A monthly newsletter from Integral Care.
A monthly newsletter from Integral Care.
A Message From Our Board Chair
While there are many challenges in the world of mental health care, technology is proving to have tremendous potential in improving the accessibility, effectiveness, and delivery of mental health care, and worthy of continued exploration. Electronic Health Records (EHRs) and patient portals are allowing more direct communication between health care professionals and patients. They are now expected features when selecting a provider. Websites and apps are using artificial intelligence to help identify possible mental health conditions, and match patients to providers who meet patient needs and treatment preferences. And, online support groups are removing the common obstacles that have historically kept people from participating (such as feeling uncomfortable attending in person, no availability in the community, or needing options after normal business hours).
Integral Care is closely evaluating the various emerging technologies as well as how they may allow us to improve access, measure outcomes, develop best practices, and control costs. How do they work, what’s promising but unproven, and where are the possible drawbacks?
Innovative technology can complement and strengthen face-to-face mental health care, but we recognize it cannot replace the evidence-based human interaction between a psychiatrist or therapist and patient. Integral Care is currently using telemedicine technology, a provider portal, and is in the process of launching a more advanced and robust EHR. We have also established a committee to identify other technology opportunities.
Being in a community like Austin, surrounded by technology companies, Integral Care believes it is well situated to identify and understand emerging technologies, and recognizes their potential and importance, if used properly. We will actively monitor and consider incorporating such emerging technologies to ensure Travis County maintains a mental health system with the expected standard of care, and keep you updated on our progress.
Integral Care uses telemedicine to facilitate patient access to a psychiatrist. The Herman Center, which provides short term, emergency psychiatric crisis care through referrals from law enforcement as well as others, requires a psychiatrist 24/7. For individuals who come to Herman Center, intervention is immediate and a treatment plan is in place within a handful of hours. Telemedicine doctors, contracted through JSA Health Telepsychiatry and Iris Telehealth, augment our ability to provide that essential in-the-moment crisis care.
We also offer telemedicine using our own psychiatrists who serve our integrated healthcare clinics throughout our community – both Integral Care and CommUnityCare (CUC). Patients who receive primary care at any of our partner CUC clinics are able to see one of our psychiatrists via telemedicine at their home clinic. This is a convenient service for patients with low to moderate mental health issues. Wendy Salazar, Practice Manager for the program, says:
“Before, patients would have to travel to another clinic to access psychiatry services. They might spend hours on the bus traveling to a half hour appointment. The rate of no shows was higher then. Telemedicine opens up access to no end.”
Technology is imperfect. The internet could go down and what the video conferencing captures is limited. For example, the doctor may be unable to observe all aspects of a patient, such as someone’s hands shaking.
Telemedicine is a great tool to decrease wait times for appointments and increase the efficient use of a limited resource – our doctors – by reducing travel time. Clients come to the clinic and video conference with a doctor either in their home office or at another Integral Care location. Integral Care does not offer in-home telemedicine at this time.
Crisis Text Line
Integral Care recently launched a collaboration with Crisis Text Line, a national organization that provides free, 24/7 crisis support via text, increasing access to crisis care for people in our community who prefer texting to talking. Since 75% of texters are under 25, the text line is an additional tool that helps youth and young adults who may be struggling. Here’s how it works:
Crisis Text Line counselors are volunteers who go through rigorous training. A paid professional with an advanced degree in counseling, psychology or social work closely supervises them, monitoring every conversation. Additionally, supervisors have experience in crisis intervention.
Crisis Text Line is an anonymous service, which means they don’t know the location of the person reaching out for help. However, if a texter is at imminent risk of suicide, including ideation, plans, means or timing within 24 hours, a Crisis Text Line supervisor can activate emergency response and identify the location of the individual. Crisis Text Line will contact local law enforcement or EMS to perform a safety check on the individual. In this situation, local law enforcement or EMS might refer to Integral Care or involve our Mobile Crisis Outreach Team. Nationally, Crisis Text Line contacts law enforcement or EMS an average of 20 times per day.
Integral Care continues to provide immediate crisis support over the phone 24 hours a day, 7 days a week through our 24/7 Crisis Helpline at 512-472-HELP (4357). We are proud to partner with the Text Line, so that people who prefer not to pick up the phone have access to the support they need, when they need it.
November: How Tech is Changing the Face of Mental Health
October: A Few Questions Could Help Save a Life
September: Anyone Can Save a Life
August: A Milestone Moment
July: Equity in Mental Health Care for All
June: Expanding Services for Veterans
May: Your Mental Health Toolkit
April: Time of Terror Calls for Increased Emotional Support
March: Stopping the cycle of incarceration for individuals with mental illness
February : Equity in mental healthcare for everyone
January : Improving Mental Health Through Partnership & Collaboration
December : Strength Through Community
November : Healthy Lifestyles Improve Well-Being
October : National Child Health Day
September : Strengthening Families and Communities