Child & Adolescent Psychiatry via Telehealth Trillium Family Services Keith Cheng, MD & Lana Shotwell, LPC

Pilot Project Summary The Trillium Family Services (TFS) Telehealth Project seeks to provide psychiatric services via video conferencing to youth transitioning from residential treatment to rural community placements and youth in rural settings receiving school- based mental health services.

TFS residential services include: Secure Inpatient Program, Sub-Acute, and Psychiatric Residential Treatment Services (PRTS). TFS has about 110 beds available. For the past two calendar years TFS has averaged roughly 700 admissions per year to these programs and approximately 20% of the admissions to these programs are from rural Oregon communities.

TFS provides mental health services in about 80 schools in Oregon, and 20 of these schools are in rural communities.

Grant Timeline 5/26/15 Grant Starts 7/1/15 Ready for Secure Inpatient Follow-Up Appointments 9/21/15 Approval Obtained to Include PRTS (Psychiatric Residential Treatment Services) 10/1/15 Ready for PRTS Follow-Up and OP Appointments 10/9/15 First SAIP Client Served 11/4/15 First OP Client Served

PRTS & Secure IP Population Program Secure InpatientPRTS Service Period 7/1/15 - 1/31/1610/1/15 - 1/31/16 Number of Clients Enrolled/Admitted Percentage of Enrolled/Admitted Clients from Rural Oregon 29.07%37.50% Total Number of Discharges Number of Rural Clients Discharged 734 Number of Rural Clients Receiving Follow-Up Psychiatric Services via Telehealth 10

Where did they go? Program Secure InpatientPRTS Service Period 7/1/15 - 1/31/1610/1/15 - 1/31/16 Number of Rural Clients Discharged 734 Served Under of Pilot Project 10 Discharged Home/Foster Care with Psychiatrist Appointment Scheduled 26 Discharged Home/Foster Care without Psychiatrist Appointment 010 Moved to Other Residential Program 15 Discharged to Day Treatment Program 09 Discharged to Transition Age Youth Program or Group Home 22 Discharged to Oregon Youth Authority Facility 11 Discharged Against Medical Advice 01

Enhancements to Residential Using Telehealth infrastructure & technology to increase contact between clients in our residential programs who hail from rural areas and their families/communities Examples: –Court appearances –Family therapy & visits –Screenings & assessments for next placement

Outpatient Population Program Outpatient Service Period 10/1/15 - 1/31/16 Number of Clients Enrolled/Admitted 829 Percentage of Clients Receiving Psych Services 17.37% Percentage of Enrolled/Admitted Clients from Rural Oregon 15.38% Percentage of Rural Clients Receiving Psych Services 18.40% Percentage of Rural Clients Receiving Psych Services via Telehealth 13.04%