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OT Telehealth

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by

Laura Lauck

on 19 June 2014

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Transcript of OT Telehealth

Implementation
Client selection
Hire and train staff
Acquire hardware & software
Device distribution
Assessments
Treatment planning
Intervention
Program evaluation
OT Telehealth
Project Purpose
Richland County, WI
Comprehensive Community Services (CCS)
Complementing CCS, our program would target adults with chronic mental health needs
Occupation-based mental health services via telehealth methods

Need for OT Mental Health Services
Project Goals
Decrease the number of patients on the wait-list by increasing caseload
Reduce CCS program costs
Reduce therapist travel times
Increase amount of billable treatment time
Decrease no-shows
Maximize community treatment time by prioritizing client appointments
Increase client participation in treatment

What it all means
In partnering with CCS, OT Telehealth will increase access to mental health services in Richland County to help create a happier, & healthier community
"To complement CCS with OT-based mental health services"
Mas Mizobuchi, Theo Howard, Nicole Brezinsky & Laura Lauck
Hire and train staff to implement intervention
Mental Health Professional Shortage Area
Long waitlist
Health & Human Services - Clinical Services Dept. provides majority of mental health services in the county
Comprehensive Community Services (CCS)
Psychiatrist, psychologist, counselors, nurses, drug abuse specialists
No OT
CCS mission: to provide comprehensive psychosocial rehabilitation in the community
Inherent link to OT
Need for Telehealth
Rural county; 1 clinic location
Reduce client and therapist travel time & expenses
Increase efficiency


caseload,

wait time
Limited public transportation
Clinical features of mental illness affecting travel or on-site participation
Identify clients appropriate for telehealth intervention
Increase client independence in accessing treatment
Improve in the areas of major role functioning
employment, education, etc.
Improve functional skills limited by chronic mental illness
social, interpersonal, community
Incorporate theories of occupations to treatment via telehealth

Project Goals Cont'd
Telehealth Interventions
Interview-type initial assessments to screen for admissions
Ongoing psychiatric symptom assessment
Medication and side effect monitoring
Treatment planning (including client in the process)
Vocational readiness screening
Lifestyle Redesign
Connecting with group treatment if client unable to attend

Thank You!!!
Research Support
Tele-mental health interventions have been shown to save travel time & money, while often being as effective as in-person meetings (Yuen et al., 2012).

OTs can utilize telehealth to facilitate skill development, assist with environmental modifications, and educate on health-promoting habits and routines (Carson, 2012).


Carson, J. (2012). Telehealth Opportunities in Occupational Therapy through the Affordable Care Act.
American Journal of Occupational Therapy, 66
(2), 131-136.

Yuen, E. K., Goetter, E. M., Herbert, J. D., & Forman, E. M. (2012). Challenges and opportunities in internet-mediated telemental health.
Professional Psychology: Research and Practice, 43
(1), 1-8.
This will help assess staff and hardware needs of the community
Acquire hardware & software based on community needs assessment

Chronic Mental Illness
Schizophrenia
Affective Disorders
Delusional Disorder
Other psychotic disorders
(American Psychiatric Association, 2000)
"a serious and persistent mental illness which is severe in degree and persistent in duration, which causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, which may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support and which may be of lifelong duration."
Wisconsin Council on Mental Health (2013)
CCS Areas of Service
Daily Activities
Family Life
Housing Assistance
Employment Assistance
Financial Management
Counseling
Medication Support
Substance Abuse Treatment
Treatment planning and
implementation
Evaluation of program
Administration
Staff
Client satisfaction
Outcomes & results

Resource Needs
Personnel
Hardware/Software
IT support
Marketing
Funding Sources
Telemedicine Equipment Program
Public Service Commission of WI – Universal Service Fund
Telehealth Network Grant Program (H2A)
US Dept. of Health and Human Services – Health Resources and Services Administration – Rural Health Program
Distance Learning and Telemedicine (DLT) program
US Dept. of Agriculture
Dean Health Systems
Rural Wisconsin Health Cooperative

Teach clients how
to use software and Hardware
image copyright Nyaya Health, used under creative commons permission: https://flic.kr/p/csp66b
Image copyright U.S. Department of Agriculture, used under creative commons rights: https://flic.kr/p/dgp4eb
image rights used with creative commons permissions:https://flic.kr/p/9wRcEE
image copyright Alan Cleaver used under creative commons permission: https://flic.kr/p/7zLoAG
Client interviews
Psychiatric symptom assessment
Medication monitoring
Treatment planning
Alcohol & drug abuse counseling
Troubleshooting
Vocational readiness
Social skills
Stress management
Full transcript