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