Tag Archives: MD

Billings Clinic is now Bringing After-hours Psychiatric Care to its Emergency Department and Inpatient Unit Through Partnership with InSight Telepsychiatry

Jan. 17, 2017 | Billings Clinic of Billings, Montana, has partnered with InSight Telepsychiatry to bring after-hours telepsychiatry services to their emergency department and inpatient unit, an innovative program which will ensure individuals in need of psychiatric treatment at Billings Clinic will have access to timely, quality care.

BILLINGS, MT — Billings Clinic, Montana’s largest healthcare organization, and InSight Telepsychiatry are pleased to announce a new partnership to increase inpatient and emergency psychiatric coverage.

The program is designed to lessen wait times for psychiatric evaluations, admission, and treatment decisions.  The partnership gives Billings Clinic staff access to a team of remote psychiatrists who can do psychiatric evaluations, follow-up consultations and medical consultations through telehealth using video calls. Nurses and emergency department physicians can now connect patients with a remote telepsychiatry provider in as little as an hour.

The telepsychiatry program runs from 10 p.m. to 8 a.m., 7 days per week. Since, psychiatric emergencies often happen at night or on weekends, this schedule means that individuals in crisis are able to get the care they need more quickly.

The program is a result of a partnership between Billings Clinic and InSight Telepsychiatry, the leading national telepsychiatry organization and partner of MHA Ventures, a subsidiary of the Montana Hospital Association. Montana, like many other states across the country, struggles to have sufficient psychiatric coverage in its hospitals and clinics due to a national shortage of psychiatrists.

At nearly double the national average, Montana has the highest suicide rate in the United States with more than 23 suicides per 100,000 people[1]. Additionally, over 75% of Montana’s population has inadequate access to psychiatry[2]. So with the option to utilize remote providers, telepsychiatry and other telemedicine services represent unprecedented access to specialists who are typically difficult to recruit in rural and underserved areas.

“Really, the best thing about a program like this one,” says InSight’s Medical Director Jim Varrell, MD, “is that Montanans now have access to psychiatric services where they may not have had previously.”

”This partnership is another step for Billings Clinic toward improving mental health care for people in crisis,” said Lyle Seavy, Billings Clinic Director of Psychiatry, “We are addressing those peak times when staffing is a challenge to help meet the needs of our patients, help reduce strain on our staff and help improve the experience for people in a mental health crisis.”

As a result of the partnership, the telepsychiatry program is expected to expand into additional Billings Clinic facilities.

In addition to facility-based models of telepsychiatry, InSight is also working with the Montana chapter of Mental Health America to offer telemental health care to individuals in their home or other private spaces online.

About Billings Clinic

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, Billings Clinic is governed by a board of community members, nurses and physicians. At its core, Billings Clinic is a physician-led, integrated multispecialty group practice with a 285-bed hospital and Level II trauma center. Billings Clinic has more than 4,000 employees, including more than 400 physicians and advanced practitioners offering more than 50 specialties. More information can be found at www.billingsclinic.com.

About InSight Telepsychiatry

InSight is the leading national telepsychiatry service provider organization with a mission to increase access to quality behavioral health care through telehealth. InSight’s behavioral health providers bring care into any setting on an on-demand or scheduled basis. InSight has 18+ years of telepsychiatry experience and is an industry thought-leader. More information can be found at www.InSightTelepsychiatry.com.

 


[1] Suicide: Montana 2016 Facts and Figures. (2016). In American Foundation for Suicide Prevention. Retrieved January 12, 2017, from https://afsp.org/about-suicide/state-fact-sheets/#Montana

[2] Mental Health Care Health Professional Shortage Areas (HPSAs). (2016, September 8). In Kaiser Family Foundation. Retrieved January 12, 2017, from http://kff.org/other/state-indicator/mental-health-care-health-professional-shortage-areas-hpsas/?currentTimeframe=0

MHA Ventures Partners with InSight Telepsychiatry

Dec. 19, 2016 | MHA Ventures and InSight Telepsychiatry are partnering to help bring on-demand, scheduled and direct to consumer care to hospitals in the state of Montana. These efforts will improve access to mental health care and providers.

Helena, MT — A new partnership between MHA Ventures and InSight Telepsychiatry will improve care options throughout communities in Montana. MHA Ventures (MHAV), the for-profit subsidiary of the Montana Hospital Association, works with successful healthcare organizations to help Montana become a “Top 10 Healthy State.”  InSight has been endorsed by MHAV to help members of the association improve mental health in the communities they serve through telepsychiatry.

Telepsychiatry is psychiatric care delivered through secure videoconferencing.

Members of the Montana Hospital Association provide the full spectrum of health care services, including hospital inpatient and outpatient, skilled nursing facility, home health, hospice, physician, assisted living, senior housing and insurance services.

Mental health is an important topic to address across the state as Montana has the highest suicide rate among any state in the United States at nearly twice the national average. Approximately 54 of 56 counties in Montana are designated as mental health professional shortage areas meaning those counties do not meet the criteria of having at least one mental health professional per 10,000 people. Psychiatric providers are particularly hard to come by in Montana outside of a few cities.

“We are excited by this partnership’s ability to help bring care to Montana communities that have been struggling with acute needs for psychiatric care,” says Dr. Jim Varrell, Medical Director of InSight. “With on-demand telepsychiatry, hospitals can have access to psychiatrists who can make admission or treatment decisions within an hour on average. Other locations like clinics, primary care offices or correctional facilities can also benefit from our scheduled telepsychiatry services. With telepsychiatry, psychiatry providers can offer care to anyone, anywhere as long as there is adequate internet connectivity.”

In addition to facility-based models of telepsychiatry, InSight is also working with the Montana chapter of Mental Health America to offer telemental health care to individuals in their home or other private spaces online.

InSight is already working with the Billings Clinic in Montana to provide on-demand, after-hours telepsychiatry services in the emergency department.

Telepsychiatry is an effective, cost-conscious and proven way to bring psychiatry providers, especially those with hard-to-find specialties, into areas where there may be a shortage like Montana rural and frontier land.

For nearly 30 years, MHAV has improved consumer care and reduce operating costs by tailoring flexible programs to fit the needs of each individual hospital.

InSight, the leading national telepsychiatry service provider organization, has over 17 years of industry experience, serves over 225 organizations across 26 states and has implemented telepsychiatry programs across the spectrum of care. Together, MHAV and InSight will work to improve the mental health of communities throughout Montana.

 

Telebehavioral Health Practice Launches in Delaware and New York

AUGUST 21, 2016 | Mental health providers, including psychiatrists are now available for assessment, therapy and medication management through a newly launched behavioral health practice in Delaware and New York called Inpathy. Inpathy is unique in that it operates entirely through telebehavioral health- a convenient, private and effective medium of care that is rapidly growing in popularity.

Telebehavioral health allows individuals to attend sessions with behavioral and mental health providers online through secure videoconferencing. Inpathy is a division of InSight Telepsychiatry, the largest telebehavioral health organization in the nation.

Inpathy providers include adult and child and adolescent psychiatrists and psychiatric nurse practitioners that are available for psychiatric assessments, medication management and prescriptions when appropriate. Therapists and counselors are also available for talk therapy sessions through telehealth.

Many of the Inpathy telebehavioral health providers offer night and weekend appointments, which can be accessed through the internet from home using a smartphone, tablet or a computer with a camera. This makes managing behavioral health care more convenient by eliminating the need to travel to in-person appointments and sit in waiting rooms. Another benefit of telebehavioral health is that it is a more private way to access behavioral health services, which makes it a good option for individuals who are worried about a stigma on behavioral or mental health care.

Just like in an in-person office, the telebehavioral health providers who deliver services through Inpathy are fully supported by a clinical and administrative staff that handles their scheduling, billing, intake, general operations and clinical oversight.

Inpathy accepts insurance from several major insurance companies, including Aetna. For in-network telebehavioral health sessions, individuals are only charged their co-pay just like they would be for an in-person session. Inpathy providers are also available for out-of-network and cash-pay appointments.

“There is a huge shortage of psychiatrists across the nation,” says Geoffrey Boyce, executive director at InSight. “Telepsychiatry and telebehavioral health offer a unique solution for making psychiatry appointments easier to book and attend.”

Inpathy has telebehavioral health appointments available with many Delaware and New York licensed providers, including the following:

  • Doug Ikelheimer, MD- an extremely experienced telepsychiatrist with expertise in the psychopharmacologic management of mood disorders, anxiety disorders, chronic mental illness and addictions
  • Lamont Josey, LCSW- a clinical social worker who offers therapy to individuals 8 years old and up and has a specialty in trauma-focused Cognitive Behavioral Therapy (CBT)
  • Humberto Quinanata, MD- a Spanish-speaking child and adolescent psychiatrist with an interest in psychopharmacology
  • Patti Rodgers, PMHNP- a board certified psychiatric nurse practitioner who serves adults and aims to educate and empower the people with whom she works
  • Catherine Newton, LCSW – a licesnsed clinical social worker who specializes in working with individuals who have experienced trauma and is trained in Eye Movement Desensitiazation and Reprocessing (EMDR)
  • Ragy Girgis, MD – a board certified psychiatrist with an interest in the psychopharmalcologic management of schizophrenia, mood disorders, anxiety disorders and eating disrders in adults
  • Hinna Shah, MD – a board certified adult and child and adolescent psychiatrist with experience working with individuals who have depression, bipolar disorder, anxiety disorders, autism spectrum disorder and ADHD
  • Liz Espinoza, LCSW – a Spanish-speaking licensed clinical social worker who is interested in helping individuals achieve life goals and specializes in anger management, relationship, communication and life transition issues

Telehealth is a rapidly growing industry and more and more insurance companies and providers are offering this form of care. Numerous studies have shown telebehavioral health to be as effective as in-person behavioral health services in most situations.

To get started as an individual using telebehavioral health care, individuals can visit www.Inpathy.com to search the Inpathy provider directory, sign up, select an appropriate provider and schedule a session. Inpathy has a 24-hour technical support line and care navigation team that can be reached at 1.800.442.8938.

InSight is also in the process of developing referral relationships with a number of Delaware and New York organizations that could benefit from additional behavioral health services for their clients. To learn more about this or connect individuals you know to care, visit www.Inpathy.com

Telebehavioral Health Practice Launches in Delaware

August 21, 2016 | Mental health providers, including psychiatrists are now available for assessment, therapy and medication management through a newly launched Delaware-area behavioral health practice called Inpathy. Inpathy is unique in that it operates entirely through telebehavioral health- a convenient, private and effective medium of care that is rapidly growing in popularity.

WILLMINGTON, DE Psychiatry appointments from the comfort and convenience of home are now available to Delaware residents through the launch of a new telebehavioral health practice – Inpathy.

Telebehavioral health allows individuals to attend sessions with behavioral and mental health providers online through secure videoconferencing. Inpathy is a division of InSight Telepsychiatry, the largest telebehavioral health organization in the nation.

Inpathy providers include adult and child and adolescent psychiatrists and psychiatric nurse practitioners that are available for psychiatric assessments, medication management and prescriptions when appropriate. Therapists and counselors are also available for talk therapy sessions through telehealth.

Many of the Inpathy telebehavioral health providers offer night and weekend appointments, which can be accessed through the internet from home using a smartphone, tablet or a computer with a webcamera. This makes managing behavioral health care more convenient by eliminating the need to travel to in-person appointments and sit in waiting rooms. Another benefit of telebehavioral health is that it is a more private way to access behavioral health services, which makes it a good option for individuals who are worried about a stigma on behavioral or mental health care.

Just like in an in-person office, the telebehavioral health providers who deliver services through Inpathy are fully supported by a clinical and administrative staff that handles their scheduling, billing, intake, general operations and clinical oversight.

Inpathy accepts insurance from several major insurance companies, including Aetna. For in-network telebehavioral health sessions, individuals are only charged their co-pay just like they would be for an in-person session. Inpathy providers are also available for out-of-network and cash-pay appointments.

“There is a huge shortage of psychiatrists across Delaware and across the nation,” says Geoffrey Boyce, executive director at InSight. “Telepsychiatry and telebehavioral health offer a unique solution for making psychiatry appointments easier to book and attend.”

Inpathy has telebehavioral health appointments available with the following Delaware-licensed providers:

  • Doug Ikelheimer, MD- an extremely experienced telepsychiatrist with expertise in the psychopharmacologic management of mood disorders, anxiety disorders, chronic mental illness and addictions
  • Lamont Josey, LCSW- a clinical social worker who offers therapy to individuals 8 years old and up and has a specialty in trauma-focused Cognitive Behavioral Therapy (CBT)
  • Humberto Quinanata, MD- a Spanish-speaking child and adolescent psychiatrist with an interest in psychopharmacology
  • Patti Rodgers, PMHNP- a board certified psychiatric nurse practitioner who serves adults and aims to educate and empower the people with whom she works

Telehealth is a rapidly growing industry and more and more insurance companies and providers are offering this form of care. Numerous studies have shown telebehavioral health to be as effective as in-person behavioral health services in most situations.

To get started as an individual using telebehavioral health care, individuals can visit www.Inpathy.com to search the Inpathy provider directory, sign up, select an appropriate provider and schedule a session. Inpathy has a 24-hour technical support line and care navigation team that can be reached at 1.800.442.8938.

InSight is also in the process of developing referral relationships with a number of Delaware organizations that could benefit from additional behavioral health services for their clients. To learn more about this or connect individuals you know to care, visit www.Inpathy.com

Types of Behavioral Health Providers

Advanced Practice Registered Nurses (APRN) earn master’s or doctoral degrees in psychiatric-mental health nursing. APRNs apply the nursing process to assess, diagnose, and treat individuals or families with psychiatric disorders and identify risk factors for such disorders. They also contribute to policy development, quality improvement, practice evaluation, and healthcare reform. APRNs practice as Clinical Nurse Specialists (CNS) or Nurse Practitioners (NP).

Licensed Professional Counselors (LPCs) primarily specialize in psychotherapy. The exact title for these professionals varies by state. In addition to secondary education (either a master’s or doctorate in counseling), LPCs must obtain supervised clinical experience and pass state-specific licensing exams. LPCs may specialize in certain areas like marriage issues or substance abuse. LPCs do not prescribe medications and typically do not offer formal diagnoses.

Psychiatric Mental Health Nurses (PMHN) have either a bachelor’s or master’s degree in nursing and offer services that can include assessment and treatment of psychiatric illness, medication management, and psychotherapy. PHNSs have special training in the care of people with psychiatric illness or distress including the administration of psychiatric medication and skills for dealing with challenging behavior associated with behavioral health disorders.

Psychiatric Mental Health Nurse Practitioners (PMHNP) have a master’s degree in nursing practice and can offer assessment, diagnosis, prescriptions, and psychotherapy. PMHNPs are licensed to provide emergency psychiatric services and manage all stages of consumer care. They may also serve as consultants or educators for families and health care staff. PMHNPs can diagnose and treat patients in 27 states, and can diagnose, treat, and prescribe medication in 19. In the remaining states, PMHNPs collaborate with physicians to determine the scope of their practice, and physician sign off on diagnoses and treatment prescribed by the psychiatric nurse practitioner.

Psychiatrists (M.D. or D.O) are medical doctors with training in behavioral health. They can diagnose behavioral health conditions and prescribe treatment, both medication and psychotherapy. Psychiatrists can also provide psychotherapy. Psychiatrists gain licensure to practice psychiatry in individual states. Many psychiatrists undergo an additional year of fellowship training to become specialized in a specific field. The specialties of psychiatry are:

  • Child and Adolescent Psychiatry- Child and adolescent psychiatry emphasizes the developmental differences between children and teens of different ages.
  • Geriatric Psychiatry- Geriatric psychiatry focuses on the biological and psychological aspects of normal aging, as well as the biological and psychosocial aspects of psychiatric disturbances common with old age.
  • Addiction Psychiatry- Addiction psychiatry is concerned with the diagnosis and treatment of addiction, both as a primary diagnosis and as a secondary issue within a psychiatric profile.
  • Forensic Psychiatry- Forensic psychiatry covers the meeting between law and psychiatry. Forensic psychiatrists primarily provide services, such as providing expert witness testimony or making the determination of a person’s ability to stand trial.

Psychologists (Ph.D., PsyD.,Ed.D.) are trained in the science of psychology. Psychologists are either in clinical, educational, counseling, or research settings. Those in clinical settings diagnose, facilitate psychological testing, and offer psychotherapy. Psychologists gain licensure to practice psychology in individual states.

Social Workers (LCSW) vary significantly in credentials and licensing and can provide a range of services based on those credentials. Typically, social work is broken into two categories: direct service and clinical. Clinical social workers are licensed to practice psychotherapy, recommend treatment from other specialists, and typically work one-on-one with consumers. Direct service social workers provide services on the macro level, usually in administrative positions within programs, institutions, and committees that serve to help people.

  • Social Workers in Administration, Policy, and Research
  • Child, Family, and School Social Workers
  • Gerontological Social Workers
  • Medical and Health Social Workers
  • Mental Health and Substance Abuse Social Workers
  • Military and Veterans Social Work
  • Palliative and Hospice Social Work
  • Psychiatric Social Work
Interested in Receiving Care?
Online Therapy and Psychiatry

You can use telehealth to connect with licensed professional therapists, counselors and psychiatry providers through convenient, online video calls on Inpathy. Inpathy’s providers see individuals and families anytime and anywhere through safe, confidential and HIPAA-compliant online video calls made in real-time from a computer, tablet or smart phone equipped with a webcam. No special equipment, software or app downloads are needed.

Want to know more about the benefits of online therapy and psychiatry? Read the Inpathy benefits page.