Behavioral Health Care@100%: Innovation 7
Engaging Higher Education
The projects presented in the ten innovations areas are all designed to address barriers to vital services. Action teams should review all projects and prioritize those that have the best chance of addressing the barriers identified in the 100% New Mexico countywide survey. Your collaborative and result-focused local work is nothing less than heroic.
Project: Behavioral Health Care.7.1
Project 1: The “convene behavioral health provider training programs to talk about addressing provider scarcity” project
This project brings together university departments of behavioral health, and other accredited educational institutions, to consider offering future mental health care providers subsidized or free schooling if they agree to serve in high need communities for five years. Currently the title IV-E grant is used to support developing the workforce in child welfare. Could this model be used to populate the general behavioral health care practitioner base? How? This is a long-term project for those willing to commit. There are many questions to answer in order to create a system that decreases scarcity of behavioral health care providers. We do have models for subsidized medical education, including psychiatry to increase care in places with shortages. We believe the need for this model is great. It could be a practical way to develop a robust system of accessible behavioral health care in both rural and urban settings.
Title IV-E Stipend Paying for MSW: https://aae.how/181
Project: Behavioral Health Care.7.2
Project 2: The “Learn how Oregon does incentives” project
Learn how Oregon is using medical students and degrees to reach their underserved areas in need of quality medical care. Provider incentive programs aid in supporting underserved communities in their recruitment and retention of high-quality providers. The Office of Rural Health (ORH) partners with the Oregon Health Authority (OHA) and the Health Resources Service Administration (HRSA) to offer a variety of programs, each with their own requirements and benefits. ORH works with health care providers to find incentive programs that will help them take their skills where they’re most needed. ORH also works with Oregon practice sites to identify incentive programs that can assist with their recruitment and retention efforts.
Project: Behavioral Health Care.7.3
Project 3: The “Emotional Care for U” project
Learn how a small university in rural New Mexico rises to meet the needs of its student body for medical care, then imagine if this model was funded and crafted to provide behavioral health care. The goal is campus-based behavioral health care and navigation to local care. Eastern New Mexico University partnered with a local health care provider for preventive and acute care as well as immunizations. ENMU Health Services offers preventive and acute health services, similar to your family health care clinic, at little or no cost to students with a current ENMU student ID. In addition to flu shots, blood tests, prescriptions and other medical services, the program makes health awareness presentations to student groups and provides family planning services, Pap smears, STI (sexually transmitted infections) screening and treatment, and contraception products.
La Casa ENMU Student Health Services: https://aae.how/126
Project: Behavioral Health Care.7.4
Project 4: The “ECHO and telemedicine for health care provider mentoring” project
Project ECHO uses ongoing telementoring to equip primary care practitioners in rural areas with the knowledge they need to provide high-quality specialty care. Created by Sanjeev Arora, MD, a social entrepreneur and liver disease specialist at the University of New Mexico Health Sciences Center in Albuquerque, Project ECHO is a nationally and globally recognized model for bringing best practice health care to patients who can’t get it because of where they live. Project ECHO uses a hub-and-spoke telementoring model to move knowledge instead of people. By participating in weekly virtual clinics with teams of specialist mentors, primary care practitioners in rural and underserved areas acquire the expertise they need to treat patients with complex health problems including: hepatitis C, HIV, chronic pain, opioid addiction, mental illness, diabetes and cancer.
Project: Behavioral Health Care.7.5
Project 5: The “Evaluate the effectiveness of mental health first aid in the US — especially in areas with few care providers” project
Addressing mental health in rural America requires creativity and ingenuity. The Mental Health First Aid model is a training that equips the community to recognize a person in need and funnel them to available services. The good news is that it can increase awareness of mental health challenges. Since it should only be used when there is a system of affordable and accessible behavioral health care in the community in which the training takes place, this severely limits its use in the US.
Mental Health First Aid: https://aae.how/182
Project: Behavioral Health Care.7.6
Project 6: The “integrate ACEs data and Resilient Community Survey into primary care” project
Before you see a doctor or other health care provider, you first fill out forms detailing any surgeries you’ve had, which medications you’re allergic to, whether you use drugs, how often you drink, whether you feel safe at home and other factoids that medical professionals find useful. This all makes sense, but there’s something missing: data on ACE scores and information from the Resilient Community Survey. This information would be useful to doctors were they to collect it. Your mission is to persuade a doctor, or group of doctors, to add those surveys to their intake process. This would likely take place under the auspices of a university researching how knowing such things might change how medical care is administered.
Project: Behavioral Health Care.7.7
Project 7: The “evaluate the ‘mental health & psychosocial support (MHPSS) model’” project
The online mhpss.net platform provides a hosted online platform to connect stakeholders in the field and actively support the sharing of knowledge and resources. The mhpss.net platform is a scalable interface for knowledge-exchange. It uses both social networking technology, and deployment of online technical hosts to enable practitioners, policy-makers and other stakeholders to access and apply evidence-based and most-promising approaches.
Mental health and psychosocial support: https://aae.how/183
Project: Behavioral Health Care.7.8
Project 8: The “What are the-cutting edge, groundbreaking approaches to substance misuse?” project
Here we share innovations, including how Portugal’s people are doing after they decriminalized drug use in 2000, moving all drug-related challenges from the legal arena to the public health arena. Convene leaders in higher education and public health to make recommendations on how to share new approaches to treating substance use disorders.
Portugal: Country Drug Report: https://aae.how/184
Guardian’s “Long Read” on Portugal’s drug policy: https://aae.how/185
NPR: In Portugal, Drug Use Treated as a Medical Issue, Not a Crime: https://aae.how/186