The Alaska Psychiatric Institute

Transcription

1 3333 Division of Behavioral Health ASHNHA Webinar Ron Hale, Hospital Administrator June 25,

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3 Only Alaska State operated acute care psychiatric hospital Joint Commission Accredited 2012 Top Performer Key Quality Measures Unit Beds Services Chilkat 10 Youth Susitna 26 Adult Acute Care Katmai 24 Adult Acute Care 80 bed facility for children, youth and adults Denali 10 Neuropsychiatric Care Taku 10 Forensic / Secure Unit Provides short-term hospitalization for individuals who need psychiatric care that is not available in their home or community Provides telemedicine to 11 behavioral health organizations and their subsidiaries. 3

4 API Vision Hope and Recovery for Alaskans! Self-directed care Peer support and help Helpful environment Community support and resources Place of safety Holistic services Education Self-advocacy API Mission In partnership with individuals, their families and the community, natural network and providers, API s Alaska Recovery Center provides therapeutic services which assist individuals to achieve a personal level of satisfaction and success in their recovery. Core Values Integrity Safety Personal responsibility Quality Care Hope Individual Goals Compassion-fairness and honesty Life-long Learning 4

5 TBH Vision: To develop a center of excellence through best practices. To allocate resources where and when needed as mental health providers, and to determine what is most appropriate for intervention and response awareness. To be a telemental health resource to healthcare facilities throughout Alaska through collaboration and to improve quality of life for individuals and families with mental and substance use disorders. TBH Mission: To facilitate and communicate telemental health development and delivery approaches through evidence based practices. To promote the delivery of access to specialized care otherwise unavailable locally, through statewide collaborative action that influences and integrates telemental health research, training, practice, and policy. To foster discovery, development, and delivery that will facilitate high-impact contributions that: Increase continuity of care into clinical practice Reduce expenditures to redefine existing paradigms Support earlier screening and treatment to develop novel concepts, approaches, methodologies, and technologies. 5

6 TBH Core Services: Division of Behavioral Health The Telebehavioral Health Program Majority of encounters are psychiatric evaluations and follow-up medication management. TBH providers help to evaluate and follow up on screening and outcome measures. Mentor and facilitate learning experiences for the upcoming MD and PhD students within the facility. Who We Serve: Alaska Family Services Aleutian Pribilof Islands Assn. Copper River Native Assn. East Aleutian Tribes Maniilaq Association Cordova Community Hospital Ilanka Community Health Center Sound Alternatives Hope Community Resources Daybreak Mental Health Service Coordination Incorporated Iliuliuk Family and Health Services, Inc. 6

7 Sound Alternatives 7

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9 -Ambler (pop. 276) Division of Behavioral Health Maniilaq Behavioral Health Services -Kotzebue (pop. 3,224) -Buckland (pop. 437) -Noatak (pop. 546) -Deering (pop. 123) -Noorvik (pop. 643) -Kiana (pop. 372) -Point Hope (pop. 656) -Kivalina (pop. 386) -Selawik (pop. 868) -Kobuk (pop. 148) -Shungnak (pop. 261) 9

10 - Akutan ( pop. 1,040) - Atka (pop. 58) - False Pass (pop. 37) - King Cove (pop. 948) - Nelson Lagoon (pop. 45) Aleutian Pribilof Islands Association - Nikolski (pop. 16) - Sand Point (pop. 1,016) - St. George (pop. 97) - St. Paul (pop. 481) - Unalaska (pop. 4,364) 10

11 Sand Point Division of Behavioral Health Eastern Aleutian Tribes Adak (pop. 331) Akutan (pop. 1,040) False Pass (pop. 37) King Cove (pop. 948) Sand Point (pop. 1,016) Adak King Cove 11

12 Copper River Native Association -Cantwell (pop. 202) -Copper Center (pop. 322) -Chistochina (pop. 104) -Chitna (pop. 137) -Gakona (pop. 224) -Gulkana (pop. 143) -Mentasta (pop. 126) -Tazlina (pop. 307) 12

13 Alaska Family Services Palmer/Wasilla (Pop. 6,087 & 8,064) 13

14 Cordova (pop. 2289) Sound Alternatives Ilanka Community Health Center Cordova Community Medical Center 14

15 Iliuliuk Community Health Center Dutch Harbor Unalaska (pop. 4,344) 15

16 Telebehavioral Health Suite 16

17 Dr Mark Erickson, MD TBH Medical Director 17

18 ipad Proof of Concept Project DayBreak Mental Health Coordination Service Inc. and Iliuliuk Family and Health Services Goals for the project Our goal was to continue to provide regularly scheduled appointments, crisis intervention, family visits, and to avoid hospital admission and re-admission. Long term we would like to be able to provide live admission and discharge planning which are all possible using this technology. 18

19 DayBreak Mental Health Coordination Services and Iliuliuk Family and Health Services The use of mobile devices (m-health) is a significant adjunct to crisis intervention. Mobile health or mobile computing demonstrates how this technology can be a tool to improve access to care and outcomes. i-pads(or tablets ) allow providers, case managers, and ultimately patients to communicate securely with each other when and where the opportunity presents itself. Vidyo software is an application that provides HIPAA secure video conferencing. i-pads establish instant connectivity; no searching for a connection. The Distant site API receives the Vidyo signal on ipad, desktop or room system. 19

20 Telebehavioral Health Increases access to specialized care otherwise unavailable locally. Increases continuity of care. Reduces expenditures Unnecessary Admissions, Travel. Supports earlier screening and treatment Crisis Management Intervention. 20

21 So what did we learn? Applications Patients They liked it Providers Champions Clinical and Administrative 21

22 Entry into the Market Costs Equipment Room Systems iphones, ipads, Tablets, Laptops, Monitor Cameras Applications Vidyo, Jabber, Skype, Go to Meeting 22

23 Funding Mental Health Trust Authority Opportunities Universal Services Administration Company (USAC) Rural Health Care Program ( 23

24 Resources American Telemedicine Association ( Northwest Regional Telehealth Resource Center ( CTEL Center for Telehealth and e-health Law ( ) Vidyo ( 24

25 Questions? 25

26 Ron Hale, Hospital Administrator Cheryl Nino, TBH Program Manager The End 26