Depression & Anxiety Intervention Christine Garcia, BA, Research Assistant Rachael Meir, PsyD, Director of Health and Wellness Services Rachel Speer, LCSW, Behavioral Health Clinician Marisa Taylor, LPC, Behavioral Health Clinician Collaborative Family Healthcare Association 15 th Annual Conference October 10-12, 2013 Broomfield, Colorado U.S.A. Session # B4b October 12, 2013
30
Embed
Depression & Anxiety Intervention Christine Garcia, BA, Research Assistant Rachael Meir, PsyD, Director of Health and Wellness Services Rachel Speer, LCSW,Behavioral.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Depression & Anxiety Intervention
Christine Garcia, BA, Research Assistant
Rachael Meir, PsyD, Director of Health and Wellness Services
Rachel Speer, LCSW, Behavioral Health Clinician
Marisa Taylor, LPC, Behavioral Health Clinician
Collaborative Family Healthcare Association 15th Annual ConferenceOctober 10-12, 2013 Broomfield, Colorado U.S.A.
Session # B4b October 12, 2013
Faculty Disclosure
We have not had any relevant financial relationships
during the past 12 months.
Learning Assessment
A learning assessment is required for CE credit.
Presenters Will:Incorporate audience interaction through a
brief Question & Answer period during or at the conclusion of our presentation.
Objectives
• Identify benefits of telephonic counseling as an adjunctive treatment for depression and anxiety
• Explain specific skills and techniques taught by this counseling intervention
(5) Providing feedback to PCPs on depression and anxiety
outcomes, skills learned, and other recommendations
Benefits for Patients
Telehealth benefits patients by:
☺Eliminating need for transportation and childcare
☺Increasing access to care through lower costs, provider availability, extended coverage to underserved populations and underserved geographical regions.
☺Reducing stigma associated with being seen in a mental health clinic
☺Facilitating willingness to disclose personal information
Benefits for Healthcare Institutions
Telehealth allows institutions to offer more cost-effective care by:
•Lowering costs of administrative and reception personnel, waiting areas, and patient care rooms.
Outreach: Outreach: Highlights include:•free service•how it benefits the patient•module choices•can opt-out at any time• monetary incentive.*English and Spanish
Initial Assessment
PHQ-9 to assess Depressive Symptoms
GAD-7 to assess Anxious Symptoms
Mini International Neuropsychiatric Interview (M.I.N.I.) to assess additional diagnoses
Module Choices
Patients can chose at least 3 call topics
Getting Going Grief and Loss Healthy Eating Healthy Relationships Improve Sleep Patterns Manage Stress Better Mind Tricks for Pain Overcoming Illness Physical Activity Positive Thinking Problem-Solving Worrying Less
Updating the PCPOur practices:– Emails to PCPs at initial enrollment, and 6, 12, and 24 weeks,
including symptom severity, medication recommendations, and comorbidities
– Enter notes into medical records• 80.5% of PCPs noted reviewing our emails and/or medical
record notes– Provide recommendations for PCPs to reinforce patient
goals/skills learned – Encourage three-way communication between PCP, telehealth
clinician, and patient– Schedule follow-up appointments with PCPs if needed
Tracking Progress:Reduction in Depression Scores
Tracking Progress:Reduction in Anxiety Scores
Patient Testimonials“I feel she really cares. When you have a sickness like cancer, everybody cares about you but when you have a mental illness, people flee and run away. So when you find somebody who really cares, it gives you that positive boost. I’m a private person so how she got me to talk about my feelings is a miracle.” “If it wasn’t for her, I don’t know where I’d be.”
“I’ve met with other people before and they were so stuffy and used big words and I didn’t feel comfortable. It’s hard for my feet to get goin’ and I like that I don’t have to go anywhere to talk with her.”
“I don’t know if it’s the deep breathing exercises or the medication or talking with her but I have noticed a definite positive change.”
Case Study
•Demographic•Presenting problem
• PHQ-9/GAD-7 scores
•Module work• Skills learned
•Outcome• PHQ-9/GAD-7 scores
Future Directions
FUTUREFUTURE
Trauma workInteractive
videosMotivational
texts/emailsSustainability
Conclusions
♥ Enhances depression and anxiety treatment
♥ Benefits to patient & healthcare institution
♥ Evidenced-based treatment
♥ Future developments & applicability
Questions & Comments
Session Evaluation
Please complete and return theevaluation form to the classroom monitor