Lt. Governor Evelyn Sanguinetti toured The Josselyn Center on Friday, May 18th, as part of her new state task force to develop a comprehensive tele-medicine strategy for the Medicaid program to help improve access to healthcare.  The Josselyn Center's tele-psychiatry program helps bridge the gap to this scarce resource.

The Lt. Governor participated in a mock tele-health session with a Josselyn client and Josselyn's tele-psychiatrist Dr. Hossam Mahmoud, President-Elect of the Illinois Psychiatric Society and Medical Director of Regroup, Josselyn's partner in tele-health.  The Lt. Governor and the client conversed in Spanish about the enormous stigma in the Latino community surrounding mental health.

We shared with the Lt. Governor that due to low Medicaid reimbursement rates for psychiatric services, other community mental health clinics have eliminated, or severely restricted access to psychiatric services.  At these centers, Medicaid recipients can wait years for a first appointment.

The Josselyn Center launches innovative programs like telepsychiatry in order to increase access for all people.

Josselyn's Tele-Medicine Program Increases Access to Scarce Psychiatric Services

There is a severe shortage of psychiatrists in the United States; psychiatry is the second most heavily recruited medical sub-specialty, after family medicine.  Community mental health clinics rely on Medicaid reimbursements, which cover only half the cost of providing psychiatric care.  Thus, we are simply not able to recruit or retain psychiatrists who are in such high demand, and who can receive two-five times higher compensation for their services from private insurance or private-pay clients.

As a result, psychiatric services are severely limited to Medicaid recipients, the very people who need it the most.  Psychiatric care helps people with mental health conditions remain employed, enjoy healthy relationships and contribute to society.  Among Illinois Medicaid recipients with a disability, almost half have a mental health diagnosis.

Tele-medicine is efficient and effective.  For example, Dr. Mahmoud resides in Chicago.  Instead of sitting in two-three hours of traffic each day traveling to The Josselyn Center, he can see six to nine clients during that time by avoiding the commute.  Josselyn's medical services coordinator and nurse provide the important medical services which must be provided face-to-face, such as taking vitals, administering injections, and accompanying the client during the telehealth session, if the client wishes.  The quality of the service is just as high as traditional, face-to-face services; the average client satisfaction score for our telehealth service is a 4.8/5.0.

Child Psychiatrists Donate Care at Josselyn But Wrestle with Medicaid Drug Options

The Lt. Governor also met one of our Josselyn Champions, volunteer child psychiatrist, Dr. Michael Feld, who donates four hours a month to provide care to low income children at Josselyn.  Dr. Feld shared a story about a young Josselyn client with ADHD.  The child is a Medicaid recipient, which limits the medicines Dr. Feld can prescribe.  The only option for this child is a short-acting stimulant that lasts just three hours.  The child has to go to the nurse at lunch for another dose, which he avoids because it's embarrassing, so he was suspended for an outburst in the afternoon, after his medicine wore off.  Dr. Feld's private-pay client just one mile away gets to take a 13-hour, long-acting stimulant with fewer side effects, no stigmatizing visits to the nurse mid-day, and is doing better in school as a result.

Just as Lt. Governor Sanguinetti is dedicated to providing all Illinois residents with quality healthcare via technology, so is The Josselyn Center committed to providing ALL our community members with quality psychiatric services.  One in six North Shore residents is eligible for Medicaid, and we rely on the generous contributions of our donors to make up the difference between what Medicaid reimburses, and the cost of care.  We must raise $100 for every hour of psychiatric services.  We have provided this vital service for 67 years in an affordable manner, thanks to your support.  Your gift will help us continue to provide psychiatric services.  We can't do it without you!

The Josselyn Center wishes to thank Lt. Governor Evelyn Sanguinetti for her visit, and we thank you for your support, which makes everything we do possible.

Originally published on The Josselyn Center's News Page.

Seconds count when it comes to a suicidal patient and getting them to the care they need. EMS personnel often find themselves dealing with mental health patients. Because they do not have psychiatry expertise, EMS often has to transport these patients to the ER where they will sit until they can get a correct diagnosis. However, this could take hours and leads to the emergency vehicles being tied up while they may be needed for more urgent needs in their county.

This is why in Charleston County, the Department of Mental Health (DMH) and Emergency Medical Services(EMS) have partnered to create a Mobile Crisis program. Together, they get mental health patients to the correct facilities faster than ever before. By using telepsychiatry, paramedics connect to a psychiatrist by using a computer in their EMS vehicle. Once connected, the psychiatrist can see the patient and assess their mental state.

According to Olivia Boyce at Insight, the nation’s leading telepsychiatry provider, more programs like the Mobile Crisis teams are being created to give emergency personnel extra backing when it comes to addressing multiple health issues in the communities particularly those with in remote areas.

Listen to the full podcast here.

Originally published on hasc.com 

The Hospital Association of Southern California and the Hospital Council of Northern and Central California this week announce their endorsement of InSight Telepsychiatry and Vituity Telepsychiatry. As endorsed business partners, each is fully qualified to help member hospitals assist psychiatric patients in the ED and other care settings.

The Associations endorse both firms for on-demand patient consultations via two-way video conferencing. Both InSight’s and Vituity’s services include evaluation and support to resolve psychiatric crises – including 5150 holds and releases.

InSight Telepsychiatry Writes to Modify the New York Office of Mental Health’s Proposed Regulations Regarding Telemental Health

A committee of Association members convened to guide the RFP process and evaluate in-person presentations and written proposals. Following review, the committee unanimously selected InSight and Vituity as preferred telepsychiatry providers. The committee’s comprehensive vetting process evaluated each vendor on a range of criteria — including product and services features, staffing, technology, customer service and references, and compliance with state and local laws/regulations.

“Following a rigorous review of 10 telepsychiatry service applicants by the membership, we are proud to endorse InSight and Vituity,” said Scott Twomey, HASC Senior VP/CFO.

InSight and Vituity have experience complying with state and county regulations covering 5150 involuntary holds and releases and telepsychiatry operations. Each is familiar with the multi-week certification process that leads to fully-compliant telepsychiatry operations in individual facilities.

HASC and Hospital Council’s endorsed business partner program provides cutting-edge and cost-effective solutions for member hospitals. Selected partners meet high-quality standards and offer products or services that help facilities improve clinical quality, avoid costs, recover revenue, reduce operating and capital expenses, improve management, increase productivity, develop staff resources and apply new strategies.

Contacts:

Kimberly Johnson
Director of Association Services,
Hospital Association of Southern California
(213) 538-0772
kjohnson@hasc.org

Jan Murphey
Marketing Manager,
Hospital Council of Northern and Central California
(925) 746-1551
jmurphey@hospitalcouncil.org

About InSight + Regroup 

InSight + Regroup (now Array Behavioral Care) is the leading and largest telepsychiatry service provider in the US with a mission to transform access to quality behavioral health care.  InSight + Regroup serves hundreds of organizations and individuals in various settings across the continuum of care with its on-demand, scheduled services and direct-to-consumer (Inpathy) divisions.  Given its size, diversity of services and extensive experience and expertise, InSight + Regroup is uniquely positioned to enable scalable telepsychiatry programs across the care continuum.  As an industry thought leader, InSight + Regroup has helped shape the field, define the standard of care and advocate for improved telepsychiatry-friendly regulations. To learn more, visit www.arraybc.com

About Vituity Telepsychiatry

Emeryville, Calif.-based Vituity Telepsychiatry is part of Vituity — a physician-led and owned partnership founded as CEP in 1971. Core services include emergency medicine, acute psychiatry, acute neurology, hospital medicine, anesthesia, and critical care – in addition to telehealth solutions. To learn more about Vituity Telepsychiatry, visit www.vituity.com/services/acute-psychiatry, or contact Sumter Armstrong at sumter.armstrong@vituity.com.

Written by Geoffrey Boyce. Originally published on American Journal of Managed Care

The positive effect of telemedicine continues to expand as community stakeholders—both clinical and nonclinical—work to increase access and create efficiencies across a healthcare continuum plagued by provider shortages and fragmented care. Telepsychiatry sits at the forefront of these movements and is quickly carving out a permanent niche in a variety of non-traditional settings.

As a natural extension of the telehealth phenomenon, telepsychiatry represents the broader industry trend of moving care outside the walls of inperson clinical settings. When care meets individuals where they are, it not only becomes more convenient, but also ensures care is more proactive, efficient, and effective. It also has the ability to drive greater patient satisfaction as evidenced by the more than 75% of consumers demanding virtual care and telemedicine access from their providers.

To address growing behavioral health needs, community-based care settings are adopting telepsychiatry to provide an effective alternative to costly, unnecessary emergency department (ED) admissions. Telepsychiatry is also now used in a variety of nonclinical settings, such as schools, universities, and correctional institutions. And that’s just the tip of the iceberg as communities find creative ways of using telepsychiatry to meet individuals where they are, and ultimately deliver “whole person” care that promotes greater wellness.

Filling Behavioral Health Gaps for Employers and Schools
More than ever, employers must proactively address employee health to align with the goals of value-based care—better outcomes and lower costs. That’s why many organizations like the Employee Assistance Program (EAP) for Bon Secours Health System based in Richmond, Virginia, are looking to direct-to-consumer (D2C) telepsychiatry models to help bolster behavioral healthcare options.

Bon Secours offers an active and well-established EAP to its 9000 employees to improve behavioral health conditions such as depression, anxiety, substance use, and post-traumatic stress disorder. The program supports a variety of population health initiatives and helps employees find appropriate resources following an initial visit provided through the EAP.

While rural areas currently suffer from substantial psychiatric resource shortages, larger cities like Richmond are not immune. Prior to referring to telepsychiatry, staff working within Bon Secours’ EAP faced challenges connecting employees to appropriate mental and behavioral health resources in a timely manner. Wait times for appointments reached up to 2 months in some cases, leading to the potential for higher-cost interventions when employee symptoms would continue to exacerbate.

D2C telepsychiatry, offered in the comfort of an employee’s home or other Wi-Fi–enabled private location, proved to be an effective option for filling such gaps. Through the EAP, employees can access online appointments in a matter of days with a licensed telepsychiatry provider, ensuring timelier response and tailored care delivery. Past scenarios often resulted in employees turning to primary care providers (PCPs) for behavioral health assessment or treatment, despite the fact that PCPs often lack specific expertise on such conditions or psychotropic medications.

Since starting to refer employees to telepsychiatry, Bon Secours has received positive feedback from young and more mature employees alike. The staff has found that all age groups appreciate the convenience and privacy of telepsychiatry and are not intimidated technology. Many employees have stated they prefer the flexibility of scheduling appointments outside of traditional office hours and are more comfortable seeking out behavioral health services from the comfort of their home to avoid stigma.

In addition to telepsychiatry offerings available through EAP programs or employer benefits, schools and universities are also finding success leveraging telepsychiatry for many of the same reasons. Notably, a 2013 study determined that telepsychiatry may be more effective than inperson care for younger age groups “because of the novelty of the interaction, direction of the technology, the psychological and physical distance and the authenticity of the family interaction.”

At a time when behavioral health needs in younger populations are rapidly growing, telepsychiatry models enable staff to connect students with timely and proactive access to mental and behavioral health resources directly on campus and during times that align with students’ schedules. For instance, The Lincoln Center, an alternative school in Pennsylvania, is leading by example through its telepsychiatry program, which provides mental and behavioral health services to students on a regular, ongoing basis.

Minimizing Crisis Situations 
The benefits of telepsychiatry are far reaching, and 1 of the most significant impacts of these models is their ability to provide real-time support and assessment when individuals are in higher acuity or crisis situations. In line with the strong push across the industry to meet people where they are, telepsychiatry helps circumvent the need for ED visits by providing real-time assessment via videoconferencing.

St. Joseph’s Villa, a nonprofit organization in Richmond, Virginia, that serves children with special needs and their families, is making major strides to address the inadequate access to psychiatric care in the area. By leveraging telepsychiatry to provide crisis stabilization services for vulnerable child and adolescent populations, the program aims to divert individuals in need from costly, unnecessary hospitalization. Since implementing telepsychiatry in 2014, the program has served nearly 500 children in their crisis stabilization unit, diverting nearly 90% from the ED.

Many communities are also turning to telepsychiatry in efforts to enhance existing crisis management services and better serve individuals in psychiatric crisis in their own homes. By arming mobile crisis teams with videoconferencing technology during inhome assessments, individuals in need can be connected to mental health providers to receive specialized care in real-time via iPad or other similar technology. These models are rapidly expanding across the country as communities aim to more effectively utilize local resources and avoid high-cost hospitalizations.

One of the nation’s first models of remote crisis behavioral health care, launched by Access Services—a nonprofit organization that specializes in improving the quality of life for people with special needs—in 2014, has seen success with the program as an effective approach in addressing the growing behavioral health provider shortage impacting the area.

Similarly, some innovative communities have started equipping first responders and police officers with telepsychiatry to virtually “bring” psychiatrists or mental health screeners with them via iPad to assess and manage the situation in real-time. The ultimate goal is to determine the best course of action and direct individuals in crisis to the appropriate type of care from wherever they are, potentially preventing adverse outcomes for the individual and the community as a whole.

As communities embrace this reality, consumers will benefit from a less fragmented healthcare system that delivers care directly to where they are. Nonclinical settings are wise to consider telepsychiatry as an effective means to bolster behavioral health access and drive better care outcomes across the board.

Lynchburg, VA – InSight Telepsychiatry was dubbed one of the best places to work for in 2018 by Lynchburg Business Magazine.

The winners of the annual contest were announced this month by the magazine. The contest calls for employees of Lynchburg-based organizations to nominate their companies, and winners are selected based on “quality of their work environments, general company culture, training and development opportunities, tangible and intangible benefits, and employee satisfaction, among other things.”

“InSight has a rare team culture where everyone I work with works hard, genuinely enjoys working with one another and, most importantly, is passionate about what we do,” said lead practice liaison, Anne Marie Jones. “InSight’s mission is to transform access to mental health care, and it’s evident that InSight’s team members are motivated by helping people access the services that they need.”

InSight’s headquarters is located in Marlton, NJ with satellite offices Lynchburg, VA and Washington, DC.

Read the full article here: http://lynchburgbusinessmag.com/best-places-work-2018/

Employment opportunities here: http://insighttelepsychiatry.com/jobs/

By: Geoffrey Boyce

Originally posted on The Healthcare Guys

The telemedicine revolution touches nearly every aspect of health care today. Notably, behavioral health was called out in a recent Forbes article as the sector within the industry experiencing the greatest impact. And hospital emergency departments (EDs) are taking note.

In recent years, EDs have faced notable challenges meeting growing needs for mental and behavioral health services, particularly for crisis psychiatric care, amid severe professional shortages. The reality is that all U.S. states have unmet psychiatric needs, and 60 percent of U.S. counties lack a single psychiatrist.

Next Generation Telepsychiatry Model

Telepsychiatry—offered via videoconferencing models—has emerged as an effective resource for filling these gaps and improving patient triage, throughput and overall behavioral health outcomes in the ED. As adoption of these technology-enabled models increases, hospitals need to thoughtfully consider what it takes to build a successful, sustainable 24/7 telepsychiatry program to address this type of care. Best practices dictate the need for robust provider networks, administrative teams and support infrastructures to facilitate collaboration between all stakeholders.

Our telepsychiatry organization is addressing these needs through a browser-based platform that is designed to deliver telepsychiatry services around the clock, better positioning hospital EDs and other crisis settings to provide timelier psychiatric assessments and patient triage to the most appropriate level of care via technology-enabled care.

Telepsychiatry in the ED: Opportunities and Considerations

The telepsychiatry opportunity is not lost on today’s EDs, and many hospitals are looking to incorporate these care options into their broader telehealth strategy. Use of telehealth promotes better patient outcomes and satisfaction, and lowers costs associated with ED boarding of psych patients. Yet, health care organizations must consider key elements of a strategy to extract the full value of these models, including technology and workflow design and a framework that supports comprehensive care delivery from the start.

For instance, one of the primary goals of a telepsychiatry program is to shorten wait times for evaluation. Many hospitals do not have an around the clock, full-time psychiatrist and must find available providers on an “as needed” basis to complete evaluations—an approach that often lends to protracted wait times, especially since most patients who come into the ED in crisis arrive during night and weekend hours.

While on-demand telepsychiatry provider networks are uniquely suited to address this challenge, the right infrastructure must also be in place to support the scheduling complexities of offering 24/7 telepsychiatry access to a busy ED.

Telepsychiatry cloud-based applications

Cloud-based applications can help to address this challenge and increase efficiency. ED staff can simply log into a platform and fill out a request for telepsychiatry services. Then, an automated system can identify the most appropriate telepsychiatry provider to do the assessment, consult or follow-up, taking into consideration which telepsychiatry providers are credentialed at the organization, on shift and available. Working directly within the hospital’s EMR, the assigned provider can then review patient background information and connect with hospital staff to determine any other relevant collateral information that may be necessary before the secure video connection with the patient is initiated. When all videoconferencing sessions and documentation are routed through a singular system, it decreases the potential for bottlenecks and allows for each session to be logged and reported on.

Data from our services revealed that patients receiving on-demand telepsychiatry services for crisis encounters in the ED waited just under an hour on average. This is an improvement over the findings of another report that revealed 23 percent of psychiatric patients wait longer than six hours for in-person evaluation in the ED, and 7 percent wait more than 12 hours.

Performance metrics for telepsychiatry programs should also point to reduced costs and better outcomes. Partnering with an on-demand telepsychiatry provider enables EDs to reduce length of stay, improve throughput, minimize risk and stress for onsite providers, and ultimately get patients to the least restrictive and most appropriate level of care quickly. Patients benefit from on-demand telepsychiatry by receiving timelier evaluations, minimizing the potential for further escalation. When patients in psychiatric crisis are not triaged quickly, conditions can quickly spiral out of control, opening the door to safety issues and the potential need for higher-cost interventions.

Additional data from our organization points to notable improvements in outcomes and the level of care required following a telepsychiatry visit. For example, in 2017, one-third of patients in Florida who had been involuntarily committed under their state law called the Baker Act had their commitments rescinded after meeting with a telepsychiatry provider. This allowed the patients to move to a more appropriate and less costly level of care, saving resources across the board.

Building a Robust, Impactful Telepsychiatry Operation

EDs are seeing an uptick in psychiatric cases due to the limited options of specialized providers in the community. Current estimates suggest that one in eight ED visits involve a behavioral health condition.

Forward looking health care organizations recognize the advantages of telepsychiatry models and are expanding their telemedicine portfolio to more fully address growing needs both within the ED setting and in community-based settings. Sustainable strategies consider the value of industry partnerships and third-party expertise, especially as it relates to building provider networks and utilizing infrastructures that optimize efficiency and support collaboration between administrators and specialty provider groups.

At their foundation, successful telepsychiatry programs are supported by strategic partnerships, robust provider networks and infrastructures that address scheduling, workflows and logistics. These underlying tactics must work in tandem to promote better care delivery, efficiency and connected care teams.

Originally published on mHealth Intelligence 

Sometimes a telehealth program’s best feature is its ability to start a conversation.

At St. Joseph’s Villa in Richmond, Va., a simple virtual visit platform has turned an eight-bed crisis stabilization center into an indispensable resource for families of children aged 5-17 who are struggling with depression and anxiety. The 32-inch television and audio-visual telemedicine feed enable these kids to talk to a child psychiatrist based in New Jersey, and to connect with counselors at any time during their voluntary 14-day stay.

In the six years that the program has used telehealth, roughly 88 percent of those adolescent patients have gone back to their home or a less-restrictive facility, while 12 percent have gone to a hospital or similar institution. And about 16 percent have come back to the program.

St. Joseph’s Villa Uses Telehealth - Health Care and Compassion

Officials say the program isn’t about medicine, but about compassion.

“We’re not a medical model – we’re more of a social model,” says Craig Hedley, Director of Community Partnerships for the children’s non-profit. “In some ways that’s easier and more comfortable for them. You can see it in how they respond.”

Launched in 1834 by the Daughters of Charity, it’s the third oldest children’s program in the country, now offering a variety of programs for thousands of Virginia children and their families each year. The crisis shelter is one of those programs, offering a voluntary place to stay for those between the ages of 5 and 17 who are struggling with anxiety and depression, don’t qualify for hospitalization and can’t afford the thousands of dollars in co-pays for private services.

Hedley says the program offers troubled adolescents a place to feel safe, and to talk to counselors about their issues. But those counselors are hard to locate, expensive to hire and can’t always be found when they’re needed the most.

Seven years ago, armed with a 10-year state grant, St. Joseph’s installed a telemedicine station from InSight and connected with a child psychiatrist several states away. She handles most of the virtual visits during each patient’s two-week stay, while InSight provides 24/7 coverage when she isn’t available.

Hedley says he saw the difference in how the crisis center’s resident reacted to the technology.

“Kids prefer Skyping; they’re more comfortable with it than we are,” he says. “That makes them more (relaxed). And knowing someone is always available for them … really helps.”

The population served by St. Joseph’s Villa is growing at an alarming rate. The National Alliance on Mental Illness estimates that 20 percent of the nation’s teens are living with a mental health condition, and half of those diagnosed with a mental illness began to show symptoms by age 14. In addition, half of all teens diagnosed with a mental illness drop out of school, and three-quarters of teens now in juvenile justice programs are dealing with a mental health issue.

The necessity of telepsychiatry

And suicide now ranks as the third leading cause of death among those age 14-24.

While the number of adolescents in distress is growing, the ranks of healthcare providers able to treat them are thinning. No state has an adequate supply of child psychologists, according to the American Academy of Child & Adolescent Psychiatry. And those who in the field are overworked, have waiting lists several months long and skew toward patients and programs that reimburse for their services.

That, Hedley says, leaves a large chunk of middle class America lacking the resources they need to treat an adolescent in need of mental health care.

“Who’s going to be able to afford thousands of dollars in co-pays?” he asks. “Who’s going to wait around six months to get an appointment? These kids are flat-line miserable and they need help. I like to tell the joke that I called the suicide hotline and was put on hold, but that’s kind of what it feels like.”

“We really are the first line of defense for these kids and their families,” he adds. “They’re stuck, and then there’s this a-ha moment … and things change.”

Hedley says St. Joseph’s focuses on the social aspects of treatment rather than the medical aspects. Everyone coming into the program does so voluntarily, and with support from the family. St. Joseph’s then works with the family, community resources school officials and others to create a support network for these patients when they’re discharged.

With a daily video link to specialists, he says, more of St. Joseph’s patients are prepared for what’s outside the program. They’ve had the opportunity to talk to someone who can bring them down off the cliff and into a more stable place, and they can talk in an environment that’s more comfortable for them, enabling them to open up more.

“This is cutting edge,” Hedley says of the telehealth platform.

Hedley expects the program, which received a telehealth innovation award in 2014 from the Mid-Atlantic Telehealth Resource Center, will continue well after the initial grant runs out. It will have proven its value, he says, in returning more children and adolescents with special needs to their families and their communities, rather than a hospital or institution.

He also expects to add telehealth services to several programs run by St. Joseph’s Villa.

“The ability to get these kids in front of people as quickly as we can is so important,” he says.

Vero Beach, FL – The Indian River County Sheriff’s Office has added an additional provider to their telepsychiatry program to increase access to psychiatric care for inmates at their jail in Vero Beach. InSight brings 12 hours a week of telepsychiatry services to Indian River’s inmates from a psychiatric nurse practitioner.

Telepsychiatry is the delivery of psychiatry through real time videoconferencing. It is proven to be an effective form of care delivery and a convenient, cost-effective way to safely expand the psychiatric support at a corrections facility without having to staff an in-person psychiatry provider. It also ensures the safety and security of both the remote provider and the inmate.

According the National Alliance on Mental Illness, at least 83% of jail inmates with a mental illness did not have access to needed treatment[1]. Telepsychiatry is found to improve access to mental health services for inmates and save correctional facilities from $12,000 to more than $1 million annually.[2]

Indian River’s successful telepsychiatry program is expanding because of a partnership with InSight, a national telepsychiatry service provider organization. InSight brings years of experience in correctional facility psychiatric care to serve Indian River County inmates and increase access to care when they need it the most. Services provided by an InSight telepsychiatry nurse practitioner include psychiatric evaluations and medical management of an adult corrections population. With this program, Indian River aims to assess the behavioral health needs of inmates to ensure a safe correctional environment and determine if a care plan should be designed to encourage rehabilitation of an inmate.

“Telepsychiatry in corrections facilities is an extremely promising model that prioritizes safety and the well-being of the inmate first. Programs like Indian River allow inmates to receive behavior health assessments they may have never had access to before,” said InSight’s Operations Manager of Scheduled Services Nate Ortiz.

“We are happy to increase access to behavioral healthcare within our sites and look forward to assessing and treating the needs of our inmates. Adequate behavioral healthcare is a crucial aspect of correctional work,” said Major Eric Flowers.

This telepsychiatry program will allow the Indian River Sheriff’s Office to increase their ability to treat and manage inmates that need care the most.

About InSight + Regroup 

InSight + Regroup (now Array Behavioral Care) is the leading and largest telepsychiatry service provider in the US with a mission to transform access to quality behavioral health care.  InSight + Regroup serves hundreds of organizations and individuals in various settings across the continuum of care with its on-demand, scheduled services and direct-to-consumer (Inpathy) divisions.  Given its size, diversity of services and extensive experience and expertise, InSight + Regroup is uniquely positioned to enable scalable telepsychiatry programs across the care continuum.  As an industry thought leader, InSight + Regroup has helped shape the field, define the standard of care and advocate for improved telepsychiatry-friendly regulations. To learn more, visit www.arraybc.com

About Indian River County Sheriff’s Office

The Sheriff’s Office mission is to serve the public with dignity, integrity and professional service while enhancing their partnership with the community in order to protect life and property, prevent crime and solve problems.  More information can be found at www.ircsheriff.org.

[1] NAMI. (n.d.). Retrieved August 11, 2017, from https://www.nami.org/Learn-More/Public-Policy/Jailing-People-with-Mental-Illness

[2] Deslich, S. (2013). Telepsychiatry in Correctional Facilities: Using Technology to Improve Access and Decrease Costs of Mental Health Care in Underserved Populations. The Permanente Journal,17(3), 80-86. doi:10.7812/tpp/12-123

WASHINGTON, DC – InSight Telepsychiatry, the leading national telepsychiatry provider organization with a mission to increase access to behavioral health care, will be presenting at the 2018 National Council Conference held in Washington, DC from April 23 – 25, 2018. Select InSight representatives are presenting two workshop posters, as well as speaking on a panel discussing telebehavioral health strategy.

On Monday April 23 InSight’s Northeast account executive, Dan Khebzou, is presenting a workshop poster:  “ACT Now: Expanding an Assertive Community Treatment Program Using Telebehavioral Health.”

Khebzou’s Assertive Community Treatment (ACT)  presentation will describe how telepsychiatry can be used to support ACT programs. When Delaware became the first state to merge telepsychiatry with ACT in 2014, it was a partnership between the national human services nonprofit organization, Resources for Human Development, and InSight. The option to supplement ACT programs with telebehavioral health is significant because it offers a clearly defined model, and is clinically appealing to practitioners, financially appealing to administrators and scientifically appealing to researchers. This presentation will give c-suite executives and healthcare administrators an overview of how telebehavioral health can support ACT teams, provide lessons learned from both organizations and show how this program could be replicated in other communities, and learn how one program used telebehavioral health to serve more patients through ACT.

On April 24, InSight’s Mid-Atlantic account executive Aaron Lawler will be presenting a workshop poster with the director of community partnerships of St. Joseph’s Villa, Craig Hedley. The presentation, “Addressing Crisis in a Community Setting: Using Telepsychiatry to Provide Crisis Stabilization Services for Vulnerable Children and Adolescents,” will be centered on the unique benefits of telepsychiatry for children and adolescents in crisis. Lawler and Hedley will describe the opportunities for integrating telepsychiatry into a unique community setting and population, as well as the best practices for supporting a crisis stabilization unit for children via telehealth.

Creating a Telebehavioral Health Strategy

Additionally, InSight CEO Geoffrey Boyce will sit on a panel on April 24. The panel discussion, “Creating a Telebehavioral Health Strategy,” will focus on how organizations can integrate telehealth into their current services and future strategies to add value at the consumer, provider, organizational and community levels. The panel will reiterate the significance of creating those strategies, evaluate the challenges and nuances of integrating telebehavioral health into the outpatient setting, as well as explore how organizations can design and implement a successful long-term telebehavioral health strategy at their organization. Other panelists include Jonathan Evans, CEO of InnovaTel, Samir Malik, executive vice president and general manager of Genoa Telepsychiatry. It will be moderated by Joe Parks, MD, medical director of the National Council of Behavioral Health.

Visit booth 447 during the conference to connect with InSight and learn more information about its outpatient services. InSight’s programs for outpatient organizations are run through its scheduled services division. With scheduled telepsychiatry, InSight assigns a consistent provider or small group of providers to serve a regular caseload of consumers. These providers are available in set blocks of time to do anything that a traditional in-person telepsychiatry provider would do.

Written by Geoffrey Boyce. Originally published on American Journal of Managed Care
There is good reason why telemedicine is rapidly reengineering the way communities think about care deliver today. At a time when payers and providers are grappling with how to efficiently and effectively make the leap to value-based care, telemedicine is helping the industry turn the corner to deliver better access to care and coordination of care at a lower cost.

A recent Forbes article noted that this movement has had the most impact on the behavioral health sector. Telepsychiatry models, provided through video conferencing platforms, are removing barriers associated with growing staff shortages, cost, location, and stigma. Access to care is no longer defined by the limitations of office hours, and patients appreciate the convenience of accessing care from the comfort of their own home.

Recent policy and legislative movements suggest growing acceptance of telemedicine as a mainstream form of care. The majority of US states have enacted or proposed some form of parity law regarding insurance coverage. In line with these trends, telepsychiatry is experiencing unprecedented growth, not only in terms of the number of users, but also the innovative ways that communities are incorporating these models into care delivery.

Addressing Growing Provider Shortages

Telepsychiatry is helping communities address growing psychiatric provider shortages. Currently, all US states have unmet psychiatric needs, and 60% of US counties lack a single psychiatrist. The outlook for psychiatric specialties, such as child and adolescent psychiatry, is even more critical.

In response, many community mental health centers and outpatient clinics have turned to telepsychiatry to supplement their provider capacity and increase access to specialists. These telepsychiatry providers often do everything an in-person provider would do—they serve a normal caseload of patients, participate in treatment team meetings, and oversee other clinicians—all through telehealth.

Molina Healthcare, a managed care organization based out of Long Beach, California, applied this model in a different way. Like many, Molina has understood the importance of bringing behavioral health expertise and care for residents at skilled nursing facilities (SNFs). Today, Molina has a program where 4 SNFs share a regularly scheduled block of time with a telepsychiatrist. With this model, residents receive care in a setting where they are comfortable and don’t have to travel to an appointment, and the psychiatrist benefits from greater clinical awareness of a resident’s behavior in the facility.

Additionally, direct-to-consumer telepsychiatry is expanding referral options in communities where psychiatric resources are lacking, providing a lifeline for under-resourced clinics and primary care providers. Lengthy wait times for appointments often cause patients to rely on their primary care providers for their psychiatric needs or opt to forego care altogether. The reality is that more than half of psychiatric drugs are prescribed by non-psychiatrists, although many primary care providers lack specific expertise on psychotropic drugs.

Expanding Access Across the Continuum

A growing body of evidence points to the effectiveness of telepsychiatry models and high patient satisfaction in a variety of settings. One literature review found the use of video conferencing models expedited access, decreased work absences, enhanced confidentiality and privacy, empowered patients in their care, and reduced the risk of hospitalization. For these reasons, telepsychiatry models are increasingly incorporated into care models across the health care continuum.

For instance, professional psychiatric shortages often slow down triage of emergency department (ED) patients presenting with a behavioral health crisis. It is not uncommon for hospitals to board these patients in the ED or tie up a hospital bed until a psychiatrist is available to make a psychiatric assessment, increasing costs for all stakeholders. Many EDs now leverage telepsychiatry models to relieve this pressure, ensure timely evaluation, and triage to the most appropriate level of care. Notably, a North Carolina statewide telepsychiatry initiative that implemented telepsychiatry in 18 hospital EDs found that 88% of consumers agreed or strongly agreed that they were satisfied with the service.

Telepsychiatry is also used in some inpatient units to augment in-person staff and ensure that a unit has 24/7 psychiatric coverage for patient evaluations.

Additionally, discharge planners—whether associated with a hospital or residential program—must often work within a restricted timeframe to connect individuals with appropriate services. Since psychiatry wait times in some communities can range between 3 and 6 months in many cases, telepsychiatry options open up a vital link to providers and help limit the potential that a patient’s condition will deteriorate back into a crisis situation.

Non-Traditional Community-Based Program and Settings

Outside of hospitals and other typical care settings, telepsychiatry models are starting to be used in school and university settings to improve access to care and meet students where they are. A study, published by Child and Adolescent Psychiatric Clinics, evaluated satisfaction rates of students who received services through a rural school-based telehealth center and found an average satisfaction rate of 93% among students and 97% among parents.

Telepsychiatry is transforming access to behavioral health care at a time when the need is critical. Communities are wise to consider effective telepsychiatry partnerships that can bolster behavioral health service options to improve access to care across the continuum, drive better outcomes, and lower costs.

If you are in crisis, call 988 to talk with the National Suicide Prevention Lifeline, text HOME to 741741 to connect to a free crisis counselor, or go to your nearest emergency room.