242966 Integration of Mental Health into a Mobile Pediatric Program designated as a Health Care Home

Tuesday, November 1, 2011: 1:06 PM

Ruth Arnberger, MSW, LCSW , Department of Pediatrics, Tulane University School of Medicine, New Orleans, LA
Roy Grant, MA , The Children's Health Fund, New York, NY
Alina Olteanu, MD, PhD , Pediatrics, Tulane University School of Medicine, New Orleans, LA
Access to behavioral health care continues to be a significant problem for uninsured and underinsured individuals. Reasons for lack of access to mental health services vary from large scale issues such as insufficient providers in a community, lack of reimbursement from public and private insurance programs, and societal stigma to more individual and specific barriers such as lack of transportation, inability to pay, or lack of awareness that services are available. In an effort to reduce disparities, many clinics are beginning to take steps to integrate behavioral health services into primary care. This presentation will examine and discuss how one program used mobile clinics to provide increased access to integrated primary pediatric and mental health care. This program has been recognized as a Level 1 Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA). We will illustrate how this mobile clinic functions as a health care home. In this program, integration of primary care and mental health services was achieved through methods including co-location of medical and mental health clinics, implementation of behavioral health screenings in the primary care clinic, maternal depression screenings with mothers of young children, care coordination, provision of EKG and blood work on the pediatric clinic for psychiatric patients for whom medication may be prescribed, and collaboration between pediatrician and mental health professional for nutrition and weight management issues. Each method will be discussed as well as how the mobile clinic model of care increases access to services in general.

Learning Areas:
Provision of health care to the public

Learning Objectives:
At the end of this session, participants will be able to identify a minimum of four methods primary care clinics can utilize to increase access to behavioral health services.

Keywords: Access and Services, Mental Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a licensed mental health professional and coordinate integration of mental health services within a mobile pediatric program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.