69 Reduce provider shortages in underserved areas One example of a program to

69 reduce provider shortages in underserved areas one

This preview shows page 22 - 24 out of 62 pages.

69 Reduce provider shortages in underserved areas. One example of a program to improve access to mental health care providers is the National Health Service Corps (NHSC) , which offers financial incentives to attract mental/behavioral health clinicians to underserved areas. 77 Programs such as NHSC encourage individuals to work in the mental health profession in locations designated as Health Professional Shortage Areas (HPSAs) in exchange for student loan debt repayment. A 2012 retention survey conducted by the Health Resources and Services Administration (HRSA), found that 61% of mental and behavioral health care providers continued to practice in designated mental health shortage areas after their four year commitment to the NHSC . 78 Although this program has not been evaluated for impact on suicide, it addresses access to care, which is a critical component to suicide prevention. Telemental Health (TMH) services refer to the use of telephone, video and web-based technologies for providing psychiatric or psychological care at a distance. 79 TMH can be used in a variety of settings (e.g., outpatient clinics, hospitals, military treatment facilities) to treat a wide range of mental health conditions. It can also improve access to care for patients in isolated areas, as well as reduce travel time and expenses, reduce delays in receiving care, and improve satisfaction interacting with the mental health care system. A systematic review of TMH services found that services rated as high or good quality were effective in treating mental health conditions such as depression, schizophrenia, substance
Image of page 22

Subscribe to view the full document.

Preventing Suicide: A Technical Package of Policy, Programs, and Practices 21 abuse, and suicidal ideation and suicide. 79 Further, Mohr and colleagues 80 conducted a meta-analysis examining the effect of psychotherapy delivered specifically via telephone and found that it significantly reduced depressive symptoms in comparison to face-to-face psychotherapy. They also found that treatment attrition rates were significantly lower among patients receiving telephone-administered psychotherapy compared to patients receiving face-to-face therapy. 80 Thus, TMH may not only offer improved access to mental health care, but it may also ensure continuity of care, and thereby further reduce the risk for suicide. Safer suicide care through systems change . Henry Ford Health System , which is a large health maintenance organization (HMO) in the state of Michigan, pioneered Perfect Depression Care, 81 the pre-cursor to what is now called Zero Suicide . The overall goal of Perfect Depression Care was to eliminate suicide among HMO members. More broadly, the goal of the program was to redesign delivery of depression care to achieve “breakthrough improvement” in quality and safety by focusing on effectiveness, safety, patient centeredness, timeliness, efficiency, and equity among patients. The program screened and assessed each patient for suicide risk and implemented coordinated continuous follow-up care system wide.
Image of page 23
Image of page 24
  • Summer '17
  • RUFFA RESENTTES

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask 0 bonus questions You can ask 0 questions (0 expire soon) You can ask 0 questions (will expire )
Answers in as fast as 15 minutes