TELEPSYCHIATRY AmyErin Blakely Vice President of Behavioral Health

TELEPSYCHIATRY Amy-Erin Blakely Vice President of Behavioral Health

ABOUT US § Leading non-profit behavioral health and child well-being organization § Founded in 1994 rooted in Central Florida § Service array includes psychiatric evaluation, medication management, mental health & substance abuse counseling, substance abuse assessment, medication assisted treatment, child welfare adoptions, health advocacy, intake & placement and transitional housing § Merged with The Grove in July 2018, providing residential substance abuse treatment for adolescents ages 13 -17 § Provided over 250, 000 telehealth visits in the past 7 years

Shortages in Mental Health Practitioners • 89. 3 million Americans live in federally-designated Mental Health Professional Shortage Areas • Data show a need for 25. 9 Psychiatrists per 100, 000 people to meet current mental health crisis. National average is 10 per 100, 000 people. Florida has only 7 per 100, 000 people. • Average of U. S. Psychiatrist is over 55

Telepsychiatry u Psychiatric Evaluations u Medication Management u Electronic Prescribing u Pharmacy Option/ Mail delivery u 5539 Forms for Dependency Children

Capacity & Practitioners • Board Certified and/or Board Eligible Adult & Child Psychiatrists • Psychiatric ARNPs & Physician Assistants • Primary Care MD • Psychiatric Supervision available • Clinicians including LCSWs, LMFTs, & LMHCs and Masters Level Clinicians • Immediate capacity available

DELIVERY METHODS SPOKE SITES in COMMUNITIES DIRECT TO PATIENT

WHEN & WHERE ? u HIPPA secure Telehealth platform u Individuals may be seen in the privacy of their own home, work or other private locations u Practitioner conduct appointments from home/office u Spoke site locations u Evenings and weekends available

Equipment Needed u u Smartphone/tablet PC or Mac w/ Camera Internet connection Browser: Google Chrome

Multi-Participant Feature § When it is clinically appropriate for others to participate § Can include other family members, practitioners, caseworkers, etc. § Various Services (case consultation , treatment team) § Connects occur through secure URL link § FTCs & STCs § Case Transfer staffings § Mediation & Case Plan Conferencing

OUTCOMES • Clients More Likely to Seek Treatment Due to Convenience Factor • Clients More Likely to Stay in Treatment - Less Likely to Cancel or No Show • New Client Evals More Timely (Reduction in wait time from 8 weeks to 2 days) • 98% Patients Satisfied w/ Their Telehealth Services • 10% Fewer Prescriptions Written to Telehealth Group

Top 10 Diagnoses - Age 6+ Top 10 Telemedicine Diagnoses Axis Code 1 2 3 4 Diagnoses 314 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type 314. 01 Attention-Deficit/Hyperactivity Disorder, Combined Type or Predominantly Hyperactive-Impulsive Type 296 Bipolar I Disorder, Single Manic Episode, unspecified 296. 9 Mood Disorder NOS 5 309 Adjustment Disorder with Depressed Mood 6 300 Anxiety Disorder NOS 7 313. 81 8 296. 3 9 309. 81 10 296. 8 Oppositional Defiant Disorder Major Depressive Disorder, Recurrent, unspecified Posttraumatic Stress Disorder Bipolar Disorder NOS

Prescriptions • • All completed electronically Dr. First – Surescripts Hx Controlled – Schedules II- V Cooperating Pharmacies Mail delivery option – free of charge Authorizations Enrollment in free and discounted med programs

§ Clients go to nearest Publix § Complete Testing § Data Uploaded into IMPOWER EHR nightly § Biometric Data Available to Practitioners

BENEFITS • • More Likely to Seek Help Direct to consumer Increases Practitioner Selection Reduces Travel Time and Costs Improves Satisfaction in Health Care Improved Medication Compliance Reduces Stigma • Reduces No Shows • Reduces DCM Travel / Mileage costs • Allows greater SOC partner participation • Reduced school / work absences • Streamlined permanency

Telehealth Referral Process Referrals can be made by visiting our website • www. impowerfl. org • Referrals may be made by the individual or agency staff

www. impowerfl. org

CENTRAL REFERRAL AND SCHEDULING – Referral Process • Call client to schedule Psychiatric Evaluation/Medication Management appointment • Intake paperwork & consents are obtained electronically • Test connection and confirm appointment • For Psychiatric Evaluation obtain and report vital signs (blood pressure, height, weight)

Questions? Stay Connected www. impowerfl. org