Rhode Island Psychiatry Resource Networks (PRN) June 6, 2019 PCMH-KIDS Stakeholder Committee

Maternal Psychiatry Resource Network (MomsPRN) Overview New collaboration between the RIDOH and Women & Infants Hospital. Modeled after PediPRN & funded by HRSA. Focused on practices seeing pregnant and post-partum women. Goal is to promote universal screening, referral, and treatment for behavioral health and substance use disorders.

MomsPRN Supports & Services The Center for Women’s Behavioral Health at Women and Infants Hospital will provide the following staffing and services for MomsPRN: Resource and Referral Specialist (Eva Ray, MSW, LCSW) Perinatal Psychiatrists and Psychologists Continuing Education Call intake and triage Scheduling assistance with behavioral experts Care coordination, including connections to treatment and recovery support Same day psychiatric consultation services Diagnostic support Treatment planning Medication and dosage recommendations Advisement about prescription concerns Promotion of education opportunities, including CME programs on maternal behavioral health topics Eva comes from Massachusetts (previously providing integrated therapy in Boston Medical Center’s OB/GYN clinic and will now be assisting providers in getting their patients what they need.

MomsPRN Practice Engagement Levels Eligible* Outreached Enrolled Call intake and triage  Care coordination assistance Same day psychiatric consultation, including screening advisement, diagnostic support, treatment planning, and medication and dosage advice CME sessions about maternal behavioral health topics Practice needs assessment Practice site visit Provider self-assessment Practice contract for infrastructure funds Behavioral health workflow mapping and quality improvement testing Assistance with behavioral health screening documentation, reporting, and billing *Most pediatric practices will fall into the eligible category.

MomsPRN & Pediatricians Free services provided by MomsPRN include: Assistance with maternal behavioral health screening matters. Guidance with maternal depression, anxiety, and substance use disorder diagnosis, assessment, and treatment, including referrals. Will connect and promote PediPRN complimentary services when appropriate.

MomsPRN General Information Launching later this summer and will be available statewide for health care providers, including pediatricians. Health care providers can call 401-430-2800 Monday-Friday during business hours for same day consultation. Reminder this is not a crisis line, does not provide direct treatment to patients, or prescribe medications.

PediPRN Updates PediPRN has been awarded a HRSA grant in partnership with RIDOH Currently: 64 Total Practices Enrolled 93% of practices utilizing PediPRN 370 Total Providers Enrolled 46% of providers utilizing PediPRN Since HRSA Funding 9/1/18: PediPRN has had 219 Encounters serving 180 Children. Type: 92% Phone with PCP 21% Care Coordination 4% Face to Face Evaluation Reason for Contact: 74% Medication Consultation 25% Resources-Community Access 9% Diagnostic Consultation

PediPRN Updates PediPRN Intensive Program (PIP) In-depth training in child mental health topics. 17 Pediatric Providers are participating in the 10-session certificate program with CMEs. A total of 14 Pediatric Primary Care practices are represented in the first PIP training cohort. Visit PediPRN.org or call 401-432-1KID(1543) for more information and to enroll!

MomsPRN Program Manager Jim.Beasley@health.ri.gov Monika Drogosz, MPH Ailis Clyne, MD Medical Director ailis.clyne@health.ri.gov Blythe Berger, ScD Chief, Perinatal & Early Childhood Health Blythe.Berger@health.ri.gov Jim Beasley, MPA MomsPRN Program Manager Jim.Beasley@health.ri.gov Monika Drogosz, MPH PediPRN Program Manager Monika.Drogosz@health.ri.gov