SlideShare a Scribd company logo
1 of 38
The Collaborative Model of Mental Health Care Clinch River Health System and University of Virginia Partnership
Introduction ,[object Object],[object Object],[object Object],[object Object]
From Where? ,[object Object],[object Object],[object Object],[object Object]
Workload Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRHS Concerns ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRHS Response ,[object Object],[object Object],[object Object],[object Object]
Telepsychiatry Program Structure ,[object Object],[object Object],[object Object],[object Object]
Telepsychiatry at UVA ,[object Object],[object Object],[object Object],[object Object]
 
Rural Mental Health Alternatives ,[object Object],[object Object],[object Object]
 
What do We know About Telepsychiatry? ,[object Object],[object Object],[object Object]
Clinical Contacts Per Year
Telepsychiatry at UVA 2003-2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Show Rate 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Percentage of Diagnoses
Average Days to Follow-up Per Year
What are the problems? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion
Is the Program Successful? ,[object Object],[object Object],[object Object]
Why is the Program Successful ,[object Object],[object Object],[object Object],[object Object]
Why is the Program Successful ,[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations of Telepsychiatry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations of Telepsychiatry ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case #1 - PTSD, MDD, Panic Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PTSD, MDD, Panic Disorder ,[object Object],[object Object],[object Object],[object Object]
PTSD, MDD, Panic Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
PTSD, MDD, Panic Disorder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Current status ,[object Object],[object Object],[object Object],[object Object]
Current status ,[object Object],[object Object],[object Object]
Case #2 - BPAD I, Panic Disorder, ADHD, Alcohol Dependence   ,[object Object],[object Object],[object Object],[object Object],[object Object]
BPAD I, Panic Disorder, ADHD, Alcohol Dependence ,[object Object],[object Object],[object Object],[object Object],[object Object]
BPAD, Panic Disorder, ADHD, Alcohol Dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BPAD, Panic Disorder, ADHD, Alcohol Dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BPAD, Panic Disorder, ADHD, Alcohol Dependence ,[object Object],[object Object],[object Object]
What Our Patients Tell Us
Discussion and Questions

More Related Content

What's hot

Depression by dr ajay nihalani
Depression by dr ajay nihalaniDepression by dr ajay nihalani
Depression by dr ajay nihalaniDr Ajay Nihalani
 
Maternal Mental Health What All Employers Should Know
Maternal Mental Health What All Employers Should Know Maternal Mental Health What All Employers Should Know
Maternal Mental Health What All Employers Should Know Joy Burkhard
 
Home care for depression in dementia
Home care for depression in dementiaHome care for depression in dementia
Home care for depression in dementiaKarel1956
 
Maternal Mental Health_Bass_5.4.12
Maternal Mental Health_Bass_5.4.12Maternal Mental Health_Bass_5.4.12
Maternal Mental Health_Bass_5.4.12CORE Group
 
2015: Safety Issues in the Geriatric Environment of Care-Hysten
2015: Safety Issues in the Geriatric Environment of Care-Hysten2015: Safety Issues in the Geriatric Environment of Care-Hysten
2015: Safety Issues in the Geriatric Environment of Care-HystenSDGWEP
 
Women’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryWomen’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryDr. Umi Adzlin Silim
 
Depression in the geriatric
Depression in the geriatricDepression in the geriatric
Depression in the geriatricSagar Dalal
 
Senior Healthcare Consultant (Geriatric) class at Piedmont Hospitals
Senior Healthcare Consultant (Geriatric) class at Piedmont HospitalsSenior Healthcare Consultant (Geriatric) class at Piedmont Hospitals
Senior Healthcare Consultant (Geriatric) class at Piedmont Hospitalsnomadicnurse
 
postpartum depression
postpartum depressionpostpartum depression
postpartum depressionHI HI
 
Depression in the elderly
Depression in the elderlyDepression in the elderly
Depression in the elderlyKatie Brandner
 
Depression and the Elderly, How You Can Help
Depression and the Elderly, How You Can HelpDepression and the Elderly, How You Can Help
Depression and the Elderly, How You Can HelpBrightStar Care
 
Bipolar disorder manic depression
Bipolar disorder   manic depressionBipolar disorder   manic depression
Bipolar disorder manic depressionMichel Newman
 
ADHD Case Presentation
ADHD Case PresentationADHD Case Presentation
ADHD Case PresentationYasir Hameed
 
Depression in the geriatric by Dr. swati singh
Depression in the geriatric by Dr. swati singhDepression in the geriatric by Dr. swati singh
Depression in the geriatric by Dr. swati singhSWATI SINGH
 
Au Psy492 Week7 As2 Elderly Depression Davenport
Au Psy492 Week7 As2 Elderly Depression DavenportAu Psy492 Week7 As2 Elderly Depression Davenport
Au Psy492 Week7 As2 Elderly Depression Davenportsaradavenport
 
Psychiatric morbidity and pregnancy
Psychiatric morbidity and pregnancyPsychiatric morbidity and pregnancy
Psychiatric morbidity and pregnancyNick Harvey
 
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708gpbmd
 

What's hot (20)

Depression by dr ajay nihalani
Depression by dr ajay nihalaniDepression by dr ajay nihalani
Depression by dr ajay nihalani
 
Depression
DepressionDepression
Depression
 
Maternal Mental Health What All Employers Should Know
Maternal Mental Health What All Employers Should Know Maternal Mental Health What All Employers Should Know
Maternal Mental Health What All Employers Should Know
 
Home care for depression in dementia
Home care for depression in dementiaHome care for depression in dementia
Home care for depression in dementia
 
Maternal Mental Health_Bass_5.4.12
Maternal Mental Health_Bass_5.4.12Maternal Mental Health_Bass_5.4.12
Maternal Mental Health_Bass_5.4.12
 
2015: Safety Issues in the Geriatric Environment of Care-Hysten
2015: Safety Issues in the Geriatric Environment of Care-Hysten2015: Safety Issues in the Geriatric Environment of Care-Hysten
2015: Safety Issues in the Geriatric Environment of Care-Hysten
 
Women’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal PsychiatryWomen’s Mental Health & Perinatal Psychiatry
Women’s Mental Health & Perinatal Psychiatry
 
Adhd
AdhdAdhd
Adhd
 
Depression in the geriatric
Depression in the geriatricDepression in the geriatric
Depression in the geriatric
 
Senior Healthcare Consultant (Geriatric) class at Piedmont Hospitals
Senior Healthcare Consultant (Geriatric) class at Piedmont HospitalsSenior Healthcare Consultant (Geriatric) class at Piedmont Hospitals
Senior Healthcare Consultant (Geriatric) class at Piedmont Hospitals
 
postpartum depression
postpartum depressionpostpartum depression
postpartum depression
 
Depression in the elderly
Depression in the elderlyDepression in the elderly
Depression in the elderly
 
Depression and Elderly 2012
Depression and Elderly 2012Depression and Elderly 2012
Depression and Elderly 2012
 
Depression and the Elderly, How You Can Help
Depression and the Elderly, How You Can HelpDepression and the Elderly, How You Can Help
Depression and the Elderly, How You Can Help
 
Bipolar disorder manic depression
Bipolar disorder   manic depressionBipolar disorder   manic depression
Bipolar disorder manic depression
 
ADHD Case Presentation
ADHD Case PresentationADHD Case Presentation
ADHD Case Presentation
 
Depression in the geriatric by Dr. swati singh
Depression in the geriatric by Dr. swati singhDepression in the geriatric by Dr. swati singh
Depression in the geriatric by Dr. swati singh
 
Au Psy492 Week7 As2 Elderly Depression Davenport
Au Psy492 Week7 As2 Elderly Depression DavenportAu Psy492 Week7 As2 Elderly Depression Davenport
Au Psy492 Week7 As2 Elderly Depression Davenport
 
Psychiatric morbidity and pregnancy
Psychiatric morbidity and pregnancyPsychiatric morbidity and pregnancy
Psychiatric morbidity and pregnancy
 
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708
Barclay Gr 11 19 08 Pediatric Bipolar Disorder Revised111708
 

Viewers also liked

Overview of Health Informatics and Disease Surveillance System
Overview of Health Informatics and Disease Surveillance SystemOverview of Health Informatics and Disease Surveillance System
Overview of Health Informatics and Disease Surveillance SystemNawanan Theera-Ampornpunt
 
Biopsycosocial Model
Biopsycosocial ModelBiopsycosocial Model
Biopsycosocial Modelnh0627
 
Public Health Model for Mental Health
Public Health Model for Mental HealthPublic Health Model for Mental Health
Public Health Model for Mental HealthMHTP Webmastere
 
MENTAL MODELS: Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...
MENTAL MODELS:  Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...MENTAL MODELS:  Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...
MENTAL MODELS: Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...Amy Rae
 
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...Joanna Beltowska
 
Mental health ppt.
Mental health ppt.Mental health ppt.
Mental health ppt.gusto80
 
Understanding Mental Health and Mental Illness
Understanding Mental Health and Mental IllnessUnderstanding Mental Health and Mental Illness
Understanding Mental Health and Mental IllnessTeenMentalHealth.org
 
Models of mental health & illness
Models of mental health & illnessModels of mental health & illness
Models of mental health & illnessSudarshana Dasgupta
 
Mental models (The Fifth Discipline)
Mental models (The Fifth Discipline)Mental models (The Fifth Discipline)
Mental models (The Fifth Discipline)Ruhi Beri
 
3.2.1 Models of Health
3.2.1 Models of Health3.2.1 Models of Health
3.2.1 Models of Healthjkonoroth
 

Viewers also liked (15)

Overview of Health Informatics and Disease Surveillance System
Overview of Health Informatics and Disease Surveillance SystemOverview of Health Informatics and Disease Surveillance System
Overview of Health Informatics and Disease Surveillance System
 
Mental models
Mental modelsMental models
Mental models
 
Biopsycosocial Model
Biopsycosocial ModelBiopsycosocial Model
Biopsycosocial Model
 
Public Health Model for Mental Health
Public Health Model for Mental HealthPublic Health Model for Mental Health
Public Health Model for Mental Health
 
Mental Models
Mental ModelsMental Models
Mental Models
 
MENTAL MODELS: Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...
MENTAL MODELS:  Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...MENTAL MODELS:  Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...
MENTAL MODELS: Lessons From The Fifth Discipline Fieldbook by Senge, Kleiker...
 
Mental Health
Mental HealthMental Health
Mental Health
 
Biopsychosocial
BiopsychosocialBiopsychosocial
Biopsychosocial
 
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...
SYSTEMS THINKING: Lessons From The Fifth Discipline Fieldbook by Senge, Kleik...
 
Mental health
Mental healthMental health
Mental health
 
Mental health ppt.
Mental health ppt.Mental health ppt.
Mental health ppt.
 
Understanding Mental Health and Mental Illness
Understanding Mental Health and Mental IllnessUnderstanding Mental Health and Mental Illness
Understanding Mental Health and Mental Illness
 
Models of mental health & illness
Models of mental health & illnessModels of mental health & illness
Models of mental health & illness
 
Mental models (The Fifth Discipline)
Mental models (The Fifth Discipline)Mental models (The Fifth Discipline)
Mental models (The Fifth Discipline)
 
3.2.1 Models of Health
3.2.1 Models of Health3.2.1 Models of Health
3.2.1 Models of Health
 

Similar to The Collaborative Model of Mental Health Care

Student NameCollege of Nursing-PMHNP, Walden UniversityN.docx
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docxStudent NameCollege of Nursing-PMHNP, Walden UniversityN.docx
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docxcpatriciarpatricia
 
Bipolar Blog Discussion Paper.docx
Bipolar Blog Discussion Paper.docxBipolar Blog Discussion Paper.docx
Bipolar Blog Discussion Paper.docx4934bk
 
2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing ClientsA comprehensive assessment of the patient who p.docx2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing ClientsA comprehensive assessment of the patient who p.docxBHANU281672
 
Week 7 Assignment 1 Captain of the Ship Obsessive .docx
Week 7 Assignment 1 Captain of the Ship Obsessive .docxWeek 7 Assignment 1 Captain of the Ship Obsessive .docx
Week 7 Assignment 1 Captain of the Ship Obsessive .docxcockekeshia
 
Tackling the inappropriate use of psycho-active medication in Scotland
Tackling the inappropriate use of psycho-active medication in ScotlandTackling the inappropriate use of psycho-active medication in Scotland
Tackling the inappropriate use of psycho-active medication in ScotlandAlzheimer Scotland
 
Lifespan Ii Faculty Name.docx
Lifespan Ii Faculty Name.docxLifespan Ii Faculty Name.docx
Lifespan Ii Faculty Name.docxwrite4
 
The AssignmentAssign DSM-5 and ICD-10 codes to service.docx
The AssignmentAssign DSM-5 and ICD-10 codes to service.docxThe AssignmentAssign DSM-5 and ICD-10 codes to service.docx
The AssignmentAssign DSM-5 and ICD-10 codes to service.docxrtodd17
 
456585540-schizophrenia-clinical-case-study.docx
456585540-schizophrenia-clinical-case-study.docx456585540-schizophrenia-clinical-case-study.docx
456585540-schizophrenia-clinical-case-study.docxRanushaAnusha2
 
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docx
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docxComprehensive Psychiatric Evaluation Essay Discussion Paper.docx
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docx4934bk
 
Module 9 adherence & psychosocial counselling
Module 9 adherence & psychosocial counsellingModule 9 adherence & psychosocial counselling
Module 9 adherence & psychosocial counsellingDavid Ngogoyo
 
Development of the Nurse Prescriber role, Adult ADHD
Development of the Nurse Prescriber role, Adult ADHDDevelopment of the Nurse Prescriber role, Adult ADHD
Development of the Nurse Prescriber role, Adult ADHDYasir Hameed
 
Major Depressive Disorder (MDD)
Major Depressive Disorder (MDD)Major Depressive Disorder (MDD)
Major Depressive Disorder (MDD)Kholoud Elshiwy
 
Mental Health in PHC.ppt
Mental Health in PHC.pptMental Health in PHC.ppt
Mental Health in PHC.pptTiondifrancis
 
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Stephen Grcevich, MD
 
Chief Complaint Follow upHistory of Presenting IllnessMr
Chief Complaint Follow upHistory of Presenting IllnessMrChief Complaint Follow upHistory of Presenting IllnessMr
Chief Complaint Follow upHistory of Presenting IllnessMrJinElias52
 

Similar to The Collaborative Model of Mental Health Care (20)

Student NameCollege of Nursing-PMHNP, Walden UniversityN.docx
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docxStudent NameCollege of Nursing-PMHNP, Walden UniversityN.docx
Student NameCollege of Nursing-PMHNP, Walden UniversityN.docx
 
Bipolar Blog Discussion Paper.docx
Bipolar Blog Discussion Paper.docxBipolar Blog Discussion Paper.docx
Bipolar Blog Discussion Paper.docx
 
2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing ClientsA comprehensive assessment of the patient who p.docx2Assessing ClientsA comprehensive assessment of the patient who p.docx
2Assessing ClientsA comprehensive assessment of the patient who p.docx
 
Addiction Counselor Certification Training Series: Models and theories of men...
Addiction Counselor Certification Training Series: Models and theories of men...Addiction Counselor Certification Training Series: Models and theories of men...
Addiction Counselor Certification Training Series: Models and theories of men...
 
Week 7 Assignment 1 Captain of the Ship Obsessive .docx
Week 7 Assignment 1 Captain of the Ship Obsessive .docxWeek 7 Assignment 1 Captain of the Ship Obsessive .docx
Week 7 Assignment 1 Captain of the Ship Obsessive .docx
 
Tackling the inappropriate use of psycho-active medication in Scotland
Tackling the inappropriate use of psycho-active medication in ScotlandTackling the inappropriate use of psycho-active medication in Scotland
Tackling the inappropriate use of psycho-active medication in Scotland
 
Lifespan Ii Faculty Name.docx
Lifespan Ii Faculty Name.docxLifespan Ii Faculty Name.docx
Lifespan Ii Faculty Name.docx
 
Symposium slide presentation
Symposium slide presentationSymposium slide presentation
Symposium slide presentation
 
The AssignmentAssign DSM-5 and ICD-10 codes to service.docx
The AssignmentAssign DSM-5 and ICD-10 codes to service.docxThe AssignmentAssign DSM-5 and ICD-10 codes to service.docx
The AssignmentAssign DSM-5 and ICD-10 codes to service.docx
 
456585540-schizophrenia-clinical-case-study.docx
456585540-schizophrenia-clinical-case-study.docx456585540-schizophrenia-clinical-case-study.docx
456585540-schizophrenia-clinical-case-study.docx
 
PPd presentation PCA NJ conference
PPd presentation PCA NJ conferencePPd presentation PCA NJ conference
PPd presentation PCA NJ conference
 
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docx
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docxComprehensive Psychiatric Evaluation Essay Discussion Paper.docx
Comprehensive Psychiatric Evaluation Essay Discussion Paper.docx
 
Module 9 adherence & psychosocial counselling
Module 9 adherence & psychosocial counsellingModule 9 adherence & psychosocial counselling
Module 9 adherence & psychosocial counselling
 
Women mental health care issues ppt
Women mental health care issues pptWomen mental health care issues ppt
Women mental health care issues ppt
 
Development of the Nurse Prescriber role, Adult ADHD
Development of the Nurse Prescriber role, Adult ADHDDevelopment of the Nurse Prescriber role, Adult ADHD
Development of the Nurse Prescriber role, Adult ADHD
 
Major Depressive Disorder (MDD)
Major Depressive Disorder (MDD)Major Depressive Disorder (MDD)
Major Depressive Disorder (MDD)
 
Mental Health in PHC.ppt
Mental Health in PHC.pptMental Health in PHC.ppt
Mental Health in PHC.ppt
 
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...
 
Chief Complaint Follow upHistory of Presenting IllnessMr
Chief Complaint Follow upHistory of Presenting IllnessMrChief Complaint Follow upHistory of Presenting IllnessMr
Chief Complaint Follow upHistory of Presenting IllnessMr
 
The next 3 years
The next 3 yearsThe next 3 years
The next 3 years
 

More from Virginia Rural Health Association

Getting the Most from Federal & State Loan Repayment Programs
Getting the Most from Federal & State Loan Repayment ProgramsGetting the Most from Federal & State Loan Repayment Programs
Getting the Most from Federal & State Loan Repayment ProgramsVirginia Rural Health Association
 

More from Virginia Rural Health Association (20)

Arney
ArneyArney
Arney
 
REVIVE! Opioid Overdose and Naloxone Education
REVIVE! Opioid Overdose and Naloxone Education REVIVE! Opioid Overdose and Naloxone Education
REVIVE! Opioid Overdose and Naloxone Education
 
Balanced Living with Diabetes
Balanced Living with DiabetesBalanced Living with Diabetes
Balanced Living with Diabetes
 
Telehealth: beyond bright shiny objects
Telehealth: beyond bright shiny objectsTelehealth: beyond bright shiny objects
Telehealth: beyond bright shiny objects
 
Attention-Deficity Hyperactivity Disorder
Attention-Deficity Hyperactivity DisorderAttention-Deficity Hyperactivity Disorder
Attention-Deficity Hyperactivity Disorder
 
Hazel
HazelHazel
Hazel
 
Veterans Health
Veterans HealthVeterans Health
Veterans Health
 
NRHA
NRHANRHA
NRHA
 
VHHA
VHHAVHHA
VHHA
 
Guide to Inexpensive Prescription Medications
Guide to Inexpensive Prescription MedicationsGuide to Inexpensive Prescription Medications
Guide to Inexpensive Prescription Medications
 
Getting the Most from Federal & State Loan Repayment Programs
Getting the Most from Federal & State Loan Repayment ProgramsGetting the Most from Federal & State Loan Repayment Programs
Getting the Most from Federal & State Loan Repayment Programs
 
Telehealth Regulatory Potential Across State Lines
Telehealth Regulatory Potential Across State LinesTelehealth Regulatory Potential Across State Lines
Telehealth Regulatory Potential Across State Lines
 
Regional Telehealth Environment
Regional Telehealth EnvironmentRegional Telehealth Environment
Regional Telehealth Environment
 
Decreasing Cost While Increasing Value
Decreasing Cost While Increasing ValueDecreasing Cost While Increasing Value
Decreasing Cost While Increasing Value
 
Research Data Sources
Research Data Sources Research Data Sources
Research Data Sources
 
Triggs-2014
Triggs-2014Triggs-2014
Triggs-2014
 
Martinez-2014
Martinez-2014Martinez-2014
Martinez-2014
 
Morris-2014
Morris-2014Morris-2014
Morris-2014
 
Shell-2014
Shell-2014Shell-2014
Shell-2014
 
Wirgau-2014
Wirgau-2014Wirgau-2014
Wirgau-2014
 

Recently uploaded

Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 

Recently uploaded (20)

Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 

The Collaborative Model of Mental Health Care