective learning processes.
3) Developing an individualized treatment plan involves prioritizing problems, setting measurable goals and objectives, and choosing evidence-based interventions.
South Carolina Self-Insured Conference 2013Sedgwick
This document discusses the impact of the Affordable Care Act on the healthcare system and potential implications for workers' compensation. It outlines how provisions like accountable care organizations and health insurance exchanges aim to shift from fee-for-service to value-based care. Evidence-based medicine and reducing unwarranted treatment variation may lower costs. While workers' compensation could see benefits from care coordination and quality incentives, challenges may include ensuring a focus on work-related conditions and navigating multiple clinically integrated networks. Overall, the healthcare system is moving toward integrated models that emphasize preventive care, chronic disease management, and payment reform.
The document discusses improving connectivity and coordination in Canada's mental healthcare system. It notes that while diagnostic tools and treatments have improved, mental health outcomes have remained largely unchanged, with high costs to individuals and the economy. A new platform called FeelingBetterNow aims to address this by providing a patient-centered, technology-enabled system that offers personalized care options based on evidence, and coordinates existing resources to streamline referrals and support self-care. The goal is to empower individuals to access help anywhere, and better integrate care to improve adherence and outcomes.
Permanent supportive housing combines housing and voluntary support services to help tenants gain independence. Support services are customized to individual needs, available outside regular hours, and funding can adapt over time. The document outlines best practices for permanent supportive housing, including documenting community needs, key components like harm reduction and peer support, evidence-based practices, and types of services provided.
The Clinician's Role in Developing a Patient Experience StrategyRenown Health
Learn how clinicians and marketing consultants can work together to develop a patient experience strategy that enables team to work at the highest levels and achieve outstanding results.
Nationwide has a comprehensive internal health and productivity program called "My Health" that integrates various health services and incentives to encourage associate participation. The program relies on trusted relationships and continual outreach to help associates improve their health. It has led to increased health assessment completion, program enrollment and participation as well as decreased disability durations and costs.
Technical Assistance Tools and Resources to Support Your Organization’s Fundi...CHC Connecticut
The document provides information about technical assistance tools and resources to support funding goals. It discusses CHCI's team-based care and substance use disorder model, and how to integrate behavioral health into care teams. Resources are highlighted such as the Weitzman Learning Academy, which provides webinars, consultations, and a Project ECHO program to assist organizations with topics like medication assisted treatment, chronic pain, and care coordination.
Leading the Customer Experience Revolution: Baystate Health, Cleveland Clinic...Renown Health
Leading the Customer Experience Revolution. Customer experience is radically shifting to the forefront in healthcare. Examine the leadership role of marketing in driving excellence in service design, patient experience, and social engagement.
Margaret Coughlin, SVP and Chief Marketing & Communications Officer
Boston Children’s Hospital (Boston, MA); Suzanne Hendery, VP, Marketing & Public Affairs, Baystate Health (Springfield, MA); Paul Matsen, Chief Marketing & Communications Officer Cleveland Clinic (Cleveland, OH); Linda MacCracken, (Facilitator), Senior Principal, Accenture. Presented at the 2016 Healthcare Marketing & Physician Strategies Summit, Chicago, 5/22/2016
London iCAAD 2019 - Dr Tim Leighton -WHAT IS ADDICTIONS COUNSELLING AND HOW S...iCAADEvents
In the UK, the only widely recognised counselling credential is the generic accreditation offered by BACP. While excellent generic counselling skills are absolutely essential for all addictions practitioners, there is a strong argument that additional skills and knowledge are required to work effectively.
The document discusses complex patient journeys and tools to impact them. It begins by defining key dimensions and inflection points of patient journeys. Dimensions include the healthcare, disease/therapy, and human journeys. Inflection points are moments where outcomes are predicted. Behavioral science and cognitive-behavioral therapy can be used to intervene at these points by addressing cognitive, emotional, and behavioral barriers. A case study examines using these tools to help appropriate diabetes patients initiate insulin injections by addressing a patient's needle anxiety through cognitive reframing and desensitization exercises.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
This document summarizes a presentation on solutions to family homelessness. It discusses various interventions like rapid re-housing, permanent supportive housing, and adding family assessments. Data is presented showing that rapid re-housing and permanent supportive housing have had success in keeping families stably housed. A new Family Housing Solutions project is described that uses a standardized family assessment and matches families to different levels of assistance. Preliminary results found most families were referred to rapid re-housing while a smaller number were referred to permanent supportive housing or temporary assistance. Lessons learned focused on coordination challenges and the need for more affordable housing.
This document summarizes Debbie Ohl's presentation on MDS 3.0 care planning. The presentation covers new terms related to MDS 3.0 and care planning such as CATs, CAAs, CPGs, and EBPs. It discusses the expectations of person-centered care planning and the seven components of the care plan. It also outlines the three primary content areas to be considered in care planning, and traces the evolution of care planning from an emphasis on paperwork to a focus on quality of life.
The Challenges of Creating Mobile Games for Regulated Health SituationsSeriousGamesAssoc
For the past several years, game and media producer Beth Rogozinski has turned her attention to making games for mental and behavioral health – some of which have been submitted to the FDA to be regulated as a Class Two medical devices and are available only with a prescription. These games are based on clinical data and random control trials – making the process of developing fun and engaging games even more challenging. Add to that the FDA oversight and rigorous testing and QA specifications and game making becomes serious business indeed. But well worth it. Outcomes with these games and apps can far exceed treatment as usual and for mental and behavioral health patients these games can provide the privacy, dignity and access that they’re never before had.
This document discusses physician engagement strategies for hospitals. It begins by defining physician engagement and its importance in today's value-based healthcare system where strategies revolve around physicians. Various physician arrangement models are presented along with their degree of control and risk for the hospital. Tracking metrics for physician engagement like volume, revenue, and quality are suggested. The importance of understanding physician perspectives and culture is emphasized. Successful engagement requires functional changes like new technology as well as emotional changes like making physicians feel valued, supported and involved in decision making. Tactics discussed include dedicated physician relations resources, communication, and helping physicians with their needs rather than focusing on sales.
ROI of wellness programs - Optimity webinar series Dec 2016Jane Wang
The document discusses return on investment (ROI) for wellness programs and strategies for 2017 cost containment. It provides 2016 statistics showing rising healthcare costs for businesses. The Optimity digital platform produces ROI through holistic employee health support 24/7 via mobile coaching. Case studies show clients achieving engagement increases, cost reductions, and savings of $1.50-$6.50 for every $1 spent on wellness programs. The presentation recommends gathering data, identifying health issues, and tracking results to realize estimated ROI over 2-5 years.
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 Nuka system of care: Lessons for healthcare redesign in Wales" - Dr Step...1000 Lives Improvement
1000 Lives Improvement hosted Dr Stephen Tierney of Southcentral Foundation, to discuss how they transformed a system of care in Anchorage, Alaska, and how their lessons could help in transforming healthcare in NHS Wales.
Innovative indkøb i sundheds- og plejesektoren kan bruges som redskab til at skabe værdifulde og bæredygtige velfærdsløsninger.
Disse præsentationer giver et bud på, hvordan dette kan gøres i praksis og tager på forskellig vis fat på værdien i dialog.
Præsentationerne blev vist d.20.november 2014 i forbindelse med en nordisk konference støttet af Nordic Innovation.
The document discusses the patient-centered medical home (PCMH) model, which aims to transform primary care delivery in the US healthcare system. It describes the principles of the PCMH model, including having a personal, long-term relationship with a primary care provider and their care team. The document also notes challenges with the current US system, such as rising costs, lack of care coordination, and physician shortages. It argues that the PCMH model could help address these issues if implemented according to best practices.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
1) The document discusses treatment planning, including identifying problems, establishing goals, deciding on treatment methods, and evaluating progress.
2) It covers assessing a client's learning style and tailoring interventions accordingly, with a focus on cognitive, conceptual, and affective learning processes.
3) Developing an individualized treatment plan involves prioritizing problems, setting measurable goals and objectives, and choosing evidence-based interventions.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Review of brief Interventions which are useful in working with patients with addictions and/or co-occurring disorders. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Family therapy views substance abuse as stemming from dysfunctional family relationships and interactions, rather than solely an individual problem. It aims to help families strengthen communication, establish healthy boundaries, and support recovery. Effective approaches assess family dynamics, address underlying issues, and assist all members in developing coping strategies. Consideration of cultural factors is also important when engaging in family-based treatment.
The presentation details the value of standardized therapy assessment as it relates to patient care treatment planning and evidencing Medicare audits. Standardized assessments can help evidence your patients’ progress. In addition, standardized assessment can better define deficits and assist in treatment planning.
1. Learn to identify the Benefits of utilizing Standardized assessments
2. Learn to summarize appropriate use of standardized therapy assessments
3. Learn the reasons standardized assessments can be used to evidence progress and support Medicare Part G-codes
The document summarizes a webinar on leveraging value-based benefit design to improve member health outcomes and lower costs. It introduces the panelists, who are experts from health plans that have implemented value-based benefit designs. It defines value-based benefit design and provides examples from early adopters, such as tiered benefit structures and lessons learned around member and provider communication and engagement. The document concludes by inviting participants to ask questions.
This document discusses strategies for enhancing quality in psychology. It discusses positive ethics as focusing on fulfilling high ideals rather than punishment. Competence involves maintaining qualifications but also striving for the highest standards. Informed consent aims to maximize client participation. An acculturation model shows how psychologists integrate personal and professional ethics codes. High quality occurs at the intersection of personal and professional lives. As risk increases, greater attention to strategies like consultation, empowered collaboration, documentation, and redundant protections is needed.
This document discusses integrating peer specialists into the mental health team at PRMC Everett's 3A Unit or emergency department. It provides background on peer specialists, including their role and qualifications under Washington state law. Studies have shown peer support can reduce hospital readmissions and improve outcomes by increasing hope, engagement, and connection to community resources. The document also summarizes a successful peer specialist pilot program in an emergency department that reduced recidivism and anxiety. Considering this evidence, integrating peer specialists into care at PRMC Everett may help improve patient experience and outcomes.
Adult Educaiton is designed to assist counselors working with persons with Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions available at http://www.allceus.com
Based on the report from the Washington State Board of Health, this presentation, made to the State
and King County Boards of Health on December 13, 2007, suggests a public health model for approaching delivery
of mental health services.
Applying positive ethics to difficult patientJohn Gavazzi
The document discusses strategies for working with difficult patients, including focusing on developing a strong therapeutic relationship, using consultation, empowered collaboration with patients, thorough documentation, and redundant protections. It notes that difficult patients may have intense negative affect, relationship issues, and lack of insight. The context of treatment and characteristics of both the patient and psychologist can impact challenges. Early screening and an emphasis on repairing alliance ruptures are recommended. Boundaries, informed consent, and ethics require extra attention with high-risk patients.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
The document provides 10 tips for starting a workplace wellness program to promote heart health. It recommends establishing leadership support, assessing employee health risks, and planning educational programming and incentives to encourage healthy behaviors. Evaluation of outcomes is important to measure the program's impact on health, productivity and costs. Regular assessment allows for continuous improvement of the wellness program over time.
The document outlines the topics and assessments for a course on case management and mental health. It discusses the history and definition of case management. The key stages of case management are intake, assessment, planning, implementation, monitoring, review and exit. Family involvement is an important part of a client's recovery plan. Assessment tasks for the course include an essay on topics related to mental health in older adults and a group presentation on the impact of mental illness on different types of family members and caregivers.
Similar to T I P 47 Intensive Outpatient Services Edited (20)
This document discusses dementia case management. It begins by outlining the objectives of reviewing dementia symptoms, differentiating dementia from normal aging, examining types of dementia, identifying causes and preventative factors, and exploring needs of people with dementia and their caregivers. It then provides extensive details on dementia symptoms, types, causes, progression, prevention strategies, and the roles of a multidisciplinary care team.
This document discusses different types of anger such as irritation, resentment, envy, and guilt. It explores the function of anger as a response to threats and identifies common threat themes. Different activities are provided to help identify triggers of anger and the threats underlying resentment, envy, guilt, and regret in order to address them in a way that promotes well-being. Forgiveness is presented as a means of letting go of anger and reclaiming one's power.
This document discusses anxiety, its causes, symptoms, and interventions. It begins by reviewing the objectives of exploring anxiety symptoms, impacts, and prevention/intervention strategies. It then discusses how anxiety can be debilitating and a trigger for addiction relapse, depression, and other issues. The document outlines biological, psychological, and social factors that can contribute to anxiety. It provides details on symptoms of generalized anxiety in adults and children. Finally, it discusses various biological, psychological, and social intervention strategies to reduce anxiety, including improving sleep, nutrition, cognitive restructuring, relaxation techniques, and developing supportive relationships.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
This document provides an overview of kink and discusses topics relevant for therapists working with clients involved in kink. It defines kink, explores various kink activities and dynamics, discusses prevalence and models of treatment. The PLISSIT model and Johari window are presented as frameworks for therapists. Guidelines are provided for assessing clients in a kink-aware and non-judgmental manner. Countertransference, disclosure processes, and community resources are also reviewed.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
This document discusses 20 ways to nurture children's mental health. It covers physical, environmental, interpersonal, emotional, and cognitive strategies. Specifically, it recommends ensuring children get enough sleep, exercise, nutrition, and relaxation. It also stresses the importance of structure, safety, communication skills, problem solving, and identifying cognitive distortions. The overall goal is to help children feel safe, competent, and confident.
This document outlines 13 brief interventions that can be used in counseling sessions to help clients. It begins by discussing the benefits of brief interventions such as reducing no-shows, increasing treatment engagement and compliance. It then describes goals and target symptoms for brief interventions before detailing each of the 13 interventions. The interventions include techniques like backward chaining, cognitive restructuring, mindfulness, guided imagery and distress tolerance. In under 3 sentences, the document provides an overview of research-based brief therapy techniques counselors can use to efficiently help clients meet treatment goals.
This document discusses elements of motivational interventions and principles of motivational interviewing. It defines motivation as a dynamic state influenced by emotional, cognitive, social and environmental factors. The document outlines six characteristics of motivation and identifies the three critical elements of motivation as willingness, ability and readiness. It reviews five principles of motivational interviewing and five elements of motivational approaches, including the FRAMES model. Various activities and techniques for enhancing client motivation are provided, such as decisional balance exercises, developing discrepancies between goals and behavior, and maintaining personal contact.
The document examines the biopsychosocial impact of addiction and mental health disorders. It discusses how these issues affect individuals biologically through imbalances in neurotransmitters leading to issues like disrupted sleep and fatigue, psychologically through feelings of hopelessness and guilt, and socially through isolation and loss of relationships. A holistic approach is needed to address the biological, psychological, and social aspects, as it is difficult to address one area when others are impacted.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Sally, a 49-year-old woman, has experienced increasing anxiety, sleep difficulties, and panic attacks over the past 6 months. She was prescribed Xanax by her doctor but stopped taking it due to rebound anxiety. Her sleep, nutrition, pain levels, libido, and cognitive patterns were assessed using the PACER method. She reports stress, worry, and difficulty concentrating associated with family, health, and financial concerns. Recommendations included improving sleep hygiene, managing stress and anxiety, and following up with her primary care doctor.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
More from Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Multidimensional/Biopsychosocial Recognizes dual disorders as chronic Values case management Blends evidence-based with community based services
6–30 contact hours per week Individualized step-up and step-down levels of care A minimum duration of 90 days followed by step-down
Enhanced services Ambulatory detoxification Childcare Outreach Case Management For more detailed information, see TIP 47, pp. 1–6
Screening Assessment Treatment planning Treatment engagement Group, individual and family counseling Psychoeducational programming Integration into support groups
Relapse prevention training Substance use screening and monitoring Vocational and educational services Referral to wrap-around services Mentoring?
Treatment is available to a wide spectrum of clients Treatment access is straightforward and welcoming (No Wrong Door) Enhance existing motivation Trust is built between the counselor and client Client retention is a priority Individualized assessment and treatment
Implements a flexible, chronic/episodic care model Monitor abstinence Help clients integrate into support groups If indicated, use medications to manage co-occurring disorders Educate clients and family members about addiction and recovery Include families, employers, and significant others in the treatment process
Seek out and use evidence-based training and materials Improve program administration For more detailed information, see TIP 47, pp. 7–16
Bio Housing Health issues Psycho Past/present MH/trauma issues in self/family Past/present SA issues in self/family Past treatment successes/failures Suicide/homicide and family violence Self esteem Coping Skills, strengths and resources
Social Relationship with peers Occupational Legal Personal and family involvement Financial
Inconsistent ability for abstract /future thinking Impulsive/short attention span Vulnerable to peer influence Frequent emotional fluctuations Lack of involvement in pro-social activities Pessimistic/fatalistic attitudes
Treatment frequency and intensity is individualized At least 9 hours per week for 90 days Stages Treatment engagement Early recovery
Goals Initiate a treatment contract Resolve acute crises Engage in a therapeutic alliance Involve clients in preparing a treatment plan Duration — A few days to a few weeks
Confirm diagnosis, eligibility, and appropriate placement Conduct biopsychosocial assessment Develop treatment plan Provide assessment feedback Explain program rules and expectations Address acute crises Resolve administrative issues Foster therapeutic alliances between client and counselor and group members
Begin psychoeducational activities Identify sources of social support With client’s permission, initiate family contacts and education
Assessment and treatment plan are completed Client has completely detoxed Client has adequate attendance and participation
Goals Abstinence Sustain behavioral changes Identify relapse triggers and develop relapse prevention strategies Identify and begin to resolve personal problems Begin active involvement in a 12-Step or other mutual-help program Duration — 6 weeks to about 3 months
Help clients follow their plans to sustain abstinence Assist in identifying and developing strategies for relapse triggers Initiate random drug tests and provide rapid feedback of results Help clients and families integrate into mutual-help programs Assist in developing and strengthening positive social support networks Continue appropriate pharmacotherapy, medical and psychiatric treatments
Sustained abstinence for 30 days or longer Completed treatment plan goals Created and implemented a relapse prevention and continuing care plan Participated regularly in a support group Maintained a sober social support network Resolved medical, psychiatric, housing and personal situations that may trigger relapse
Step-down/Stage 3 Maintenance Goals Solidify abstinence Use relapse prevention skills Improve emotional functioning Broaden sober social networks Address other problem areas Duration — About 2 months to 1 year
Help clients practice relapse prevention skills Teach new coping skills Help identify unmet biopsychosocial needs Assist in locating community resources Encourage support groups participation Emphasize the importance of spirituality/altruistic/sober values Provide feedback on random drug test results Continue treatment plan implementation
Sustained abstinence Improved relationships Improved coping and problem solving skills Obtained drug-free, stable housing Continued participation in a support group Obtained assistance with other problems
Goals Maintain abstinence and wellness Develop independence from the treatment program Maintain social and support network connections Establish recreational activities Duration —Years, ongoing
Assist in developing a plan for continuing recovery Acquaint clients with local resources Encourage attendance at alumni or booster sessions Provide biannual checkups Completion criteria — Clients may need community support for the rest of their lives
Assessment Treatment planning Group and individual counseling Psychoeducation Pharmacotherapy Drug testing/monitoring Case management Community based support groups
24-Hour crisis coverage Medical and dental treatment Vocational and employment services Wrap around services
Pause the presentation and make a list of all of the issues that your clients have to deal