Implementation of a Telemental Health Service to Improve Access to - PowerPoint PPT Presentation

Implementation of a Telemental Health Service to Improve Access to Psychopharmacological Services for Native Americans at a Rural,Tribal, Outpatient Mental Health Clinic in Oklahoma Karen Ann Taylor, DNP, APRN-CNP, PMHNP-BC

Disclosures  The speaker is an employee of the Choctaw Nation Health Care Center in Oklahoma.

Objectives  Define Telemental Health  Identify three factors that limit/restrict access to mental health care/services for AI/NA people  Identify two ways Telemental Health improves mental health for AI/NA people

Mental Health Access for AI/NA  AI/AN have increased incidence of mental illness and substance abuse  AI/AN live in rural areas  Limited mental health services  Limited providers (U.S. Department of Health and Human Services, 1999; Shore et al, 2008; Shore and Manson, 2010)

Gap: Mental Health Care Access Socioeconomic Clincal locations status Access Provider Mental/physical availabillity comorbidities

Catchment Area/Clinic sites

What’s a Nurse to Do?!  Change agent/advocate. (Sullivan & Decker, 2001)  Utilization of non-traditional health care delivery methods to increase access to health care. (Ellington & Repique,2013; Monnier, Knapp, & Freuh, 2003; Shore & Manson, 2010; Shore et al, 2008; Smith & Allison, 1999)

Telemental Health Behavioral Health Conference Room Idabel exam room

Results  TMH implementation  26 patients volunteered- 2 appointments scheduled  21 (81%) completed 2 appts  Pt satisfaction questionnaire  100% satisfaction

References E lling to n, E ., & Re piq ue , R. J. R. (2013). T e le me nta l he a lth a do ptio n c a n c ha ng e psyc hia tric -me nta l he a lth nursing pra c tic e . Jo urnal o f the Ame ric an Psyc hiatric Nursing Asso c iatio n, 19 (4), 222-224. Mo nnie r, J., K na pp, R. G., & F re uh, B. C. (2003). Re c e nt a dva nc e s in te le psyc hia try: An upda te d re vie w. Psyc hia tric Se rvic e s, 54(12), 1604- 1609. Sho re , J. H., & Ma nso n, S. M. (2010). Ame ric a n I ndia ns a nd Ala ska Na tive s. I n P. Ruiz & A. Primm (E ds.), Dispa ritie s in psyc hia tric c a re : Clinic a l a nd c ro ss-c ultura l pe rspe c tive s (pp. 52-62). Ba ltimo re , MD: L ippinc o tt Willia ms & Wilkins. Sho re , J. H., Bro o ks, E ., Sa vin, D., Orto n, H., Grig sb y, J., & Ma nso n, S. M. (2008). Ac c e pta b ility o f te le psyc hia try in Ame ric a n I ndia ns. T e le me dic ine a nd e - He a lth, 14(5), 461-466 Sulliva n, E . J., & De c ke r, P. J. (2001). E ffe c tive le ade rship and manage me nt in nursing (5 th e d.). Uppe r Sa ddle Rive r, NJ: Pre ntic e Ha ll U . S. De pa rtme nt o f He a lth & Huma n Se rvic e s. (1999). Me ntal he alth: A re po rt o f the S urge o n Ge ne ral. Chapte r 4. Me ntal he alth c are fo r Ame ric an I ndians and Alaskan Native s . Re trie ve d fro m http:/ / me nta lhe a lth.sa mhsa .g o v/ c re / c h4.a sp Wha rto n, D. F ., Pe e rc y, M. T ., Ra ndo lph, A. O., & Ge ig e r, K . G. (2010). S tate o f the Natio n’s he alth re po rt 2010. Dura nt, OK : Cho c ta w Na tio n He a lth Se rvic e s Autho rity, the Cho c ta w Na tio n o f Okla ho ma .

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