A PROVIDER PANEL SHOWCASE Effective Partnerships, Collaborations, - - PDF document

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The TAMHO 2018 Annual Conference

TECHNOLOGY AND BEHAVIORAL HEALTH

the good | the bad | the unknown

A PROVIDER PANEL SHOWCASE Effective Partnerships, Collaborations, and Uses of Technology in Behavioral Healthcare Settings

GENERAL SESSION

myStrength

• A. Elise Tanner, LCSW, FEPI Team Leader,

Alliance Healthcare Services, Memphis, Tennessee Tonya Drury, LCSW, Team Leader and Primary Clinician for OnTrack TN Carey Counseling Center, Paris, Tennessee Dale Mathis, OnTrackTN Outreach & Recruitment Coordinator , Carey Counseling Center, Paris, Tennessee My Recovery Kim Sowell, MA, Director

• f Addiction and Co-
• ccurring Services,

Volunteer Behavioral Health Care System, Murfreesboro, Tennessee Mozzaz Becky Stoll, Vice President of Crisis & Disaster Management, Centerstone, Nashville, Tennessee Electronic Interpretation Service Tiffany Vargas, Manager

• f Business Operations,

Peninsula, a division of Parkwest Medical Center, Knoxville, Tennessee

The TAMHO 2018 Annual Conference

TECHNOLOGY AND BEHAVIORAL HEALTH

the good | the bad | the unknown

myStrength

• A. Elise Tanner, LCSW, FEPI Team Leader, Alliance

Healthcare Services, Memphis, Tennessee Tonya Drury, LCSW, Team Leader and Primary Clinician for OnTrack TN Carey Counseling Center, Paris, Tennessee Dale Mathis, OnTrackTN Outreach & Recruitment Coordinator , Carey Counseling Center , Paris, Tennessee

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• Full range of community-based,

behavioral health services

• Established in 1970 as a not-for-

profit

• 6 outpatient centers and 4

residential centers in Northwest Tennessee

• Approximately 82,000 encounters

dealing with children, adolescents and adults handled each year

Serving a 7-County Area:

Carey Counseling Grant Funding

• Carey Counseling uses myStrength as a direct result of the

Healthy Transition and OnTrackTN grants:

• SAMHSA’s Healthy Transitions grant improves support

services for adolescents and young adults with, or at risk of, serious mental health conditions.

• OnTrackTN is an intensive first episode program that works

with youth and young adults that have had onset of psychosis in the past 2 years.

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Internal Training:

• Frequent myStrength training

covers how treatment-providing staff can use the technology in clinical settings with clients

• Supports clinical supervision of

staff to facilitate trauma informed care

• myStrength is a resource and

training that supports Mental Health First Aid initiatives

• Facilitates psychoeducation

Carey Counseling Use Cases with myStrength

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Treatment Adjunct:

• Offered to all consumers, but some need help:
• Signing up and getting started
• Navigating compatible devices
• myStrength used to:
• Enrich sessions
• Facilitate educational literature (i.e., closing

individual sessions by assigning homework)

• Extend therapy sessions – myStrength is an

important tool to work on mental health outside of actual session (socialization encouraged, but local resources are limited… despite this, myStrength helps people be productive in their personal time)

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

Evidence-based self-help resources for emotional health and overall well-being

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

myStrength Demo: How Carey Clients Use myStrength

Carey Counseling Consumer Utilization of myStrength

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Carey Counseling Consumers Using myStrength

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

myStrength Focus Areas Among New Users

• Nov. 2018
• 1. Stress (36.2%)
• 2. Depression (21.3%)
• 3. Insomnia (17.0%)
• 4. Anxiety (14.9%)
• 5. Chronic Pain (4.3%)
• 6. Drug & Alcohol Recovery (2.1%)

Balancing Intense Emotions or DBT (2.1%) Mindfulness (2.1%)

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myStrength Testimonials from Carey Counseling

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Staff:

"I had to come back to work 5 weeks after having my baby to conserve PTO time for important family events I knew were occurring. I felt really

• ut of it not wanting to be at work

and a little down at times. I used myStrength to find uplifting videos and testimonials to help me improve my mood at work."

Consumer:

"Watching those

videos really helped me out in the middle of the night when I didn't feel like I could talk to anyone."

Carey Outcomes/Satisfaction with myStrength

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Carey Counseling Results myStrength Book of Business

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• Not-for-profit
• Largest

comprehensive BH provider in the county

• Serving +22,000

residents in Shelby County and surrounding areas

• Licensed by the Tennessee Department of Mental Health and Substance Use Services

myStrength Implementation Goals

• Staff pre-training and training on myStrength, including for self-care
• All new clients introduced to myStrength
• 25% of consumers create a myStrength account by end of year 1
• 75% of current clients referred to myStrength within 90 days of launch
• 100% of successfully-discharged clients referred as part of after-care plan
• Enhance group sessions, including one group focused on myStrength
• Include in treatment plans and help clients sign up
• Include myStrength in agency discharge planning tool
• Full-time intern:
• Introduce myStrength to all new clients presenting for care
• Assist with registration and education
• Use printable myStrength tools

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

myStrength Demo

AHS Consumer Utilization of myStrength

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Most Utilized myStrength Focus Areas Among New Users in Nov. 2018: #1 Anxiety Tied for #2: Depression, Balancing Intense Emotions (DBT), and Insomnia

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AHS Consumers Using myStrength

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

The Consumer Experience with myStrength

“I like how I can track my moods on a daily basis and I can look back and see how I was feeling throughout the month.” “I can see what days of the week I feel better.” Quote on an exercise: “The videos are very positive and easy to follow.”

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AHS Outcomes/Satisfaction with myStrength

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AHS Results myStrength Book of Business

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• First Level
• Second Level

− Third Level

∙ Fourth Level » Fifth Level

Appendix

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AHS PHQ9 Outcomes Report

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Average Baseline Score Average Last Score

The TAMHO 2018 Annual Conference

TECHNOLOGY AND BEHAVIORAL HEALTH

the good | the bad | the unknown

Finding My Recovery

Kim Sowell, MA Director of Addiction and Co-occurring Services Volunteer Behavioral Health Care System Murfreesboro, Tennessee

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Finding My Recovery

Developed from Volunteer’s desire to make recovery real for individuals who have spent much of their lives struggling with addiction and mental illness. The desire for the website was to build and strengthen individuals from within and to trust that change can occur. With the help of Finding My Recovery and a Recovery Coach, our participating individuals are learning to follow a path filled with a positive healthy lifestyle and transformation that is giving

HOPE!!

Finding My Recovery began 2011

Total members: 507 Since 2011 Finding My Recovery has completed 5,440 Chat Sessions totaling 3,861 Hours Last Month Alone there were 177 chat sessions totaling 98 Hours

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Finding My Recovery

A positive, strengths-focused website to support individuals in recovery from co-occurring disorders. It is also a recovery focused social media outlet, that is available 24 hours a day 7 days a week.

The Goal of Finding My Recovery

Provide peer to peer recovery support and coaching for individuals with co-occurring disorders in the state of Tennessee-closing the gap by offering a technology-driven alternative support for those with limited access to services.

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Volunteer Behavioral Health would like to thank the Tennessee Department of Mental Health and Substance Abuse Services for funding this web- based Tennessee Peer Support Center Service.

Finding My Recovery

Finding My Recovery The Virtual Peer Support Center

Through Finding My Recovery we provide chat room support services for our participants by:

• Maintaining and updating the addiction and recovery information pages of

the Finding My Recovery website;

• Conducting on-line group meetings focused on recovery from addiction;
• Monitoring participant pages and blogs for adherence to the principles of

recovery and for any signs that the participants may need additional recovery support; and

• If necessary, provide referrals to crisis services as needed

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The Team

Tonya Holman, CPRS Peer Support Center Manager Lary Latzman Recovery Coach

https://www.findingmyrecovery.org

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The TAMHO 2018 Annual Conference

TECHNOLOGY AND BEHAVIORAL HEALTH

the good | the bad | the unknown

Enhance Follow Up Lifetiles App

Becky Stoll Vice President of Crisis & Disaster Management Centerstone Nashville, Tennessee

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MONITORING THE GRID

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CENTERSTONE’S APPROACH

Finding the sweet spot:  Assisting High Risk Patients  Leveraging Technology

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SMART DEVICE APP

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APP FUNCTIONALITY

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APP FUNCTIONALITY

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APP FUNCTIONALITY

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APP FUNCTIONALITY

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The TAMHO 2018 Annual Conference

TECHNOLOGY AND BEHAVIORAL HEALTH

the good | the bad | the unknown

Video Remote Interpreting

Tiffany Vargas Manager of Business Operations Peninsula, a division of Parkwest Medical Center Knoxville, Tennessee

Video Remote Interpreting

On-Demand Interpreting Access to Reduce Cost

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Interpreting Cost

 7 fold increase in interpreting cost between 2013-2017

 Paying for no-show patients  Paying for patients who need more intensive services  Non-productive cost of waiting room time

2013 2014 2015 2016 2017 2018

Peninsula OP: Interpreting Cost

 All interpreting prior to 2018 was completed by in-person translators

Problem solving

 Discussions with IT re: phone interpretation  Covenant Health was already moving to STRATUS  STRATUS offers:

 Medically certified interpreters  Available around the clock  22 video language options & 200+ voice languages

 Pilot program in Knoxville and Loudon Counties

 Utilize VRI only with new patients or patients in crisis

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Pilot Progam: Video Remote Interpreting

 Pilot Program in Knoxville shows 30% saving YTD  Pilot Program in Loudon shows 20% savings YTD

2016 2017 2018

Interpreting Cost 2016-2018

Knox Loudon

Demo Video

 https://www.stratusvideo.com/stratus-video-2/