Jun 192015
 

 

JSA Health Telepsychiatry has always been community minded .. and a central part of community psychiatry is being attentive to criminal offenders with mental illness. Here in Texas, the state government in Austin developed an excellent program known as TCOOMMI -Texas Correctional Office on Offenders with Medical or Mental Impairments. It’s a very progressive program designed to help such offenders re-integrate into the community and avoid future incarceration and hospitalization. JSA is now serving TCOOMMI clients at the Burke Center and Community HealthCore in east Texas. These programs presents a unique opportunity for JSA psychiatrists to impact an important population to increase community tenure and functioning. Our thanks to the Burke Center and Community Healthcore for choosing JSA for these projects.

 

 

 

From the TCOOMMI Website:

TCOOMMI Activities

TCOOMMI identifies and responds to statutory procedural or regulatory practices that impacts offenders with special needs. Examples of activities include:

  • Coordinating with the Texas Commission on Jail Standards on strategies to improve the screening, identification and treatment of inmates with mental illnesses in county jails.
  • Establishing a process for ensuring continuity of care for defendants being returned to jail after a determination of competency. This includes post-release medication reimbursement and support services after sentencing.
  • Developing a process to evaluate competency evaluations’ compliance to statutory provisions set forth in 46.B, Code of Criminal Procedure.
  • Implementing and monitoring the memoranda of understanding required between local and state criminal justice and health and human service agencies to ensure a continuum of care for offenders with special needs.
  • Developing, implementing and monitoring the cross-referencing of local and state offender data to health and human service client information to enhance the identification of special needs offenders throughout the criminal justice continuum.
  • Monitoring the compliance of local and state entities to statutory provisions for exchanging confidential information without a release as set forth in Chapter 614.017, Health and Safety Code.
  • Enhancing collaborative efforts for juvenile offenders through the development of interlocal agreements defining roles and responsibilities of local and state governmental entities.

 

Community Based Interventions

Case Management for Adults

  • Adult service programs are designed to demonstrate a multi-service approach, along with appropriate and cost effective alternatives to incarceration for offenders with special needs.
  • Through contracts with TCOOMMI, 37 statewide community centers and the Department of State Health Services provide a local mental health authority:
    • Case management
    • Psycho-social rehabilitation
    • Psychiatric services
    • Medication and monitoring
    • Individual/Group therapy and skills training
    • Benefit eligibility services including Federal Entitlement Application Processing
    • Screening and linkage to appropriate medical services, including hospice
    • Jail screening
    • Court intervention
    • Pre-release referral process for jails and families

Continuity of Care (COC)

  • Adult COC programs are designed to conduct pre-release screenings and referrals for post release medial or psychiatric services for adult offenders with special needs referred from TDCJ CID and other sources.
  • Local mental health authority community center COC services include but are not limited to the following:
    • Service coordination for post release services
    • Joint treatment planning with criminal justice agencies, social services, health & human service agencies and other appropriate disciplines
    • Benefits eligibility services and applications

Jail Diversion

  • The jail diversion programs are designed specifically to demonstrate a multi-service approach for more appropriate alternatives to incarceration for offenders with medical impairments.
  • The jail diversion programs include the following services:
    • Designated mental health staff assigned to screen offenders for mental health issues
    • Resource information services for attorneys or court personnel
    • Advocacy for the offender with attorneys, court personnel and/or bond release programs
    • Referrals for further medical evaluation or commitment

Services for Juvenile Probationers

  • Juvenile services programs are designed as a family-based, multi-service approach to meet the mental health needs of juvenile offenders
  • Services are targeted for youth in the Texas juvenile justice system, ages 10-18, who have been assessed with severe emotional disturbances
  • 16 local mental health authority community center programs provide core team oriented case management and flexible programming
  • Service components include:
    • Assessments for service referral
    • Service coordination and planning
    • Medication and monitoring
    • Individual and/or group therapy and skills training
    • Family focused support services
    • Benefit eligibility services
    • Transitional services

Wrap Around Services for TJJD Youth on Parole

  • Juvenile services are provided to TJJD juveniles through a COC system
  • Services are targeted for youth released on parole who have a serious mental illness which require post release treatment
  • Local mental health authority community center services provide:
    • Individualized assessments
    • Services coordination
    • Medication monitoring
    • Advocacy services
    • Transitional services to other treatment programs
    • Benefit eligibility

 

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.

 

Jun 182015
 

Lakes-Regional

 

Lakes Regional Community Center is partnering with JSA Health Telepsychiatry on a novel program to provide telepsychiatry services for consumers with Intellectual And Developmental Disabilities (IDD) in crisis – residing at one of Lakes Regional’s Crisis Respite Homes. IDD consumers assessed by JSA will be both adults and children. JSA Health is able to perform this service due to staffing with emergency telepsychiatrists .. trained to help children, adults, and the elderly with a full spectrum of psychiatric and medical diagnoses.
The novelty of this program is in regard to providing residential crisis services to persons with intellectual and developmental disabilities. Many mental health providers will shy away from the IDD population because of the special training and sensitivities needed to provide quality IDD services. Lakes Regional Community Center does not avoid such challenges .. and neither does JSA Health. JSA will be providing regularly scheduled hours for rounding, but remain available via JSA’s proven on-demand services.
From the Lakes Regional Community Center Website:

 

:: LAKES REGIONAL HISTORY

The beginning of Lakes Regional MHMR Center’s creation was the 1996 TDMHMR board’s directive to move the delivery of mental health and mental retardation community services to local control. This coincided with TDMHMR’s determination to form State-Operated Community MHMR Services, in the place of State Facility Community Service Divisions. This reconfiguration of community services brought mental health and mental retardation services under one administrative structure and separated community services from their host state hospital or state school. As part of this process, Lakes Regional State-Operated Community MHMR Services was created. This new entity encompassed services from the following community service divisions: Terrell State Hospital and Denton State School.On January 28, 1999, the nine County Judges of the counties served by Lakes Regional SOCS sent a letter to TDMHMR Commissioner Hale expressing their desire to form a new MHMR Center. On April 29, 1999, Commissioner Hale responded favorably to the County Judges of Camp, Delta, Franklin, Hopkins, Kaufman, Lamar, Morris, Rockwall and Titus Counties. In the intervening months, great effort was expended by all staff and the Board of Trustees to complete the complicated preparations associated with conversion of this state operated program into a private, board governed, community nonprofit agency.
Formation of Lakes Regional MHMR Center was successfully completed and the Center initiated operations on December 1, 1999.In September of 2003, after several months of discussion with local officials at TDMHMR and within Hunt County, the MHMR Services of that County formally merged with Lakes. Then Crossroads Council on Alcohol and Drug Abuse in Hunt County ceased operations early in 2004. Soon thereafter, Lakes’ obtained a facility license from TCADA. A grant was written and received, in conjunction with Hunt County Community Supervision and Corrections Department (HCCSCD), to provide substance abuse treatment services to individuals from HCCSCD. This is an Intensive Intervention Diversion Program (IIDP). Those services are provided in our Greenville Center. Lakes also provides DWI Education classes, Drug Offender Education classes, and Minor in Possession classes. Lakes provides Intensive and Supportive Outpatient services to appropriate individuals through NorthSTAR in our center in Terrell.Then in April of 2006, the MR services of Ellis and Navarro counties merged with Lakes. Having successfully completed the Hunt County merger, we had experience with the tasks required.
The transition went smoothly and continues to be a successful part of our programs.In 2006, the Northeast Texas Council on Alcohol and Drug abuse in Paris, Texas closed. Lakes was asked to provide services in Fannin, Grayson and Cooke counties. Once again, Lakes stepped forward to ensure the continuity of services for consumers in need. It has been gratifying to foster growth in programs and services in all the areas we have assimilated. Lakes administration is highly skilled in managing new aspects of business and keeping our organization financially viable.Lakes serves as the MRA for Camp, Delta, Ellis, Franklin, Hopkins, Kaufman, Lamar, Morris, Navarro, Rockwall, Hunt, and Titus Counties. It also serves as the MHA for seven of the above counties. The exceptions are Ellis, Hunt, Kaufman, Navarro, and Rockwall counties, which are in the NorthStar Medicaid project and for which Lakes is not recognized as the Mental Health Authority. Chemical dependency services are provided in Kaufman, Rockwall, Hunt, Fannin, Grayson and Cooke counties. TCOOMI adult parole and MH services are provided in Delta, Hopkins and Franklin counties. TCOOMMI parole continuity services are provided in Hopkins, Delta, Lamar, Titus, Franklin, Morris and Camp counties.
Lakes operates as authorized under Texas Health and Safety Code, Chapter 531, Section 531.001(h). The TDMHMR Board has designated local entities as Mental Health and Mental Retardation Authorities (MHA/MRAs). The 74th Texas Legislature amended the Texas Health and Safety Code to define a local mental health or mental retardation authority as an entity to which the board delegates the authority and responsibility within a specified region for planning, policy development, coordination, resource development and allocation, and for supervising and ensuring the provision of services to persons with mental illness or mental retardation in one or more local service areas.

 

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.

 

Jun 182015
 

NewLogo

 

JSA Health Telepsychiatry is pleased to announce further collaboration with Pecan Valley Centers for Behavioral and Developmental Health Care. Pecan Valley has been a trusted JSA partner since 2011 and JSA now services clinics in all counties of the Pecan Valley catchment area:

 

 

 

JSA’s newest location is the Cleburne Clinic in Johnson County. Telepsychiatry services are now provided to Pecan Valley consumers at the the following locations:

 

Administration
2101 W. Pearl St.
Granbury,TX 76048
P.O. Box 729
(817)579-4400

[map]

                                    

              

Erath County

Stephenville Clinic
906 Lingleville Hwy.
P.O. Box 973
Stephenville,TX 76401
(254)552-2001
(254)968-4181

[map]

Hood County
Granbury Clinic
104 Pirate Dr.
P.O. Box 729
Granbury,TX 76048
(817)579-4460
(817)573-2662

[map]

Palo Pinto County
Mineral Wells Clinic
214 SW 26th Ave, Suite A
Mineral Wells, TX 76068
(940)325-9541
(940)325-9543

[map]

Johnson County
Cleburne Clinic
1601 North Anglin
Cleburne,TX 76031
(817)558-1121

[map]

Parker County
Weatherford Clinic
1715 Santa Fe Drive
P.O. Box 894
Weatherford,TX 76086
(817)599-7634

[map]

 

We at JSA look forward to a long and rewarding relationship with Pecan Valley Centers and appreciate their trust in our clinical services. From the Pecan Valley Centers website:

History & Leadership

Pecan Valley Centers for Behavioral and Developmental HealthCare was legally established in 1976 by the Commissioners Courts of Erath, Hood, Palo Pinto, Parker and Somervell Counties as a Community Center in accordance with House Bill 3. Johnson County joined the Pecan Valley Centers in June 2006.

Pecan Valley Centers is authorized by the Department of State Health Services (DSHS) to be the Mental Health Authority for the Region and authorized by the Department of Aging and Disabilities (DADS) to be the Intellectual and Developmental Disabilities (IDD) Authority for the Region.

Pecan Valley Centers is governed by an eleven member Board of Trustees, appointed by the County Commissioners of the six counties. The Board in turn hires an Executive Director to set procedure, carry out the policies of the Board, and manage the center.

Pecan Valley Centers was established through the hard work of Theresa Mulloy, Ed.D. Dr. Mulloy was appointed the center’s first Executive Director, and honorably served the community from 1976 until her retirement in August 2006. The Pecan Valley Board of Trustees appointed Coke Beatty to succeed Dr. Mulloy’s 30 years of service in September 2006. Mr. Beatty had served the center in other capacities since 1992.

Our Mission and Values

Mission Statement:

Our mission is to provide help and hope to all who strive to overcome challenges associated with mental illness, alcohol and chemical dependency, intellectual and developmental disabilities within our community.

Values:

  • Individual worth – We affirm that the individuals we serve share with us common human needs, rights, desires, and strengths. We celebrate our individual and cultural diversity.
  • Empowerment of all to learn and to experience personal choices and responsibilities.
  • Quality is the continuous act of creating, building, and maintaining relationships and trust that we are providing the appropriate services for the consumer and the community.
  • We strive to anticipate, acknowledge, and respond to the needs of our customers by building an environment which provides continual innovation and the people we serve.
  • We believe our personal, professional, and organizational integrity is evidenced by our dedication to the individuals and community we are entrusted and privileged to serve.

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.
Jun 182015
 

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JSA Health Telepsychiatry is pleased to announce the opening of the first of two Mental Health Emergency Centers (MHEC)  for Camino Real Community Services – in Eagle Pass, Texas.  JSA was part of the development process from the beginning, helping to develop both the clinical programming and the actual blueprint design of the building.

213-149P Crisis Residential Centj

JSA will now provide the telepsychiatry services – on demand and 24/7 – that will make this center a key component of Camino Real’s crisis response system. From the Eagle Pass Business Journal:

 

Camino Real Crisis Center offers Mental Health Services

By: Jose G. Landa, Copyright 2015, Eagle Pass Business Journal, Inc.

The Camino Real Crisis Center, located at 2644 Encino Park Drive, in Eagle Pass, Texas opened its doors on Friday, May 15, 2015, offering professional mental health services to Maverick County and Middle Rio Grande residents including a 14 bed in-house treatment center for patients.

The Camino Real Crisis Center is operated by the Camino Real Community Services, a Texas Non-Profit corporation, which provides comprehensive services to persons with psychiatric needs, individuals with intellectual or developmental disabilities, and infants and children with developmental delays and disabilities. Camino Real Community Services serves a nine-county area including Maverick, Zavala, Dimmit, Frio, La Salle, Atascosa, McMullen, Wilson, and Karnes.

The opening of the Camino Real Crisis Center is important because Maverick County and surrounding communities will now have a permanent facility with overnight and extended stay treatment of adult mental health crisis patients.

According to Camino Real Community Services, there are currently close to 800 persons of all ages receiving some type of mental health or ailment treatment in Maverick County. There   are many more persons afflicted with one type of mental health disability which are not receiving professional mental health treatment in Maverick County.

Mental illness is characterized by a temporary or persistent inability to cope effectively with life’s changes. Individuals with mental illness often experience difficulties coping in our complex society and are overwhelmed by everyday activities and stresses. With treatment, many people with mental illness can enjoy a productive, livable life in society.

On Friday, May 19, 2015, Camino Real Community Services and local public officials and civic leaders attended the official grand opening ceremony of the newly opened Camino Real Crisis Center which will provide a 24 hours/7 days a week mental health crisis center in Eagle Pass. Following the grand opening, an Open House was held to demonstrate the mental health services available and facility tour at the newly opened Camino Real Crisis Center.

Among local dignitaries attending the Camino Real Crisis Center grand opening included Maverick County Judge David R. Saucedo, Eagle Pass Mayor Ramsey English Cantu, Maverick County Commissioner Roberto Ruiz, and others.

In an exclusive interview with the Eagle Pass Business Journal, Camino Real Community Services Executive Director Emma Garcia stated that the new mental health services being offered on a 24 hours/7 days a week at the Camino Real Crisis Center are extremely important because there is a great demand and need in Maverick County and surrounding counties for an in-patient mental health crisis center. Garcia noted that prior to the Camino Real Crisis Center opening in Eagle Pass, Maverick County mental health patients required they receive professional mental health services at out of town facilities such as in San Antonio and elsewhere.

“We provide a wide array of services and get funded through areas of the State Department Health Services, Department of Aging and Disabilities (DAD) is responsible for the intellectual and developmental disabilities, Department of Assistance and Rehabilitative Services (DARS) .Today we are adding to that array of services with the opening of the crisis center. We have out- patient based services where we bring in psychiatric resources, either through bringing in the physician coming out here or through tele medicine. We use a lot of tele medicine because the shortage of this resource,” said Emma Garcia.

“A person is not just going to get better by seeing a doctor. It needs to be supported with additional services. We have case managers, counselors nurses, and we have staff that is trained to assure that the person is taking the medication as prescribed by the doctor and are also working on skills development so they can understand their symptoms and start understanding when they are not feeling well so they can self- manage their life long illness,” added Garcia.

Garcia stated that through the new Camino Real Crisis Center residential unit they will be offering and assisting the mental health population with a 24/7 Crisis Hotline at 1-800-543-5750.

“When a person goes into psychiatric crisis, this place will be available for assistance of assessments, determining if this person is in need of help and provide in patient type of support, nursing , counseling and re- education so they can go back to their lives in the community,” said Garcia.

Garcia noted that persons who will be assisted at the new Camino Real Crisis Center will do so on a voluntary basis and can stay there for treatment from 3 to 14 days.

“Before we didn’t have the facility and people had to be taken or travel to the San Antonio or Laredo areas where there is in-patient capacity. This has been so greatly needed in the community. Some of our border towns, some of our remote areas do not have access to the same level of services as our urban counterparts. This is our effort to assure that here locally, people can get the service,” said Garcia.

“It’s a very scary situation for the person who is experiencing the mental health crisis. They’re vulnerable, they’re scared and then we whisk them away to a location 2 hours away from their families and this is that alternative, now there are some cases that we can’t manage here, when a person is violent, aggressive, a situation when a person has just been off their medication for too long and are at risk of harming themselves or harming another person, those persons will still be taken to an in-patient psychiatric facility. We are not a hospital. We are a crisis residential center,” added Garcia.

Garcia also stated that the facility will be available to the nine county areas served by Camino Real Community Services. “If there is a need and we have the capacity, we will make it available. We are at this time designed to service the Maverick, Dimmit and Zavala areas,” said Garcia.

“I think it is going to be a great addition to the full array of services that we already have and provide to our communities,” added Garcia.

Camino Real Crisis Center Director Rosalinda Medrano stated that the designed area will have a capacity for 18 persons with mental health issues such as Bi-Polar, Schizophrenia, depression, anxiety and other mental health problems. The new Camino Real Crisis Center residential in-patient services will be for persons of ages of 18 years and older.

Maverick County Commissioner Roberto Ruiz, who is a Board of Director of the nine-county wide Camino Real Community Services, stated that “These services have been much needed for a long time and now it’s a reality. I am grateful for this organization and all those who have participated to make it a reality. It is a true honor to be part of this organization as a board member and will continue to do so to continue serving our residents.”

All persons with mental health disabilities and their family members are encouraged to contact the Camino Real Mental Health Crisis Hotline at 1-800-543-5750 if they have any crisis or need counseling on how to handle a crisis. The Hotline is open 24 hours/7 days a week throughout the year.

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.
Jun 022015
 
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JSA Health Awarded Behavioral Health Care Accreditation From The Joint Commission

HOUSTONJune 2, 2015 /PRNewswire/ — JSA Health Telepsychiatry has earned The Joint Commission’s Gold Seal of Approval® for Behavioral Health Care Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects JSA Telepsychiatry’s commitment to providing safe and effective care.

JSA Health underwent a rigorous on-site survey including assessments of leadership; compliance with behavioral health care standards for care, treatment, and services; and screening for early detection of imminent harm.

The Joint Commission accredits organizations for three-year periods. Accredited organizations provide treatment and services within different settings for individuals with varied mental health diagnoses and care plans.

“Joint Commission accreditation provides organizations with the processes to continuously improve delivery of care for individuals and their families,” said Tracy Griffin Collander, LCSW, executive director, Behavioral Health Care Accreditation program, The Joint Commission. “We commend JSA Telepsychiatry for its efforts to elevate the standard of care it provides and to instill confidence in the community it serves.”

“JSA Health Telepsychiatry is pleased to receive Behavioral Health Care Accreditation from The Joint Commission,” added Avrim Fishkind, MD, CEO of JSA Health.  “All of our staff continuously works together to develop and implement strategies that can improve care for those we serve in various communities in Texas and beyond.”

The Joint Commission’s behavioral health care standards are collaboratively developed with providers, quality improvement experts, patients and families. The standards are informed by scientific literature and expert consensus to help organizations measure, assess and improve performance.

JSA Health Telepsychiatry

JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a variety of settings including emergency departments, community health clinics, educational institutions and correctional facilities. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals.

The Joint Commission

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders. The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care.

Contact: JSA Health Telepsychiatry
Lashandra Bradford, Program Director
888-792-7192
lbradford@jsahealthmd.com

SOURCE JSA Health Telepsychiatry



RELATED LINKS
http://jsahealthmd.com

 

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.

Mar 262015
 

 

Code-Red

 

 

In 2006, because of the importance and impending challenges confronting Texas in dealing with the problem of medically indigent individuals, the 10 major academic health institutions in the state sponsored a Task Force to identify strategies for confronting medically indigent care in Texas. These institutions are Baylor College of Medicine, Texas A & M, North Texas, Texas Tech, and the six health institutions of The University of Texas System. The Task Force consisted of individuals selected for their expertise and perspectives with regard to the problem of indigent health care in Texas. Members of the Task Force served as individuals and do not represent any organizations or special interests.

Since its inception, the Code Red Task Force on Access to Health Care in Texas (Task Force) has studied the issues, deliberated, and provided recommendations on improving the health of Texas residents. To improve the health of all Texas residents, the Code Red Task Force recommends the use of available federal funds to allow more low-income, working Texans to obtain health insurance. A significant amount of federal funds are currently used by Texas hospitals, Federally Qualified Health Centers (FQHCs) and other health care providers to supplement the low reimbursement rates for the care of Medicaid patients, and to offset the costs of care for the uninsured. Under the Patient Protection and Affordable Care Act (ACA), these payments will be significantly reduced in order to pay for the expansion of health insurance coverage across the country. Such reductions strike especially deep for Texas health care providers due to the rapid increase in population, the high rate of uninsured in our state and the related high cost and increasing amount of uncompensated care.

JSA Health Telepsychiatry solutes the work of the Code Red Task Force with regards to behavioral health and applauds their recognition of telepsychiatry to emergency departments. From the 2015 report:

Recommendation 4. The Task Force recommends continuation of state support for behavioral health initiatives undertaken during the 83rd Legislative Session in 2013. The Task Force recommends that public and private entities:

• Integrate the full continuum of behavioral health services into the overall health care system in order to provide the right care in the right place at the right time. This will include behavioral/primary care teams in health homes, emergency care teams, inpatient services, and community rehabilitation services. Community health workers will be trained in behavioral and physical health subject matter and the relationship/integration of the two.

Increase the availability of tele-psychiatry in emergency departments, health homes, and school settings.

• Collaborate with the Veterans Health Administration to increase resources and services for veterans with behavioral health issues.

• Expand proven behavioral health crisis intervention programs to reduce inappropriate and ineffective involvement of persons in crisis with the criminal justice system.

Approximately 20% of the Texas population experiences occasional behavioral health problems and 4% of the population suffers from serious mental illness. Among these are approximately 300,000 children with a serious behavioral health problem, including a significant number of adolescents with depression. Three quarters of Texas counties are designated as mental health professional shortage areas with a significant lack of both adult and child psychiatrists. Texas ranks 49th among the states in per capita spending on mental health services even though the Texas Legislature provided over $300 million for the 2014-2015 biennium to improve mental health services. A significant shortage of state-funded hospital beds for patients with serious mental health issues creates enormous pressures on public hospital emergency rooms and the criminal justice system. Emergency rooms must often “board” patients for extended periods due to the lack of psychiatric beds. In addition, behavioral health issues are among the most frequent reasons for hospital readmissions. The criminal justice system incarcerates a substantial number of prisoners who suffer principally from a mental health condition negatively impacting their behavior. Promising approaches for improved behavioral health care, such as crisis stabilization teams and tele-psychiatry, are underway as DSRIP projects.

 

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JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.

Jan 292015
 

UTMB Health has contracted with JSA Health Telepsychiatry to provide round the clock, on-demand telepsychiatry evaluations at it’s hospitals in Galveston and Angleton, Texas. The program was developed in coordination with Gulf Coast Mental Health Center and it brings a fresh model to handling psychiatric emergencies that will allow for discharge from the emergency departments directly to Gulf Coast Center mobile crisis outreach teams.

It is a great honor for JSA to be chosen for this project as UTMB is well regarded as the major pioneer in telemedicine in the United States. The goals of the project are to decrease emergency lengths of stay and improve clinical outcomes for  mental health patients in crisis. Historically, mental health patients who are discharged from emergency rooms to homes or shelters have a difficult time making it to outpatient appointments. With the use of the Gulf Coast Center Mobile Crisis Team to follow and link patients, it is our hope that recidivism of patients back to the emergency room will be vastly decreased, and therefore quality of life and community tenure for mental health patients in the Gulf Coast regions will be vastly improved.

From the Gulf Coast Regional Healthcare Partnership Plan:

 

Title of project: Telemedicine Access to ED and Adult MH routine services

Provider: The Gulf Coast Center (GCC) is the mental health authority and substance abuse
recovery provider through the Texas Department of State Health Services (DSHS) for Galveston
and Brazoria Counties. The Gulf Coast Center provides a complete array of services to those
with mental health, recovery and intellectual and developmental disability needs. The Gulf
Coast Center adult services are currently charged with serving 1759 adults, although currently
serving more than 2400 adults. Galveston County covers 873 square miles and Brazoria County
covers 1386 square miles.

Intervention: The project will implement telemedicine into the ED for individuals presenting
with emergent psychiatric complaints and into the local community mental health Intake
offices to provide improved access for psychiatric discharge follow-ups, post ED consult followups,
and routine access assessments.

Need for project: The primary focus of ED physicians is traditionally on health care issues. They
do not necessarily involve themselves in behavioral health issues. This results in frequent
referrals for hospitalization due to psychiatric conditions that could otherwise be amelirated by
immediate psychiatric care. Making psychiatrists readily available in the local EDs via
telemedicine would enhance the treatment options for those experiencing a behavioral health
crisis and avoid unnecessary psychiatric admissions. Providing a telemedicine psychiatrist will
enhance the treatment options for those experiencing a behavioral health crisis and avoid
unnecessary psychiatric admissions. Psychiatrist availability for routine access in the local
mental health Intake department is very limited and results in less than optimum appointment
wait times for more complex cases and continuity of care. The limited availability of psychiatrist
time also results in lengthy waits for initial psychiatric evaluations and increased potential for
hospital admits and readmissions.

Target population: The target population of the project is persons in need of Psychiatric
consultations to determine the appropriate level of care and to prevent unnecessary admits
and readmissions into inpatient facilities. Approximately 50% of persons seen are either
Medicaid eligible or low income uninsured individuals and have limited access to behavioral
health care. We expect they will benefit from improved access to psychiatric consults to avoid
unnecessary hospital admissions.

Learn more about this project and other innovative Gulf Coast Regional Healthcare Partnership projects here.

JSA Health Telepsychiatry is a behavioral health telemedicine practice that provides 24/7 access to high quality telepsychiatry care for a wide variety of settings including emergency departments, community health clinics, educational institutions, correctional facilities and a wide variety of distant locations including cruise ships throughout the world’s oceans. We use high-definition HIPAA compliant telemedicine technologies to connect patients and healthcare organizations to experienced mental health professionals. For more information please call 1-888-792-7122 or email at info@jsahealthmd.com.

Aug 292014
 

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Clarity Child Guidance Center Turns To JSA Health Telepsychiatry for Acute Care Psychiatric Evaluations

JSA Health is proud to announce a new partnership with Clarity Child Guidance Center. Clarity offers a unique set of crisis services for children adolescents 24/7 in San Antonio, Texas. JSA psychiatrists will be evaluating patients for admission to Acute Care, On Campus 24 Hour Treatment and On Campus Day Treatment. JSA’s unique on demand services for children and adolescents will allow Clarity to maximize it’s ability to serve children and adolescents round the clock.

More about Clarity Child Guidance Center from their Website:

About Us

Clarity Child Guidance Center exists to transform the lives of children and families. We are the only nonprofit treatment center specializing in children ages 3-17 in San Antonio and South Texas. We provide compassionate mental health care. Our inpatient and outpatient programs include a range of services including crisis stabilization, psychiatric evaluations, and ongoing therapy. We have the region’s largest staff of children’s mental health professionals at our two family-friendly campuses and several satellite locations. As a United Way agency, we provide greatly needed mental health care for children who could not otherwise afford to receive treatment.

Programs and Services

The decision to find help for a child with behavioral or emotional issues is not an easy one. At Clarity Child Guidance Center, we would like to give you assurance you have made the right choice. The sooner your child can be evaluated and an individual treatment program designed, the sooner they will be on a path of hope and recovery.

Our first goal is to work with your family to identify the cause of the major problems facing your child. Your treatment program depends on the severity and specific needs of your child and the family’s wishes. it could include one or more of the following:

Acute Care

The term “acute” means severe or intense. If a child or teenager is in crisis, and at risk to harm himself or others, acute care is designed to help quickly stabilize the situation. It involves immediate evaluation and admission, 24-hour nurse and doctor attention, medication if needed and a plan for  future treatment. Acute care can be accessed by phone 24/7.

On-campus 24-hour Treatment

When a child or teenager has trouble functioning well outside of a structured and monitored environment, on-campus 24-hour treatment may be the answer. It offers a full schedule of group therapies and activities in a secure, hospital-based setting.

On-campus Day Treatment

Children who experience significant problems at home and school but do not need inpatient treatment, may be able to receive treatment at Clarity Child Guidance Center during the day while still living at home. The program includes therapy, recreational therapy and life coaching plus regular attendance at our on-campus school so your child can keep up with their classes. To access this service, please call our admissions team.

Access

Clarity Child Guidance Center is in compliance with the American with Disabilities Act. We commit ourselves to providing care that is nondiscriminatory and responsive to the needs of the handicapped or sensory impaired patient/family. The hospital has a Deaf and Hard of Hearing Services Coordinator on staff during regular business hours. We employ the services of outside agencies to provide both in-person and video remote interpreters. For more information about these services contact our coordinator:

Christina Attebery (210) 582-6411.

May 192014
 


Nurses station

JSA Health Telepsychiatry is pleased to announce that our emergency telepsychiatrists will be supporting the Seton Psychiatric Emergency Department (SPED) at Seton Brackenridge Hospital in Austin, Texas. JSA telepsychiatrists will continue to assist mental health patients  throughout the Seton Family of Hospitals system currently at seven locations in central Texas. JSA will be augmenting the services of on-site psychiatrists at SPED and participating via telemedicine as a full fledged member of SPED multidisciplinary treatment team of nurses and social workers.

More information from KVUE News in Austin, Texas:

JIM BERGAMO / KVUE News and photojournalist Erin Coker and editor Rob Diaz

kvue.com  5/18/2014

New psychiatric ER set to open

“It’s pretty early in my shift today, but so far I’ve seen five patients, and three have been psychiatric illness,” said Christopher Ziebell, M.D., the Emergency Department Medical Director at UMCB.

Ziebell is not a psychiatrist. He says often it can take a day or two to get behavioral health patients aligned with the proper physicians, and that can cause a serious backup in the waiting room.

“Because instead of turning the bed over every 60-90 minutes, I’ve got someone who is occupying that bed for 36-48 hours,” he said.

“When those patients are taking up a bed, that’s a bed that’s not available to someone in the community who’s having a heart attack or appendicitis or stroke or whatever,” said Ziebell.

It’s why Seton established a Psychiatric Emergency Department on site — with seven rooms for “treat and release” patients and 10 for acute patients held involuntarily or needing transfer to a higher level of care.

“We’re going to have 24/7 expertise across a lot of disciplines that will help people who are experiencing any kind of behavioral health crisis,” said Kari Wolf, M.D., the VP of Medical Affairs for Psychiatry at Seton Family. “That doesn’t exist anywhere in this community right now.”

All the rooms here at the Seton Psychiatric Emergency Department are designed with the patient’s safety in mind. Even things as simple as plastic bed frames with rounded corners. Besides the 24/7 care, perhaps the biggest benefit to patients will be the calm environment.

“If someone is experiencing a behavioral health crisis, the last thing they want to do is be in a noisy, busy, crowded emergency department where there’s all sorts of chaos going on,” said Wolf.

The new Seton Psychiatric Emergency Department will only serve adults — so anyone 17 and under will have to be taken to another facility.

Click here for more information on the facility.

May 122014
 

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The American Telemedicine Association has awarded the 2014 Innovation in Remote Health Care Award to JSA Health Telepsychiatry and the Burke Center of Lufkin, Texas for the Burke Mental Health Emergency Center.

The Innovation in Remote Health Care Award is given to the program that meets the following criteria:

  1. Innovative new technology development or adaptation
  2. Novel use of technology leading to innovative health applications and social services support at the individual or community level
  3. Creative strategies for removing barriers to implementation and adoption
  4. Innovative approaches to fostering partnerships and collaboration
  5. Innovative ways responding to needs of end-users, improve ergonomics
  6. New ideas, concepts, formulation and paradigms, and new ways of thinking “outside the box”

The Mental Health Emergency Center (MHEC) model was developed by Dr. Avrim Fishkind of JSA Health Telepsychiatry as a consultant for the Burke Center. The MHEC model has gone on to win the American Psychiatric Association Gold Award in 2o11 and the National Council for Behavioral HealthCare Innovations Award in 2013.

What follows is the supporting information submitted for the award:

  • Innovative new technology development or adaptation:

The Burke Mental Health Emergency Center (MHEC) is the first Psychiatric Emergency Service in the world full served only by emergency telepsychiatrists. Previously, any patients in psychiatric crisis in rural and remote areas of America faced lengthy drives, frequently handcuffed in the back of police vehicles…sometimes driving hundreds of miles to the nearest hospital or crisis center.

Adapting telemedicine to emergency psychiatry has allowed access to emergency psychiatrists in a wide variety of remote locations including community psychaitric emergency centers, community mental health centers, jails, public and private schools, colleges and universities, homeless shelters, federally qualified health centers, hospital emergency departments, and even cruise ships in most oceans of the world.

 

  • Novel use of technology leading to innovative health applications and social services support at the individual or community level

 

Prior to the development of the MHEC model, psychiatric emergency services existed only in teritary care, primarily medical school based emergency departments.  The community impact of MHECs is immense and includes:

  • Prevention of hospital emergency departments having to go on diversion because of psychiatric emergency patients boarding in emergency departments – in the USA ranging between 1 and 21 days waiting for inpatient psychiatric hospital beds
  • Decreased time in which police have to wait with psychiatric patients in emergency departments while mental health patients await assessment, treatment and transfer to other levels of care
  • A more welcoming and less coercive atmosphere for psychiatric patients and their families experiencing a psychiatric crisis
  • Alternatives to putting patients experiencing a psychiatric crisis in either jail or an inpatient hospital bed by providing the MHEC based community alternative to jail and hospitalization
  • Savings to the communithy of $1700 per crisis episode by using MHEC versus jail or hospitalization
  • Assistance to the judicial system by providing expert opinions and assessment allowing for judges to decide to divert patients from the legal system in acute psychiatric or substance abuse treatment.

 

  • Creative strategies for removing barriers to implementation and adoption

Burke MHEC came together through a massive and creative strategy to get diverse agencies (Police, EMR, Judicial Courts, Emergency Departments, Community Mental Health Centers, Advocates for the Mentally Ill…and more) to see the need for a regional and rural psychiatric emergency center. The process included:

      • Obtaining a HRSA Network Development Planning Grant
      • Needs assessment for the region done by a local university
      • Formation of advisory boards in all 12 counties involved
      • Legislators representing all 12 counties included
      • Obtained cash matches from hospitals shouldering the burden of caring for patients in psychiatric crisis to build and maintain the MHEC
      • Obtained funding from each county Commissioner’s Court
      • Obtained matching funding from the Temple Foundation
      • Lobied Texas State Department of Health Services to put up $1.6 million annual grand funding

 

  • Innovative approaches to fostering partnerships and collaboration

See Number 3 above

  • New ideas, concepts, formulation and paradigms, and new ways of thinking “outside the box”
      • Bringing emergency psychiatric to remote areas where there are no psychiatrists and provide the service 24/7/365
      • Provide emergency telepsychiatry to both voluntary and involuntary patients presenting for treatment.
      • Use telepsychiatry to vastly decrease the use of seclusion, restraint and forced medications creating a less coercive enviroment to provide psychiatric crisis treatment
      • Apply telepsychiatry to emergency psychiatry across all diagnoses and presentations
      • Provide adequate medical care and treatment at the MHEC facility to prevent 92% of presenting patients from needing any form of medical clearance at and emergency department.
      • Demonstrate how telemedicine can save money, increase access to care, and diminish the need for hospitalizations in behavioral health emergencies…previously thought to be impossible.

 

JSA Health Telepsychiatry is please to accept this award, and looks forward to the future development of the Mental Health Emergency Center model.