Product or commodity offered is primary care plus psychiatric care to mental health clients. By the way, the PPCNP can work with psychiatric patients in a lot of settings like ambulatory care clinics, psychiatric outpatient clinics, inpatient units, and private group practices. In my previous Walkabout Medical Home blog posts I have highlighted the work Primary Health Care Organizations in Australia have done to connect people with mild to moderate mental health diagnoses to primary care or ‘communitybased’ services. So this blog highlights the innovative work being done stateside by Oregon’s Health Share.
While a range of transitional support services. Sometimes accompanying the patient on the first couple of visits.
Referrals are typically made either by hospital social workers or the CCO’s care coordinators.
The ITT begins by visiting the patient while in the hospital a key strategy for establishing the relationship.
Eligible patients must be willing to be involved in intensive, short term therapy and have no current involvement in outpatient mental health services. Has established new care pathways improving coordination between providers and leveraging existing services, the ITT has not only increased access to critical services for quite a few most vulnerable members of the community. Essentially, getting referrals for the ITT from the hospitals ok some ramping up. As a result, right after using a media campaign to disseminate information referrals have grown the way where And so it’s often challenging to have more, as well as visiting loads of the inpatient psychiatric units to explain the program. Also, this represents my last Walkabout Medical Home blog from Australia. Doesn’t it sound familiar? g’day mates! I’m back at our NASHP Portland, Maine office on July 1 where you can reach me at mtakach@nashp.org. Patients undergoing their first psychotic break who have not established relationships with the mental health system or patients with long period disabilities that have ‘given up’ on the mental health system due to multiple environmental and psychosocial reasons.
Health Share is amidst the state’s 16 Coordinated Care Organizations targeting patients with complex mental illnesses. By the way, the CCO utilizes the Intensive Transition Team, that is designed to address a gap in the care system and provide services to those hospitalized with mental illnesses that are faced with a discharge but have had no prior or inadequate connection with a community mental health provider. Actually the ITT were launched in three Health parts Share’s catchment representing diverse geographic areas ranging from urban Portland to rural Clackamas County, with funding from the federal Centers for Medicare and Medicaid Innovation. So this required that the model be adapted in every region to develop appropriate care pathways from hospital to outpatient mental health services reflecting available community resources similar to peer, housing, and social services.