Welcome to Psychological Simple Triage and Rapid Treatment

Welcome to Psychological Simple Triage and Rapid Treatment (Psy. START) HEALTH SYSTEMS DIVISION PUBLIC HEALTH DIVISION

Agenda • • • 2 What is Psy. START Why Oregon chose Psy. START Security and Cost Present and Future Status Partnership How to follow up

Psy. START in Oregon • Joint project sponsored by the Public Health and Health Systems Divisions • Function – Triage and Case Management • Science behind it: exposure-based • Augments, does not replace, current and future Behavioral Health Crisis/Trauma Care Delivery • Supports Disaster Behavioral Health resiliency 3

Where does Psy. START fit? • Part of a comprehensive solution to Disaster Behavioral Health Care • Links mental health to disaster system of care in real time • Mental health triage, decision support at point of care • Cloud based: Computer, laptop, tablet. Smartphone coming. • Population based Incident Command System/Incident Action Plan 4

How it Works - Measures • • • 5 Severe/extreme stressors – (Not Symptoms) Severe/extreme exposures Traumatic loss (Inc. family members) Ongoing or persistent stressors Injury/illness Peri-traumatic severe panic, prior history of PTSD

Victims Module • Victim/ Survivor Mental Health Triage and Incident Management System – Use by behavioral health responders at hospitals/EMS/ED, clinics, schools, first responders, shelters casualty collection points, family assistance centers and mobile behavioral response teams – Real time situational awareness of mental health risk – First 30 -45 days of event – Geo-coded – First known data driven mental health assessment tool that uses evidence-based metrics. 6

Responders Module • Responder Self Triage System for EMS, ED, Hospital, public health workers, Fire, ICS Staff – Anticipate, Plan, Deter – Builds responder resiliency – Evidence-based, non-stigmatizing and selfassessment 7

Value Added • Real time triage • Ongoing, transferable case management – reduces re-trauma, supports continuum of care • Metrics/Reporting • Planning tool Why Oregon – – Used in Umpqua Community College (UCC) mass shooting event. – Lessons learned pointed to the value add of Psy. START 8

Security & Cost • Psy. START is HIPAA & PII Compliant – HHS, 4 states, Los Angeles County, King County, …. – Security based upon role – • Incident Commander • Case Managers • Field Workers • No direct costs to access, use and receive training & support on system – OHA is funding the system and providing direct support • Cost to user – Staff time, potentially travel and lodging

Present and Future Status • Where are we in adoption? – Oregon environment built & populated – Beta Testing OHA: PHD and HSD Staff – Work with vendor to finalize design • What’s Next? – Orientation and Training – Pilot with select partners • Adjustments – Wider roll out • Training • Support

Leveraging Partnerships • Association of Community Mental Health Programs • Local Public Health Authorities • State Emergency Registry of Volunteers in Oregon • The Nine Tribes of Oregon • Emergency Management & First Responders

For Further Information • Psy. START Victims Module in Oregon – HSD Contact Information • Mike Matthews 503 -209 -4216 michael. j. matthews@state. or. us • Psy. START Responder Self Triage – HSPR Contact Information • Akiko Saito • Akiko. SAITO@state. or. us Website - https: //www. oregon. gov/oha/HSD/Pages/Psy. START. aspx