Docstoc

Outpatient Behavioral Health Services - Signal Behavioral Health

Document Sample
Outpatient Behavioral Health Services - Signal Behavioral Health Powered By Docstoc
					Outpatient Behavioral Health
          Services

        March 1, 2012
      Outpatient Behavioral
        Health Services


           Director of Service
            Robert House, MD

Administrative Director, Behavioral Health
              Mark Wright

     Administration Director,OBHS
    John Lundin – Martinez, BSN, JD



                                             2
       Outpatient Behavioral Health
       Services

Substance Treatment Services
     SUDS & STEP             ORT & WFS
   Ron Gowins, CAC III   Adam Cabrera, CAC III



Mental Health Services
Adult Mental Health          Child & Adolescent Mental Health
Chris Sheldon, Ph.D.              Laura Jacobs, Ph.D.




                                                                3
  Outpatient Behavioral
  Health Services

                          Mission Statement:
To provide comprehensive treatment for individuals with alcohol, drug, and
                        psychiatric problems.


                           Value Statement:
To provide high quality, professional Behavioral Health Services to a defined
patient population presenting with alcohol, drug, and psychiatric problems.


                         Business Statement:
To obtain and sustain a more balanced payor mix to carry out our mission.
    To grow and serve all populations safely within our resource limits.
                            To eliminate waste




                                                                             4
 Mental Health Services
Child and Adolescent Outpatient Mental Health
Population we serve:
    Children and adolescents under 18 years of age who have
     Denver County Medicaid, CHP+, Denver Health Medical Plan,
     and select private insurances. The team serves about 300-400
     clients.
    Referrals come from a wide variety of sources, including
     primary care physicians, Denver Department of Human Services
     and schools.
Team members:
    1 Child/Adolescent Psychiatrist
    4 Child/Adolescent Psychologists (2 FT, 2 PT)
    1 Clinical Nurse Specialist
    1 Psychology Resident
    2 Psychology Externs

                                                                    5
Mental Health Services
Child and Adolescent Outpatient Mental Health

Services Provided:
   Psychological evaluation and therapy for children and adolescents
    with a variety of emotional and behavioral problems
   Family therapy
   Group therapy
   Crisis management of current patients
   Medication evaluation and follow-up
   Case management
   Psychological testing
   Consultation and education within Denver Health
   Education and supervision of psychology residents and externs


                                                                        6
Mental Health Services
Adult Outpatient Mental Health
Population we serve:
   Adults 18 years or older who have Denver County Medicaid,
    Denver Health Medical Plan, Medicaid, and select private
    insurances.
   Most are self-referred, but can also come from family
    members, primary care physicians, Denver Department of
    Human Services and other sources.
Team members:
   3 Psychiatrists (0.8 FTEs)
   2 Psychologists (1.3 FTEs)
   1 Clinical Nurse Specialist with prescriptive authority
   1 Psychology Resident (0.7 FTE)
   1 Psychology Extern (0.4 FTE)
   LPN support




                                                                7
Mental Health Services
Adult Mental Health Outpatient Team
Services Provided:
    Diagnostic evaluation and Individual psychotherapy
    Medication evaluation and follow-up
    Education and supervision of advanced trainees
    Medical Specialty Clinics:
        Bariatric Surgery Evaluation and recommendations
        Oncology
    Services for DDHS/Court-involved individuals:
        Court-Ordered Assessment and Court Report
        DDHS Caseworker-referred mental health treatment




                                                            8
Substance Treatment
Services
Opiate Replacement
Population we serve:
   Intravenous Drug Users- Injecting Heroin
   Prescription Drug
   Opiate Smokers (Opium, Heroin)
   Adults (16 and up) who meet the admission criteria listed in the code
    of Federal Regulations 42 part 8. Patients between the ages of 16 to 18
    meeting these criteria may receive opioid maintenance treatment with
    parental consent.
   Must meet DSM IV criteria for opioid dependence and must meet
    ASAM PPC-II criteria for Opioid Maintenance Treatment.

Team Members:
   .8 FTE Team Physician (Addiction Psychiatrist)
   .25 FTE Internal Medicine Physician
   1 Team Leader CAC III
   1 Psychiatric Nurse Practitioner with prescriptive authority
   RN support
   5 CAC III
   1 Psychiatric Technician                                              9
Substance Treatment
Services
Opiate Replacement
Services Provided:
   Opiate Replacement Therapy
   Comprehensive psychiatric evaluation and medication management
   Individual and group counseling
   Random urine and breathalyzer testing
   Medication monitoring
   Individualized treatment planning
   Case management




                                                                     10
Substance Treatment
Services
Women & Family Services

Population we serve:
   Pregnant women and women with dependent children
   DSS cases with unification issues
   Either opioid replacement or traditional outpatient

Team Members:
   1 Team Physician (Board Certified Addiction Psychiatrist)
   Internal Medicine Physician - support
   1 Team Leader CAC III
   2 Licensed Professional Counselors
   Nurse Practitioner support
   RN support



                                                                11
Substance Treatment
Services

Women & Family Services
Services Provided:
   Opiate Replacement Therapy/Substance Use Disorders Treatment
   Specialized trauma curriculum
   Comprehensive psychiatric evaluation and medication management
   Individual and group counseling
   Random urine and breathalyzer testing
   Medication monitoring
   Individualized treatment planning
   Case management
   Free or discounted treatment



                                                                12
Substance Treatment
Services
Substance Use Disorders Services (SUDS)
Population we serve:
   Adults with substance use disorders who live in the Denver metro
    area
   Insurance status does not prevent admission and treatment due to
    Federal Block Grant funding for access to substance treatment
   Referral sources include; inpatient psychiatry, psychiatric
    emergency services, probation and parole departments, ID Clinic,
    primary care, CARES, Division of Behavioral Health – Involuntary
    Commitments


Team members:
   .8 FTE – Board Certified Addiction Psychiatrist
   Psychiatric Nurse Practitioner support
   5 Certified Addiction Counselors (CACIII)
   1 Addiction Psychiatry Fellow
   3 Psychiatry Residents

                                                                       13
Substance Treatment
Services
Substance Use Disorders Services (SUDS)
Services we provide:
   Comprehensive substance evaluation
   Individual and group Addiction counseling services
   Psychiatric evaluation and treatment
   Intensive Outpatient (IOP), Traditional Outpatient (OP), DUI Treatment,
    Offender Specific Treatment, LGBT/HIV Specific treatment
   Medication Assisted Treatment – Buprenorphine, Vivitrol, Naltrexone,
    Campral, Antabuse
   Comprehensive psychiatric and chemical dependency evaluations
    for DORA and The Colorado Supreme Court Regulatory Council




                                                                         14
Substance Treatment
Services
STEP (Substance Abuse, Treatment, Education and Prevention)
Population we serve:
    Adolescents from 12 to 18 years of age with substance abuse and
     co-occurring disorders. We see patients regardless of insurance
     status.
    50% of our referrals are from juvenile probation. Other referrals
     come from health care providers, schools, Denver Department of
     Human Services and word of mouth.
Team members:
    1 Child/Adolescent Psychiatrist
    1 Adolescent Medicine Fellow (.13 FTE)
    1 Licensed Clinical Social Worker
    1 Certified Addictions Counselor
    3 3rd year Residents (.13 FTE each)
    1 5th year Resident (.13 FTE)
    1 Social Work Student (.3 FTE)
                                                                     15
Substance Treatment
Services
STEP (Substance Abuse, Treatment, Education and Prevention)

Services Provided:
    Outpatient, 12 sessions of CBT/MI sessions for SUD and co-
     occurring D/O with family therapy.
    Contingency Management
    Crisis management of current patients
    Psychiatric consultation
    Consultation and education with DH trainees
    Case management
    Research outcomes
    DUI groups




                                                                  16
Performance Improvement
OBHS Performance Improvement
   BlackBelts (3)
   Dashboards/Quarterly report
   RVU Report
   MMIR
   Gross Charges by AU Report
   NIATx (2-grants in 2009-10)
   Medication Reconciliation
   Joint Commission Accreditation for the Opiate Replacement Program



Continuing Education
   Weekly Addiction Fellow Seminar
   Weekly Treatment Planning


                                                                        17
New Initiatives
Clinical Initiatives
   Buprenorphine
   Vivitrol
   Psychiatric competency evaluations
   Supreme Court Attorney Regulatory Council
   Peer Assistance
   DORA
   OBHS/Denver Public Health Integration Project
   ID Clinic/Ryan White Collaborative
   Adolescent DUI Program




                                                    18
New Initiatives
Research & Clinical Grants
Current
              Advancing Recovery II (2)
              Daniels fund STARS Grant
              Telephonic Counseling for Depression in an Urban Public Health System:
               Robert Wood Johnson Foundation, Total Award: $257,582, (Chris Sheldon,
               Co-Investigator; David Brody, MD, Principle Investigator)
              Demonstration Grant: Fellowship in Integrated Primary Care and Behavioral
               Health: Colorado Health Foundation Total Award: $131,795, (Chris Sheldon,
               Principle Investigator with Laurie Ivey, Psy.D.)
              DA 000357-06A1K12 AACAP Physician Scientist Training Program in
               Substance Abuse (Dr. Chris Thurstone, Principal Investigator)
              5R01DA0211913 Genetics of HIV Risk Behavior (R01 - NIDA, Dr. Chris
               Thurstone, co-investigator)
Under Review/Planned
              Methadone Electrocardiogram Study
              NIDA Rocky Mountain Node
              ROSC Grant Application
              Trazodone for insomnia in adolescent referred for cannabis dependence
               treatment (R01 - NIDA, principal investigator)
              Heart rate variability biofeedback for stress in adolescents referred for
               substance treatment (R21 - NIDA, principal investigator)
Publications




                                                                                           19
Questions?




             20

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:0
posted:4/20/2013
language:English
pages:20
wang nianwu wang nianwu http://
About wangnianwu