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Mental Health

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Part 1: Navigating Evidence: Finding and Synthesizing Literature for Evidence-Based Practices
Tuesday, April 23, 2024
2:00 pm – 3:00 pm EDT; 1:00 pm – 2:00 pm CDT;
12:00 pm – 1:00 MDT; 11:00 am – 12:00 pm PDT
Register Here

Part 2: Making Evidence-Based Practices Work: Strategies and Outcomes
Tuesday, April 30, 2024
2:00 pm – 3:00 pm EDT; 1:00 pm – 2:00 pm CDT;
12:00 pm – 1:00 MDT; 11:00 am – 12:00 pm PDT
Register Here

Michael Peterson, MA, CCC-SLP
Speech-Language Pathologist and Clinical Transformation Specialist

Speaker Bio:
Michael works as a Clinical Transformation Specialist, where he focuses his efforts as part of a Clinical Transformation team to promote a culture of evidence-based practice at Gillette Children’s Specialty Healthcare in St. Paul, Minnesota. Michael is also a speech-language pathologist with 12 years of clinical experience working with children and adults with childhood-onset conditions. He applies his clinical experience and advanced training in knowledge translation and implementation science to partner with and guide clinical staff to bridge the gap between evidence and clinical practice.

Objectives: At the end of these sessions, the learner will:

Part 1: Navigating Evidence: Finding and Synthesizing Literature for Evidence-Based Practices

  • Describe how to search for literature using PICOT questions
  • Identify resources to support appraisal of relevant papers
  • State the purpose of synthesis tables in supporting evidence-based practice decisions
  • Describe how to use synthesis tables to make evidence-based practice recommendations

Part 2: Making Evidence-Based Practices Work: Strategies and Outcomes

  • Describe how frameworks guide implementation of EBP
  • State how barriers and facilitators influence implementation of EBP
  • Describe implementation strategies
  • List different kinds of outcomes to monitor implementation of EBP

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

The Office of Mental Health and Substance Abuse Services (OMHSAS) has issued clarification on policy regarding encounter signatures for crisis services. The updated policy outlines that OMHSAS considers mobile mental health crisis services to be emergency services. While every effort should be made to obtain a signature from the beneficiary or a parent, legal guardian, relative, or friend, when such a signature cannot be obtained due to the nature of the situation, crisis intervention service providers are permitted to insert “Signature Exception” on the signature line of the encounter form.

RCPA has inquired if the encounter verification under these circumstances can be considered for similar applications to other programs under other OMHSAS licensed services. If you have any questions, please contact RCPA COO and Policy Director Jim Sharp.

Registration for the Pennsylvania Association of Area Agencies on Aging’s (P4A) 2024 Aging and Behavioral Health Conference is now open. The conference agenda will equip behavioral health practitioners and professionals with essential tools and knowledge regarding mental health and substance use disorders affecting older adults. The conference is set for May 29 – 30 at the Best Western Premier Hotel & Conference Center in Harrisburg. The deadline for registration is Friday, May 17. You can register and find details regarding the conference here.

The Pennsylvania Department of Health (PA DOH) is hosting a virtual session with the Drug Enforcement Administration (DEA) Philadelphia Division to discuss pharmacy best practices in ordering and dispensing controlled substances, particularly medications for opioid use disorder (MOUD) like buprenorphine. This session, scheduled on Wednesday, April 24 from 12:30 pm – 2:00 pm, aims to address concerns raised during PA DOH’s Fall 2023 listening sessions on patient access to controlled substances. Participants can register for the session using this form and are encouraged to submit questions in advance by Friday, April 19, 2024. Even if unable to attend, individuals can still submit questions for a later response. Please submit inquiries via email. This collaborative learning opportunity is crucial, and recipients are encouraged to share the invitation with interested parties.

The 2024 Virtual Dual Diagnosis Conference, titled “Full Diagnosis: Impact of Trauma, Physical Health, and Metabolic Health,” will take place on Saturday and Sunday, May 22 and 23, 9:00 am to 4:00 pm. Hosted by The Pennsylvania Department of Human Services, Office of Developmental Programs, and Office of Mental Health and Substance Abuse Services, the conference features nationally recognized speakers who will explore various perspectives on these crucial issues. Featured speakers include Dale Adair, MD, FAPA, Syard Evans, PhD, Beth Barol, Stacy Nonnemacher, Self Advocates United as 1, Brandi Kelly, PhD, and Dan Dubovsky. Registration for the conference is open.

If you have any questions, please contact RCPA COO and Director of Mental Health, Jim Sharp.

Lack of BH Providers in Medicare and Medicaid Impedes Enrollees’ Access to Care

The Office of the Inspector General (OIG) has released a report citing there are not enough behavioral health providers participating in Medicare and Medicaid networks.

In an analysis published April 2, the government watchdog studied one urban and one rural county in 10 states across the country. The analysis found relatively few behavioral health providers are participating in Medicaid, Medicare, and Medicare Advantage programs, leading to difficulties in access for enrollees.

Notable Findings:

  1. On average, there were fewer than five active behavioral health providers accepting Medicare and Medicaid patients per 1,000 enrollees. Traditional Medicare had the lowest rates of providers, at 2.9 per 1,000 on average, and Medicare Advantage had the highest rate at 4.7 per 1,000 enrollees.
  2. Rural counties had fewer providers accepting Medicare and Medicaid than urban counties. In rural counties, there were 1.5 providers accepting traditional Medicare per 1,000 patients, compared to 4.4 in urban counties.
  3. Across Medicaid, traditional Medicare, and Medicare Advantage, there were fewer than two providers per 1,000 enrollees that could prescribe medication for mental health issues, such as psychiatrists and psychiatric nurse practitioners.
  4. Active providers accepting public insurance make up around one-third of the behavioral health workforce, according to the report.
  5. Fewer than 10% of public insurance beneficiaries received mental health treatment in 2023.
  6. CMS could also tighten network adequacy standards in Medicare Advantage and Medicaid to increase the size of insurers’ networks, the OIG said in its report.
  7. The OIG recommended CMS up its oversight of Medicaid and Medicare enrollees’ use of behavioral health services, and recommended CMS examine allowing more types of behavioral health providers to participate in Medicare and Medicaid.
  8. CMS said it concurred with the OIG’s recommendations and said it has already taken several steps to improve access to behavioral health providers for Medicare and Medicaid beneficiaries.

If you have questions please contact RCPA COO and Director of Mental Health Jim Sharp.