1. Community Based Behavioral Health Services Daley Tearl, LMFT, LADC

2. Service Area

3. 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

4. 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

5. Determining Service Need Access to Services Availability of services Acceptability of Services

6. Service Area (break down)

7. Treatment Hierarchy Special Services Ph. D. Psychologist Individual/Family Counseling Group Counseling After School Early Intervention & Prevention

8. Current Service Locations Six BH/SAS offices In 15 Public Schools In Eufaula Boarding School Community Centers Home Visits

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

10. 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)

11. 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

12. “In every conceivable manner, the family is link to our past, and the bridge to our future.” - Alex Haley Questions or Comments?