1. Texas Tech Health Science Center Permian Basin Department of Psychiatry

2. Background Current mental health service shortages Increase in demand as more Texans become insured through the Affordable Care Act Increasing inpatient behavioral health admissions Continued population growth of RHP 14 region Serving West Texas’ largely rural counties Serving the uninsured and underinsured

3. Expansion of Services Reduce wait time to less than one week for existing services Increase services provided to include geriatric, child, forensic, & psychosomatic Introduce Tele-psychiatry services to the West Texas Region for patients who currently travel more than 45 minutes to receive services Provide Electroconvulsive Therapy (ECT) Increase access for and reach out to vulnerable segments of society such as women with postpartum depression, and children and adolescents who show self-harming and suicidal tendencies

4. Tele-psychiatry Develop and make available Tele-psychiatry services to the West Texas region, including the adjoining 22 counties. Reduce the current patient wait time especially for those who travel over 45 minutes to receive services Tele-psychiatry can make a significant impact on the delivery of mental health services, particularly to individuals with less access Patient access is improved and satisfaction is high Reduction of stigma associated with mental health services Improved convenience and greater likelihood of compliance

5. Electroconvulsive Therapy Develop and make available of Electroconvulsive therapy (ECT) services to indicated psychiatric patients ECT is the safest and most effective treatments available for severe depression Consultations will be performed by Dr. Jain at the Texas Tech Physicians of the Permian Basin Clinic in Midland ECT procedures will be done at Midland Memorial Hospital under the supervision of Dr. Jain

6. Develop Community Outreach Programs Develop liaisons with the school districts and hospitals for referrals Support Groups :  Depression Support Group  Caring for Moms: post partum support group  HOPE: Hold On Pain Ends- Adolescent self-mutilation group  Helping Hand: Terminally ill cancer support  Anti-Bullying Support Group  Fibromyalgia Support Group  Eating Disorder Support Group  Dialectic Behavior Therapy (DBT)/Cognitive Behavior Therapy (CBT) Support Group

7. Recruit Faculty and Staff Two PhD psychologists - Dr. Melanie Sheets - Dr. Shelley Blancett Licensed Social Worker - Amber Chavez, LSW Retain a recruitment firm to begin procuring another psychiatrist