Project Grant H79FG000756

VERMONT EMERGENCY TELEPSYCHIATRY NETWORK - THE VERMONT EMERGENCY TELEPSYCHIATRY NETWORK (VETN) WILL BE A STATEWIDE SYSTEM WHERE INDIVIDUALS PRESENTING TO VERMONT EMERGENCY DEPARTMENTS (EDS) WITH ACUTE BEHAVIORAL HEALTH CRISES WILL RECEIVE TIMELY SPECIALIZED PSYCHIATRIC ASSESSMENT VIA VIDEO CONFERENCING TECHNOLOGY. THE POPULATIONS OF FOCUS WILL BE CHILDREN, ADOLESCENTS, AND ADULTS PRESENTING TO VERMONT EDS WITH NEEDS FOR MENTAL HEALTH SERVICES. PROGRAM MANAGEMENT GOAL 1. INCREASE COORDINATION AMONG VERMONT EDS REGARDING TELEPSYCHIATRY SERVICES. OBJECTIVE 1.1. AT LEAST 50% OF INVITED STAKEHOLDERS WILL PARTICIPATE IN THE ADVISORY BOARD TO GUIDE VETN PLANNING AND IMPLEMENTATION BY DECEMBER 2022. 1.2. AT LEAST 75% OF ADVISORY BOARD MEMBERS WILL REPORT SATISFACTION WITH PROJECT PROGRESS BY JULY 2023. 1.3. THE ADVISORY BOARD WILL REPRESENT 100% OF TELEHEALTH SECTORS BY SEPTEMBER 2023. TRAINING GOAL 2. INCREASE KNOWLEDGE AND EXPERIENCE OF ED STAFF SUPPORTING TELEPSYCHIATRY SERVICES. OBJECTIVE 2.1. AT LEAST 50% OF HOSPITALS CURRENTLY WITH EMERGENCY TELEPSYCHIATRY PROGRAMS WILL SHARE BEST PRACTICE WITH THE TRAINING CONTRACTOR (MCD GLOBAL HEALTH) BY JANUARY 2023. 2.2. 75% OF WEB-BASED TRAINING PARTICIPANTS WILL REPORT INCREASED UNDERSTANDING OF CONTENT AREA BY SEPTEMBER 2023. 2.3. 75% OF IN-PERSON TRAINING PARTICIPANTS WILL REPORT INCREASED UNDERSTANDING OF CONTENT AREA BY SEPTEMBER 2023. DEMONSTRATION PROJECTS GOAL 3. REDUCE THE TIME THAT INDIVIDUALS WAIT IN VERMONT EDS FOR MENTAL HEALTH SERVICES. OBJECTIVE 3.1. AT LEAST 67% OF HOSPITALS ELIGIBLE FOR THE CAH DEMONSTRATION PROJECT WILL COMPLETE THE ORGANIZATIONAL READINESS ASSESSMENT BY DECEMBER 2022. 3.2. 100% OF DEMONSTRATION PROJECT HOSPITALS WILL CONTRACT WITH A TELEPSYCHIATRY VENDOR BY MARCH 2023. 3.3. 100% OF TELEPSYCHIATRY VENDOR CLINICIANS WILL BE CREDENTIALED BY MAY 2023. 3.4. 100% OF DEMONSTRATION PROJECT HOSPITALS WILL BEGIN TELEPSYCHIATRY SERVICES IN EDS BY JULY 2023. 3.5. THE % OF MENTAL HEALTH OUTPATIENT ED VISITS WITH SAME-DAY DISCHARGE WILL STABILIZE BY SEPTEMBER 2023. HOSPITAL ENHANCEMENTS GOAL 4. INCREASE TELEPSYCHIATRY CAPACITY FOR HOSPITALS NOT PARTICIPATING IN A DEMONSTRATION PROJECT. OBJECTIVE 4.1. AT LEAST 50% OF THE REQUESTED TELEHEALTH EQUIPMENT (BY COST) WILL BE DISTRIBUTED TO HOSPITALS BY SEPTEMBER 2023. 4.2. ONE ENGLISH LANGUAGE LEARNER WILL HAVE RECEIVED INTERPRETATION SERVICES FOR TELEPSYCHIATRY IN THE ED SETTING BY SEPTEMBER 2023. 4.3. ONE QUALIFIED INDIVIDUAL WITH A DISABILITY WILL HAVE RECEIVED REASONABLE MODIFICATIONS TO RECEIVE TELEPSYCHIATRY IN THE ED SETTING BY SEPTEMBER 2023. PROGRAM EVALUATION GOAL 5. INCREASE UNDERSTANDING OF THE EXTENT TO WHICH THE VETN PROJECT REACHED STATED GOALS. OBJECTIVE 5.1. 50% OF INVITED STAKEHOLDERS WILL PARTICIPATE IN THE EVALUATION COMMITTEE BY FEBRUARY 2023. 5.2. 100% OF EVALUATION QUESTIONS WILL BE DETERMINED BY MARCH 2023. 5.3. 90% OF DATA NEEDED FOR PROGRAM EVALUATION WILL BE COLLECTED BY SEPTEMBER 2023. 5.4. 75% OF PLANNED EVALUATION QUESTIONS WILL BE REPORTED ON BY SEPTEMBER 2023. AN ESTIMATED 70 PERSONS WILL BE TRAINED VIA WEB-BASED TRAINING, AND APPROXIMATELY 20 PERSONS WILL BE TRAINED IN PERSON. THE DEMONSTRATION PROJECTS ARE ESTIMATED TO SERVE A TOTAL OF 200 INDIVIDUALS SEEKING MENTAL HEALTH SERVICES.