Integrated Health Care Strategies: Implementing a Clinical Pathway to Suicide Prevention Alison Miley, MSW
What Does it Mean to be in SASH?
Where is SASH? SASH is available in 140 Affordable Housing Sites across the state
Participant Profile: ~ 5,000 participants • 68% women; 34% men • Age range: 22 to 101 • Average age: 72 • 80% Medicare • Every county in Vermont 59 participants 2009 2018 Pilot Start Current
SASH Outcomes Improved health and health management Health care savings Better medication management
Elements of SASH Model Person-centered SASH staff based in the community, where people live Formal partnerships Information sharing Prevention and wellness through Healthy Living Plans
SASH Mental Health Pilot SASH & Howard Center collaboration Funded by OneCare Vermont, November 2017 – December 2018 Howard Center clinician as part of the on-site SASH staff at two Cathedral Square residences: o Cathedral Square Senior Living (Independent & Assisted Living, Downtown Burlington) o Thayer House (Independent Living, Burlington NNE)
Pilot Goals Access to Coordinated Reduce ED High Level Services Team Visits Satisfaction Mental Health Primary Care Mental Health Stability Knowledge
SASH Clinician Interventions Individual & Couples Therapy Crisis Response Psychosocial Support Psychoeducational & Process Groups Weekly Team Meetings Collaborate with Providers Brief consultation / “mental health tune ups”
Group Topics Coping through the holidays Beating the winter blues Dealing with grief and loss Suicide prevention Building resilience Interpersonal skills Anxiety
Referrals 4 / 11% SASH staff 9 / 24% Self Other Providers 24 / 65% Between November 1 st 2017 and April 30 th 2018: 37 referrals
Response time Number of Days
Participants Involved Between November 1 st 2017 and April 30 th 2018: • 12 clients opened to Howard Center • 35 participants seen for shorter-term therapy/psychosocial support • 16 groups offered 114 residents participated in groups • • EMHC has met with 74 SASH participants
Staff Surveys • Residents gained increased access to needed services as a result of the clinician services. 8 out of 10 • Care Coordination improved for residents as a result of the clinician services. responses • The clinician services made a positive difference for agree or residents. • I have more time to focus on my key responsibilities in strongly the SASH program as a result of working with the agree clinician. • As a professional, I have gained increased awareness of resources as a result of working with the clinician. • As a professional, my comfort and knowledge base around mental health needs and issues has increased as a result of working with the clinician. • The pilot has had an impact on reducing stigma around mental health in my panel.
Suicide Prevention Interventions U-Matter Suicide Prevention Community Awareness Training Mental Health Resource list and education Postvention Response
Questions
Thank You Alison Miley, MSW amiley@howardcenter.org
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