integration, access, and parity a provider perspective
DESCRIPTION
Clinically Complicated - Now Who They are NowStatistics Outpatient Services 19.3% Anxiety 16.3% Depression 14.3% ADHD 7.4% PTSD 5.0% SUD 3.8% Mood Inpatient Services 9 Failed Placements 36% Previous Psychiatric HospitalizationTRANSCRIPT
Integration, Access, and Parity
A Provider Perspective
• 130 year old child serving agency
• Inpatient care
• Outpatient Care • After school
programming and summer camps
Clinically Complicated - NowWho They are Now Statistics
Outpatient Services19.3% Anxiety16.3% Depression14.3% ADHD 7.4% PTSD 5.0% SUD 3.8% Mood
Inpatient Services9 Failed Placements36% Previous Psychiatric Hospitalization
Clinically Complicated - Future
Risk Indicator YouthCare Clients General Population
Co-Occurring D/O 61% 24.5% “illicit drug use” (NIH)
Psychiatric Hospitalization 66% 1% adult rate (NIMH)
Suicidal Ideation/Self-Injury 54% 3.7% (CDC)
Incarceration 19% 1% (BJS)
Psychotic Disorder 17% 3% lifetime prevalence (CDC)
Who They May Become: Potential High Utilizers
Why Mental Health Matters
Why We Should Be Concerned
Need vs Access
Opportunities for Integration
From the Henry J. Kaiser Family Foundation:• Universal Screening• Navigators• Co-Location• Health Home• System-Level Integration of Care
Why We Should Be Hopeful
CDC Indicators
• 96% of all children in the US had a usual place of health care.
• 75% of all children had contact with a doctor or other health professional at some time in the last 6 months.
Challenges to Integration
• Culture clash• Training• Language• Perspective
• EHR• Regulatory issues