Social Innovation Fund: Healthy Futures

IMPROVING DEPRESSION CARE IN THE RURAL WEST: SOCIAL INNOVATION FUND

Poor mental health is a major public health issue that robs millions of people of their chance to lead healthy and productive lives. Depression alone doubles overall healthcare costs, worsens other medical conditions, and results in a staggering loss of productivity at work. In underserved rural areas in the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region, a severe shortage of mental health providers compounds these problems.

Through a public-private partnership, the AIMS Center supported eight rural community primary care clinics serving low-income patients to implement collaborative care (also called collaborative care management or CoCM) in the WWAMI region, a geographic area served by the University of Washington School of Medicine and representing 27% of the land mass of the United States. These 8 clinics planned to serve 3,250 patients but ultimately enrolled 5,392 patients. This represents 16% of the total unique patients served by these clinics and is a significant increase of the patients they were able to reach before implementing CoCM.

Read: One Clinic’s Story.

Alaska Integrated Care for Depression and Substance Abuse

The Alaska Mental Health Trust Authority provided pilot funding to a Federally Qualified Health Center in Anchorage to support implementation of Collaborative Care and two Alaska Native tribal health corporations to support implementation of Collaborative Care and SBIRT (Substance Brief Intervention and Referral to Treatment). The purpose of this program was to determine if integrated mental health care can be effective given the unique challenges faced by primary care clinics in Alaska.

St. Luke’s Health System Collaborative Care Implementation

The AIMS Center provided training and technical assistance to St. Luke’s Health System as they implemented a Collaborative Care program in April 2017.  This implementation took place over 12 months and included three clinics in spring 2017 and two clinics in fall 2017. Eventually collaborative care will be spread across the entire of network of clinics at St. Luke’s Health System, the only Idaho-based, not-for-profit health system.