BH-Works Behavioral Health Screening and Tracking for Adolescents and Young Adults Web-based assessment solution for primary care

Transcription

1 BH-Works Behavioral Health Screening and Tracking for Adolescents and Young Adults Web-based assessment solution for primary care

2 mdlogix Client Base Our clients are customers, collaborators, and partners

3 Today s Concerns/Issues Adolescent Behavioral Health Issues have become a major concern in today s society Suicide/Self Harm, Trauma, Eating Disorders, & Substance Abuse Depression, Bullying, & School Shootings (several in MD already) The Joint Commission requires suicide screening for youth and strongly recommends assessment of other behavioral issues American Academy of Pediatrics and the American Psychiatric Association recommend universal screening for depression Behavioral Health Screening has been shown to lower health care costs Effective treatments are available but most behavioral health problem are undetected and therefore untreated

4 Suicide & Behavioral Health 600, ,000 suicide attempts annually (~35,000 successful) Over 90% of those attempting suicide have other mental health issues (depression, substance abuse, etc.) Suicide is 3 rd leading cause of death for ages % of youth who die by suicide have co-occurring depression Only 2% of adolescents with depression report receiving treatment Psychiatric disorders in primary care 16% depression 11% anxiety 9% eating disorder 6% sexually abused 5% suicidal thinking

5 Current 4 th generation Web tool (history in Appendix): Software-as-a-Service (SaaS) model Self report in English and Spanish Scientifically validated and refined (references in Appendix) The BH-Works Solution Screen across 12 behavioral health domains in under 10 minutes Covers areas required or recommended by American Academy of Pediatrics, the American Psychiatric Association, and the Joint Commission. Modules to use in clinics, emergency departments, and schools Deployment team experienced with addressing the challenges: Where and when to screen What happens after the interview, where is the report, who receives the report? How to link screening to counseling centers Training available on how to talk about and assess suicidality, substance use, depression, and all other areas.

6 BH-Works Workflow Screen all Patients regularly OR Patient or Student seen or identified. BHS is offered 1 2 If BHS is elected, Staff gives orientation. Logon is created if needed Report and provider s review may be billable 6 BH-Works 5 Provider reviews report with patient and makes referrals if needed 4 3 Patient completes BHS in a Private Setting or Home (< 10 min) Clinical staff prints and adds the report to patient chart or EMR EMR

7 BHS Key Domains Medical School Family Safety Substance Abuse Sexuality Nutrition and Eating Anxiety Depression Suicide and Self-Harm Psychosis Trauma

8 Benefits Lower cost, greater dissemination and accessibility Automatic skips shorten administration Automatic scoring eliminates mistakes & saves time Instant Report Generation and availability Can interface with patient EMR Web-Automated

9 Screen Results Summary Results Immediately Identify: Critical Items (e.g. Suicidality) Scores and Clinical Significance Risk Behaviors (Substance Abuse) Strengths (Exercise/Work) Streamlines Assessment, Referral, & Treatment Aggregate Measures for Quality Improvement & Outcomes Reporting

10 For more information Matt Briner Director of Clinical Products Medical Decision Logic (mdlogix) Guy Diamond, PhD University of Pennsylvania The Children's Hospital of Philadelphia (CHOP)

11 Appendix: BH-Works History BH-Works References

12 BH-Works History The Behavioral Health Screen is a validated instrument developed by Guy Diamond, PhD at the University of Pennsylvania to improve care of adolescents and young adults 2004: 1 st generation Windows Desktop/Web application for data collection/analysis in primary care offices 2007: 2 nd generation utilized the BHS, but created a 100% webbased version with Joel Fein, Pediatrician in the ED Began as a study in the CHoP ED (Children s Hospital of Philadelphia Emergency Department) and still in use today as a clinical tool 2010: 3 rd generation Guy Diamond leveraged web-based version and extended it to include additional screening domains Supported by Substance Abuse and Mental Health Services Administration (SAMHSA) grant. Deployed to Primary Care offices across the state of Pennsylvania.

13 BH-Works References The psychometrics and utility of BHS and BH-Works are supported by peer-reviewed scientific publications, including: Cronholm PF, Barg FK, Pailler ME, Wintersteen MB, Diamond GS, & Fein JA (2010). Healthcare providers' perceptions of computerized adolescent depression screening in the ED. Pediatric Emergency Care, 26, Diamond GS, Levy SA, Bevans KB, Fein JA, Wintersteen MB, Tien AY, & Creed TA (2010). Development, validation and utility of the web-based Behavioral Health Screen for adolescents in ambulatory care. Pediatrics, 126(e163-e170). Fein JA, Pailler ME, Frances K, Barg FK, Wintersteen MB, Katie Hayes K, & Diamond GS (2010). Feasibility and impact of an internet-based adolescent psychiatric assessment administered by clinical staff in the pediatric emergency department. Archives of Pediatric and Adolescent Medicine.164(12), Wintersteen MB, Diamond GS, & Fein JA (2007). Screening for suicide risk in the pediatric emergency and acute care setting. Current Opinion in Pediatrics, 19(4), Bevans KB, Diamond G, Levy S (2012). Screening for adolescents' internalizing symptoms in primary care: item response theory analysis of the behavior health screen depression, anxiety, and suicidal risk scales. Journal of Developmental and Behavioral Pediatrics, 33(4):