GOBHI Gazette August 2019

GOBHI Telehealth Expansion Update

Patients and Providers brought together with easy to use telehealth software, MEND!

In the era of smartphones and tablets, most patients still find themselves required to physically travel to clinics for health care services.  This causes issues when compounded by weather, childcare, cost for fuel, and sometimes the stigma associated with receiving needed services. We are grateful to our CMHP clinicians and site champions for adopting telehealth to overcome these real and perceived barriers!  Last we shared, a three year grant from the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA) had committed to GOBHI a total of $972,430 — effective from Sept. 1. 2018 to Aug. 31, 2021. 

Since going live on the MEND platform in September, collectively we’ve reduced the gap between patients and care for over 130 individuals by expanding telehealth services through over 85 dedicated providers within GOBHI and our CMHPs.  Creative uses of the MEND platform brought forward by our Site Champion leaders within CMHPs include: ensuring continuity of care for students on summer break or when changing school settings, use of the platform for mobile crisis, providing groups across two sites (one at the CMHP and one at a satellite location), and convening care coordination meetings through MEND!  

Currently participating in this project is Center for Human Development, (Union County), Community Counseling Solutions (Gilliam, Grant, Morrow, and Wheeler Counties), Lake District Wellness Center (Lake County), Mid-Columbia Center for Living (Hood River, Sherman, and Wasco Counties), New Directions Northwest (Baker County), Winding Waters/Wallowa Valley Center for Wellness (Wallowa County), and GOBHI’s direct services (Wraparound, Psychiatry, Complex Case Coordination). Soon to come in August will be the onboarding of remaining Symmetry Care (Harney County)…completing the availability of direct to home telehealth within GOBHI.

Telehealth Feedback from Patients

“The whole idea is connecting with patients wherever they are,” said Bonnie Thompson, GOBHI Director of Health System Improvements. “We’re honored to take the lead on the project, keeping in mind that this is just the start,” said GOBHI CEO Kevin Campbell. “Nobody should feel isolated, or cut off from the help they need. Thankfully, telehealth opens a new range of innovative possibilities for reaching the population we serve.” Our members are feeling connected and emphasize the convenience of the MEND platform….

“I really like this counseling on a screen thing. It’s nice not to run into your counsellor all over town, which happens all the time here. Do you think they’ll have a similar type of on-screen counseling service for when I move [to another community] later this year?”—18 year-old female

“I really appreciated talking with you today. I don’t get much of a chance to talk with anyone about these matters; even family members.”—86 year-old male

We look forward to updating you on additional outcomes of this innovative telehealth project, including travel miles potentially saved, diversity of service types/uses in our communities, results of a client satisfaction survey, in addition to clinical markers of success, in a future issue of the GOBHI Gazette.   

Questions? Please contact: Bonnie Thompson: 503-338-9074 | Bonnie.thompson@gobhi.org

Oregon DA forum addresses mental health, criminal justice intersection

Salem — Prosecutors from sixteen Oregon counties gathered on May 30 to learn and discuss changing laws and issues around the intersection between mental health and criminal justice. It was the first forum of its kind in the state.

District Attorneys and Deputy District Attorneys from various communities participated in the forum, held at The Oregon Department of Public Safety Standards and Training (DPSST) in Salem.

The topic of mental health and criminal justice has become increasingly important statewide, according to professionals who participated in the forum.

The forum was developed through a partnership among Columbia County District Attorney Jeff Auxier; Marion County District Attorney Paige Clarkson; Marion County Deputy District Attorney Melissa Allison; the Oregon Center on Behavioral Health and Justice Integration (OCBHJI), a division within Greater Oregon Behavioral Health, Inc. (GOBHI); and the Crisis Intervention Team Center of Excellence (CITCOE), a collaboration between OCBHJI and DPSST.

Guest speakers from Klamath Basin Behavioral Health, Washington County Behavioral Health, Northwest Forensic Institute, and the Oregon State Hospital presented and answered questions. Topics included community restoration for people who are not legally fit to participate in their own defense, certified forensic evaluations, and new legislative changes regarding this population.

Prosecutors also shared ideas regarding handling of cases, interpretations of law, and how prosecutors can protect public safety while having a positive impact on those who experience serious mental health concerns — as well as Oregon’s communities at large. Prosecutors from Clackamas, Columbia, Coos, Deschutes, Gilliam, Jackson, Klamath, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Union, Washington, and Yamhill Counties contributed to the forum.

This opportunity for prosecutors to gather, discuss, and learn from one another was the first such event facilitated by OCBHJI, GOBHI, and CITCOE.

Marion County District Attorney Paige Clarkson commented, “As District Attorneys, we have an obligation to be leaders in all areas of public safety. Ensuring that those with behavioral health issues are treated fairly in the criminal justice system is essential for our communities. This forum has been a great way for us to collaborate toward that goal.”

OCBHJI Behavioral Health Justice Manager Chris Thomas added, “The Oregon Center of Behavioral Health and Justice Integration and GOBHI were honored to collaborate with our criminal justice partners to facilitate this forum. The intersection between behavioral health and criminal justice is not just a public safety problem, nor just a behavioral health problem, it is our challenge to meet as partners to promote fairness and engage people in treatment, while supporting public safety and fiscal responsibility. We are thrilled to help facilitate the conversation and promote problem solving.”

Marion County Deputy District Attorney Melissa Allison looked towards future collaboration, stating, “It’s clear that District Attorneys are engaged in this topic and are looking for ways to better address mental illness in the Public Safety system. We are already working to put together our next Forum on Mental Health for 2020.”

For more information, please visit www.ocbhji.org.

Contact: 541-705-4961, OCBHJI@gobhi.org

Hungry……for information?

Save the Date for a GOBHI Utilization Management Lunch & Learn

On Tuesday, September 10 from 12:00 pm to 1:00 pm, Dr. Satya Chandragiri, GOBHI’s Utilization Management Medical Director and Jenna Halstead, GOBHI Utilization Management Coordinator will host a Lunch and Learn.
Participate from the comfort of your office, as this will be a video conference event!
More details to come….

OABHI GOBHI program offers resources to providers

Download flyer →

Struggling with a particular client? The Older and Physically Disabled Adult Behavioral Health Complex Case Consultation Program may be able to help you. This program addresses several important categories in care for older adults.

Behavioral Challenges:

  • Clinical interventions and medication review with written recommendations. 
  • In-home clinical tele-behavioral health assessments with written recommendations.

Resource Challenges:

  • Assistance connecting with resources in your area. 

Challenges with Collaboration:

  • Assistance with facilitating a community partner meeting to discuss client needs/issues.

To ask questions or make a referral, please contact:

Kris Boler

Complex Care Management

Goals and Objectives

The goal of the program is to help members regain optimum health or improved functional capacity in the right setting, utilizing the right providers, in the right time frame and in a cost-effective manner. It involves a comprehensive assessment of a Member’s condition, to include but not limited to, determination of the available benefits and resources, and development and implementation of a Care Management Plan with performance goals, monitoring, and follow-up. More specifically, the goals established for the Complex Care Management (CCM) Program include: 

  • Improving the quality of life for Members 
  • Improving functional capacity of Members 
  • Increasing Member self-care 
  • Improving efficiency by reducing unnecessary emergency department visits and hospital utilization 
  • Enhancing access to appropriate health care resources

Referral to Care Management

Referrals to Complex Care Management may be made by: 

  • Members or Caregivers 
  • Providers 
  • Practitioners 
  • Discharge Planners 

To Make a Referral: Download the GOBHI Care Management referral form or call 1-800-493-0040 or 541-298-2101 and ask for the Care Management Team. 

For more information, please visit our Complex Care Management page →

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