Community Based Behavioral Health Services

Daley Tearl, LMFT, LADC

Service Area

Service Area(continued)

• 11 counties in northeastern Oklahoma• 7,056 square miles• Urban – rural – very rural • 70,000 American Indians• 21,000 youth < 22 years• 4,000 youth require urgent care

Identifying Treatment Population

• Received “Circles of Care” Grant 2005• Allowed large data collection effort a) 64 key informant interviews b) 27 focus groups c) 1503 adult surveys (80 questions) d) 1505 adolescent surveys (45 questions)• Identified services needs• Provided treatment direction

Determining Service Need

• Access to Services• Availability of services• Acceptability of Services

Service Area(break down)

Treatment Hierarchy

Current Service Locations

• Six BH/SAS offices• In 15 Public Schools• In Eufaula Boarding School• Community Centers• Home Visits

Services Offered

• Prevention Services a) after school program b) QPR training• Outpatient Mental Health • Outpatient Substance Abuse• Care Team

Services Offered(continued)

• PCIT (two office locations)• Referrals for Crisis Hospitalization (limited

funds)• Referrals For Residential Substance Abuse

Treatment (limited funds)• SBIRT (three health clinics)

Ways to Improve Services(my point of view)

• Telehealth• Health Information Exchange• Tribal, State, and other agency collaboration• Accreditation• Full EHR implementation• OHCA Flexibility a) telehealth b) SBIRT

“In every conceivable manner, the family is link to our past, and

the bridge to our future.”

- Alex HaleyQuestions or Comments?