g1 rapid fire: designing a foundation of quality for mental health - l. kallstrom and c. southey
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Primary Care Solutions for Child and Youth Mental Health:
A Community-based Approach
Liza Kallstrom - Practice Support Program, Content Lead Christina Southey - ImpactBC, Quality Improvement Advisor
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Why Child and Youth Mental Health?
What makes this module special?
What have we seen so far?
What’s next?
Today
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Have you heard about the Practice Support Program?
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Support full service physician practices
Sponsored by the General Practice Services Committee (GPSC): BC Medical Association and the Ministry of Health
Change management support to modernize medical practices in two areas:
› Clinical redesign
› Practice efficiency
Topic areas include: Group Medical Visits, Adult Mental Health, Patient Self-Management Shared Care, Child and Youth Mental Health
What is the Practice Support Program?
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Most mental health conditions onset before 25
80% are amenable to treatment
We can change trajectory with primary care interventions
Why Child and Youth Mental Health?
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Why Child and Youth Mental Health (CYMH)?
Prevalence %Estimated numbers
Any anxiety disorder 6.5% 60,900
ADHD 3.3% 30,900
Conduct Disorder 3.3% 30,900
Any depressive disorder 2.1% 19,700
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Within 6 - 8 months, we aim to improve child and
youth mental health in participating practices as evidenced by improved scores
on KADS, SCARED and SNAP.
Module AIM
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Identification, diagnosis and management
Appropriate use of evidence-based treatments
Appropriate application of standardized methods of measurement
Awareness of community mental health resources available
Family physician collaboration with community partners
By focusing on…
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What Makes this Module Special?
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School Counsellors
GPs and MOAs
Ministry of Children
and Family Development
- CYMH
Patients and their Families
Specialist Physicians
PSP Regional
Support Team
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Integration in Action
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Where are we now?
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TTT1 TTT2
Action Period
Train the Trainer (TTT) Process
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Province-wide participation Opportunity to test and provide feedback on
content/processes Full day sessions
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228 Children and youth screened
225 On a registry with anxiety, depression or ADHD
110 Treated with non-pharmacological interventions
42 Treated with protocol driven medications
What was achieved?
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10 Teams working on processes between GPs and schools
6 Teams working on processes between GPs and specialists
7 Teams working on involving patients and family in care
7 Teams working on leveraging community/provincial supports
What’s happening?
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Communication & Collaboration
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In Creston they’re testing Mental Health primary care visits in the local high school
In Vernon they’re testing phone consultation with the Specialist and GP around treatment and medication advice.
In Nanaimo they’re testing open call–in times for GPs during case review meetings at MCFD.
All Across BC GPs and School Counsellors testing ways to screen children and youth, and share information.
Innovative Examples…
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“…connectedness, reassurance that youth will have follow up by other team members
– I feel less like kids will fall through the cracks”
-School Counselor
How this has impacted team members…
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“... By bringing in the GP or the school, you bring in more comprehensive
support” -GP
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But best of all…
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Piloting in small cohorts
Provincial roll-out starting in fall of 2012 (500 GPs funded)
Next Steps
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The potential impact of this work is BIG
Integration is at work
We are increasing capacity in primary care
Practitioners enjoy this work
Real results can be seen
Spread Ahead!
Summary
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For more informationPractice Support Program
115 - 1665 West BroadwayVancouver, BC V6J 5A4
Tel: 604 638-2873www.pspbc.ca
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