Behavioral Health Workforce Education and Training Program - Funding Priority 1: Demonstrated ability to train psychology, psychiatry, and social work professionals to work in integrated care settings. Funding Pref Qual 1: High rate for placing graduates in practice settings that have a principal focus of serving residents of MUCs. The Trauma-Informed (TI) Integrated FlourishCare (IFC) model pilots a virtual Behavioral Health (BH) Hub (TeleHub) with the focus on Primary Care (PC) Behavioral Health (PCBH) integrated interventions. These interventions aim to support children, adolescents, and young adults at risk of AMI or SUD, using the TeleHub to provide high quality and coordinated care with supervision and training, to support equitable access to care in high risk and high demand areas. TI-IFC integrates PCBH through collaborative partnerships to support a statewide plan. Embedding TI care principles, the initiative fosters culturally competent, compassionate care to meet high-demand population needs. TI-IFC also aims to expand and diversify the BH workforce while leveraging telehealth, quality improvement, and data tracking to enhance sustainability, training, and patient outcomes. TI-IFC addresses the following needs in KY: 1)the burden of adverse childhood events (ACEs) faced by KY children, adolescents, and young adults; 2)the need to provide ongoing community education to address the stigma surrounding BH services in rural remote communities; 3)the need to address and treat ACEs using TI PCBH integrated models for children, adolescents and young adults; 4)the need for virtual BH services to address the lack of an adequate rural supply of BH Professionals; 5)the need to develop integrated PCBH services to effectively address AMI and SUD; 6)the need to train a healthcare workforce that can deliver culturally competent services to the growing Hispanic population in KY; 7)the need for interprofessional team-based education and training in PCBH integration; and 8) the need to address the shortage of qualified supervisors who can provide supervision to BH trainees. The TeleHub supports PC practices by facilitating patient tele-assessments to determine the appropriate level of BH care needs, providing short BH interventions, connecting patients to community health workers or peer support specialists for social needs, arranging psychiatrist consults where needed, and referring those needing intensive therapy to licensed providers or inpatient AMI/SUD programs. The TeleHub targets two different health systems in KY, namely UofL Health (ULH), an academic health system, and Mountain Comprehensive Health Corporation, a federally qualified health system serving 15 underserved counties via 3 academic family medicine ULH PC practices and 6 FQHC PC locations of which all are meeting the Mental Health HPSA designation, with 6 meeting the rural designation. TI-IFC trains 48 master’s level diverse trainees in social work, marriage and family therapy, and psychiatric mental health nursing practice, to become integrated PCBH providers concluding with job placement assistance. Training includes online modules, grand rounds, case simulations and conceptualization meetings, Just-in-Time Trainings, Project ECHOs, retreats, and conferences. This project also develops training in the TI-IFC Supervision Model and train interprofessional supervisors and faculty at the TeleHub, supervise the trainees using the model, and expanding to additional KY supervisors and providers. TI-IFC strengthens partnerships with schools, youth organizations, outpatient mental health services, inpatient hospitals and community coalitions to combat stigma and educate communities about BH. Collaboration with the KY Department of BH, Developmental and Intellectual Disabilities (DBHDID) and the KY Health Information Exchange help scale the TeleHub statewide expanding access to TI BH services for sustainable impact across KY. TI-IFC aims to establish one of KY's first fully integrated BH TeleHubs within PC practices.
