Consumer-Therapist-Connector: Increasing Access to Quality Behavioral Healthcare

消费者-治疗师-连接者：增加获得优质行为医疗保健的机会

• 批准号: 10601368
• 负责人: David R. Kraus
• 金额: $ 27.48万
• 依托单位: OUTCOME REFERRALS INC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-07 至 2024-09-06
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10601368
• 关键词: Address; Administrator; Adult; Anguish; Antidotes; Anxiety; Appointment; Area; Assertiveness; Award; Benchmarking; COVID-19; Callback; Caring; Clinic; Computers; Control Groups; Data; Decision Making; Deterioration; Development; Effectiveness; Employee; Evidence based treatment; Family; Frustration; Health; Health Services; Healthcare; Inequity; Joints; Learning; Libraries; Massachusetts; Mental Depression; Mental Health; Mind; Modeling; Modernization; Monitor; New York; Online Systems; Outcome; Outpatients; Patients; Persons; Phase; Positioning Attribute; Process; Provider; Publishing; Reporting; Science; Secure; Side; Surgeon; Surveys; Symptoms; System; Technology; Telemedicine; Telephone; Testing; Time; United States; Wait Time; Waiting Lists; Washington; behavioral health; coronavirus disease; evidence base; experience; flexibility; health care quality; high risk; improved; improved outcome; innovation; primary outcome; programs; prototype; psychologic; randomized, clinical trials; recruit; stakeholder perspectives; stressor; therapy outcome; tool; traditional therapy; trend; user-friendly

ABSTRACT The United States is experiencing a major mental health crisis. Per recent reports in the New York Times and The Washington Post, the gap between need and access to behavioral health services is rapidly increasing. There is an urgent need to solve both the access and quality problems with behavioral healthcare. With COVID and other stressors, 76% of surveyed employees are reporting at least one significant behavioral health symptom and 27% believe their employer is not doing enough to assist their family with their anxiety, depression, and other behavioral health issues. Another report indicated that adults are on wait lists for 3+ months to receive outpatient therapy in Massachusetts. There simply are not enough therapists to meet the growing demand and waiting lists are long and growing. On the quality side, more than 60% of patients find no meaningful benefit from the treatment they receive. We have already created a system that dramatically improved the quality problem in a randomized clinical trial: this referral process roughly doubled network outcomes for the primary referral channel for the Cleveland Clinic, improving outcomes compared to a control group where cases were assigned based on therapists self-perceived strengths. In the current application we aim to solve the access problem by developing Consumer-Therapist-Connector. This innovative online tool will expeditiously connect patients with well-matched therapists for traditional therapy by distance search, or telemedicine by state or national searches. What distinguishes our solution from other online find-a-therapist systems is that the patient can be easily added to the waitlist of all empirically well-matched providers, which increases the likelihood they will connect quickly with a good-fitting therapist. It will alleviate the growing anguish patients encounter when calling numerous providers only to learn that their practices are full. At the same time, these waiting lists will dramatically increase the opportunity to use our proven matching technology to simultaneously improve quality, encouraging consumers and providers to offer and accept appointments only when a match is likely to greatly benefit the patient.

摘要 美国正在经历一场重大的精神健康危机。根据《纽约时报》最近的报道 《纽约时报》和《华盛顿邮报》，行为健康需求与可获得性之间的差距 服务正在迅速增加。当务之急是同时解决准入和质量问题 行为保健方面的问题。对于COVID和其他压力源，76%的受访者 员工报告至少有一种明显的行为健康症状，27%的人认为 他们的雇主在帮助他们的家人克服焦虑、抑郁和其他方面做得不够 行为健康问题。另一份报告显示，成年人在等待名单上有3个多月的时间 在马萨诸塞州接受门诊治疗。根本就没有足够的治疗师去见 不断增长的需求和等待名单很长，而且还在不断增加。在质量方面，超过60% 的患者从他们所接受的治疗中没有发现有意义的好处。我们已经创建了 在随机临床试验中显著改善质量问题的系统：这 转介流程将主要转介渠道的网络结果大致翻了一番 克利夫兰诊所，与分配病例的对照组相比，结果有所改善 基于治疗师的自我认知能力。在当前的应用程序中，我们的目标是解决 开发消费者-治疗师-连接器的访问问题。这一创新的在线工具将 迅速将患者与匹配良好的治疗师联系起来，进行传统治疗 搜索，或通过州或全国搜索的远程医疗。我们的解决方案与 其他在线寻找治疗师的系统是，可以很容易地将患者添加到所有人的等待名单中 经验上匹配良好的提供商，这增加了他们快速与 一个不错的治疗师。它将缓解患者在打电话时遇到的日益增长的痛苦 许多供应商只知道他们的做法是充分的。与此同时，这些等待的人 列表将极大地增加使用我们成熟的匹配技术的机会 同时提高质量，鼓励消费者和供应商提供和接受 只有在匹配可能对患者有很大好处的情况下才进行预约。