Posts Tagged ‘mental health’

Infographic: How the ACA Affects Mental Health

April 7th, 2014 by Jackie Lyons

In terms of medical care, missed days of work, chronic health issues and death, depression is estimated to have cost the United States $112 billion in 2013, according to a new infographic from Betterdoctor.com. The Affordable Care Act (ACA) mandates mental health coverage for millions of Americans and requires a free depression screening under all health insurance plans.

This infographic provides an overview of depression in America, including prevalence of depression, the average cost of a hospital stay, cost of medication, as well as how the ACA is expected to impact mental healthcare.

Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness helps people with SMI identify personally meaningful goals and work to achieve these goals by addressing smaller, more manageable segments of those goals.

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5 Community Partners Supporting HCSC Dual Eligibles Care Coordination

March 19th, 2014 by Patricia Donovan


From ‘street case managers’ that help locate and engage the homeless to tribal leaders who are liaisons to the Native American population, Health Care Service Corporation (HCSC) has assembled a dream team of community partners to support care coordination of dual eligibles.

Community mental health centers, public health agencies and community agencies round out the cadre of care coordination supports for Medicare-Medicaid beneficiaries, explained Julie Faulhaber, HCSC’s vice president of enterprise Medicaid during a recent webinar on Moving Beyond the Medical Care Coordination Model for Dual Eligibles.

This safety net for dual eligibles is a hallmark of three duals care coordination models launched by HCSC in 2014—two in New Mexico and one in Illinois. Results from a home-grown health risk assessment, or HRA, (conducted telephonically in almost all cases) enables HCSC to risk-stratify duals and refer them to appropriate care teams.

Other care coordination elements include interdisciplinary teams, a whole-person rather than diagnosis-driven focus and novel care and services planning that encourages out-of-the box thinking—like the installation of a grab bar in the home of a senior somewhat unsteady on her feet.

“Putting in a grab bar might cost $150 to $200, but when you think about that in terms of having that member have a fall and having them hospitalized and the rehab cost, it just makes sense for the member’s quality of life and comfort to know that there is something there to help them,” noted Ms. Faulhaber.

HCSC takes great care to consider the needs of individuals with disabilities as well as those with behavioral health concerns, Ms. Faulhaber stressed, citing a 2006 study that found that individuals with severe mental health issues die 25 years earlier than those without.

While HCSC’s duals care coordination interventions are new, Ms. Faulhaber believes efforts will pay off for the organization’s Medicare-Medicaid members. In her more than 10 years experience with Medica Health Plans in Minnesota, where she was responsible for the dual eligible product suite, duals care coordination significantly enhanced quality and utilization metrics for that population.

Despite the efforts of HCSC and other payors to enhance duals’ care coordination, significant roadblocks remain, such as transportation, a lack of integrated care, and the population’s typical low scoring in risk adjustment, a common trend in groups with primary behavioral conditions, she explained.

Listen to an interview with Julie Faulhaber of Health Care Service Corporation here.

Readers, how are you rising to the challenge of duals care coordination? Are your case managers ‘on the street’ like HCSC’s, or do you have other ways of identifying and assisting the dually eligible with their physical and behavioral health needs? Share your ideas with this community.

Infographic: Is the Future of Mental Health Online?

March 14th, 2014 by Jackie Lyons

The most common reason for not getting mental health (mHealth) treatment as cited by 39 percent of people is that it is too expensive, according to a new infographic from BestCounselingDegrees.net.

This infographic looks at a possible alternative to the traditional face-to-face therapy. It outlines the history and types of online mhealth treatment, as well as the pros, cons, challenges and examples of this growing trend.

You may also be interested in this related resource: Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness. This 131-page resource helps people with severe mental illness identify personally meaningful goals and work to achieve these goals by addressing smaller, more manageable segments of those goals.


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3 CM Qualities That Engage Populations in Telephonic Case Management

February 12th, 2014 by Jessica Fornarotto

Beyond scripts and data, there are three qualities that a case manager should possess to successfully engage populations in telephonic case management, says Jay Hale, director of quality improvement and clinical operations at Carolina Behavioral Health Alliance (CBHA).

We have found that if case managers are more comfortable with a certain illness or population, they tend to engage members better. We are still trying to figure out the nuances within each population. People who have done more child/adolescent work engage parents better than substance abuse recovery individuals do. People that do a significant amount of substance abuse recovery do a better job with that population than with the adult mental health population. There is an X factor or a subdivision with this.

Second, case managers need to be extroverted people who do not mind making the outgoing phone calls. While we need scripts and data to drive our program, the people who make it most successful are the clinicians who are most comfortable engaging those individuals. However, they are the least comfortable with paperwork, which is why we make our paperwork as simple as possible. We want to be sure that they can point and click, and go straight through it. It is one flowing process for them.

Finally, management also supports engagement. It is important to talk to the staff about success stories and what happened that made them successful. They should use it as a learning opportunity for everyone, but also as a celebration opportunity. As long as we can keep case managers enthused about the program they are doing, that enthusiasm comes through in their voice when they are talking to individuals on the phone and it helps them go the extra mile. It helps them with the process of relating to members at the other end.

“At CBHA, we developed our telephonic case management program to find a way to support and improve the care of some of our most vulnerable members. We want to be good stewards of the monies that are given to us by our client companies to pay for their behavioral health claims,” said Jay Hale.

Excerpted from: Telephonic Case Management Protocols to Engage Vulnerable Populations

Infographic: Cost of Mental Illness in Children

January 3rd, 2014 by Jackie Lyons

Individuals under age 24 with mental disorders cost the healthcare system $247 billion every year. Approximately one in five children has a mental disorder, and one in two will never receive help, according to a new infographic from Top Master in Education.

This infographic also identifies mental disorders common in children, at-risk populations, disorder identification rates based on gender, mental disorder myths vs. facts, and more.

Cost of Mental Illness in Children

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You may also be interested in this related resource: Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: Can We Live Longer? Integrated Healthcare’s Promise

September 30th, 2013 by Jackie Lyons

One in five people have a mental illness or addiction, and people with mental illness die earlier than the general population and have more co-occurring health conditions, according to a new infographic from the Substance Abuse and Mental Health Services Administration.

The solution to improving and saving these lives and reducing healthcare costs lies in integrated care, according to the infographic. This infographic also shows the co-occurrence between mental illness and other chronic health conditions, how integrated care works as the most effective approach to complex patients, savings per month and per year, and more.

Can We Live Longer?

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You may also be interested in this related resource: Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness.

Infographic: The Link Between Smoking and Depression

August 13th, 2013 by Jackie Lyons

There is a ’cause and effect’ relationship between smoking and increased symptoms of depression, according to the CDC. Evidence suggests that the effects of nicotine on the brain’s neurotransmitters from smoking cigarettes can increase the risk of symptoms of depression.

Among adults with moderate or severe depressive symptoms, women and men have similar high rates of smoking ranging from 39 to 48 percent, according to a new infographic from the Psychological Care & Healing Treatment Center.

This infographic also includes statistical analysis of the correlation between smoking and depression by age and gender, the smoking habits and history of adults with and without depression, and more.

The Link Between Smoking and Depression

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

You may also be interested in this related resource: Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness.

Infographic: Facts About Depression

January 25th, 2013 by Patricia Donovan

Depression is a condition that reportedly affects one in 10 Americans at one point or another, but the incidence of depression is actually higher in some states than others. For example, Oklahoma, Louisiana and West Virginia are among the U.S. states with the highest rates of adults meeting the criteria for depression, as depicted in this infographic from Depression Facts.

Certain ethnicities also report higher depression rates than do others. Individuals currently diagnosed with some symptoms of depression incur medical costs of approximately $23,000 annually.

depression

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8 Successes Achieved by Diabetes Management Programs

August 23rd, 2012 by Jackie Lyons

Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change

Large payoffs in patient compliance, patient satisfaction and medication adherence resulted from programs aimed at managing diabetes, according to respondents to HIN’s 2011 “10 Questions on Diabetes Management” survey. In their own words, respondents described the greatest successes achieved by their diabetes management programs:

1. “Our greatest success is knowing the impact we have already made helping our patients, friends and families realize that they are not alone in this battle. We have produced results time and time again, proving this epidemic can be managed.”

2. “Diet and nutritional talks and cooking demonstrations have stirred consciousness and thoughtfulness towards dietary protocols.”

3. “The indigent population we manage through our program has had only one hospital admission for a diabetes-related problem in 2011. That’s impressive!”

4. “Improved mental status and treatment compliance in other spheres.”

5. “High level of patient engagement; increased patient-provider contacts and communication; and reduced hospitalizations and overall costs.”

6. “Significant ROI in one year using randomized control trial (RCT) methodology.”

7. “More knowledge of the condition and decrease in gaps in care.”

8. “Standardization of diabetes management programs, incentives, benefit enhancements and enhanced methods to reach members who opt out of one-on-one nurse coaching.”

2012 Healthcare Benchmarks: Diabetes Management provides more actionable data from the 83 responding organizations on current diabetes management programs and their impact on population health outcomes and healthcare spend.