Name
Adapting Under Pressure: How a Shrinking Integrated Mental Health Program Met Rising Demand and Complexity
Description
This session will examine how an Integrated Mental Health Program, housed within multiple primary care clinics, serving a low-SES, high-need population, has responded to increasing volume, complexity, and acuity amid a shrinking community mental health landscape. Through innovative strategies—including a single-session care model, safety basket interventions, and an escalation chat—the program maximizes limited resources while maintaining high-quality care. Additionally, the IMP team has enhanced care coordination and patient support by leveraging technology and strengthening partnerships with key community organizations. Attendees will gain valuable insights into scalable, patient-centered solutions that promote efficiency and sustainability in pediatric integrated healthcare settings.
Speakers
Co-Authors
Julie Chipman, MPA, LCSW - Program Director, Community & Population Health
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Cost Effectiveness or Financial sustainability, Innovations
Session Type
Poster
SIG or Committee
Collaborative Care Model (CoCM), Pediatrics (PEDs)
Objective 1
Describe how an urban teaching hospital's Integrated Mental Health Program (IMP) has adapted to increasing patient volume, complexity, and acuity in a low-SES, high-need community.
Objective 2
Identify innovative strategies, such as single-session interventions, safety basket interventions, and escalation chats, that optimize limited resources while maintaining high-quality mental health care.
Objective 3
Discuss the role of technology and interdisciplinary partnerships, including collaboration with the 988 crisis hotline and community organizations, in enhancing care coordination and patient support.
Content Reference 1
Schleider, J. L., Mullarkey, M. C., Fox, K. R., Dobias, M. L., Shroff, A., Hart, E. A., & Roulston, C. (2022). A randomized trial of online single-session interventions for adolescent depression during COVID-19. Nature Human Behavior, 6, 258–268. https://doi.org/10.1038/s41562-021-01165-7
Content Reference 2
Lundgren, L. M., Amodeo, M., Chassler, D., Krull, I., Kourgiantakis, T., & VanDenBerg, M. (2022). The impact of reduced community mental health resources on vulnerable populations. Social Work in Mental Health, 20(3), 197-213. https://doi.org/10.1080/15332985.2022.2038579
Content Reference 3
New York State Office of Mental Health. (2023). 988 Legislative Report: Implementation and impact in New York State. https://omh.ny.gov/omhweb/statistics/988-legislative-report.pdf
Content Reference 4
Ranney, M. L., Griffeth, V., & Jha, A. K. (2021). Care integration and crisis response: The role of technology in behavioral health interventions. New England Journal of Medicine, 384(5), 389-396. https://doi.org/10.1056/NEJMp2027045
Content Reference 5
Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2020). Collaborative care for depression and anxiety problems. The Cochrane Database of Systematic Reviews, 2020(1), CD006525. https://doi.org/10.1002/14651858.CD006525.pub3