Stephanie Meyers amp Emily Hendrickson Project Overview The Facts 60 of rural Americans live in mental health professional shortage areas More than 90 of all psychiatrists amp psychologists and more than 80 of masters prepared social workers work in urban areas ID: 904460
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Expanding Mental Health Services in Rural Healthcare
Stephanie Meyers & Emily Hendrickson
Slide2Project Overview
The Facts60% of rural Americans live in mental health professional shortage areas
More than 90% of all psychiatrists & psychologists and more than 80% of masters prepared social workers work in urban areas
Mental health statistics are the same for people living in rural areas as they are for urban areas
Rural Americans are less likely to recognize their mental health issues and far less likely to understand resources available to them 1 out of every 5 adults are affected by mental health conditions
Slide3Project Overview
Needs assessment conducted Evergreen – focusing on mental health for Medicare population
Mental Health Centers of Western Illinois
Limited counseling and group services for ages 3 and older
No local psychiatry services Medication management aspect of mental health No access to substance abuse programs Over 1000 patients within the 7 clinic system on opioids
Over 300 of those with chronic daily opioid useOver 2300 patients within the 7 clinic system with a diagnosis of depression and/or anxietyCurrent Nurse Practitioner receiving her post certificate as a Psychiatric-Mental Health Nurse Practitioner, completion in May 2021Local Licensed Professional Counselor available
Slide4ObjectivesDeliverables
Expand Mental Health services to adolescent to adult populations ages 11-64Determine model of careSubstance Abuse Program
Routine Mental Health Services
Secure financial model structure
Begin seeing patients in new building by July 1
Slide5Key Stakeholders
Internal StakeholdersPMH-NPPrimary Care Providers
Finance Team
Information Technology Team
Maintenance & Construction Team Evergreen Mental Health TeamCare Management TeamEmergency Department TeamInpatient Team
Slide6Key Stakeholders
External StakeholdersCommunity membersCurrent patients
Other mental health professionals in the community
Insurance
payors including Medicaid/Medicare Judiciary system Law Enforcement “Hidden in Plain Sight” area school district substance abuse taskforce
Slide7Obstacles & Barriers
Lack of guiding principles and regulations on developing mental health programs, especially in a Rural Health Clinic /Critical Access Hospital setting for LPCs, LCPCs, LSWs, LCSWs
Lack of billing and financial direction on billing for mental health services for LPCs, LCPCs, LSWs, LCSWs
Identifying the appropriate space that incorporates all the safety requirements of a mental health clinic
Building a program that ties in standard operating procedures between a new program for adolescent/adult behavioral requirements and the geriatric population
Slide8Expected Outcomes
Improved access to mental health services, both medical and counseling
Improved community awareness of mental health
Provide resources for substance abuse treatment to reduce the number of patients using and abusing opioid medications
Slide9Next Steps
Finalize billing structure
Finalize clinic location with required safety features
Complete all standard operating procedures
Carry out marketing plan
Nurse practitioner certification exam in June
Slide10Resources
Substance Abuse and Mental Health Services AdministrationRural Health Information Hub CMS.gov
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