Reaching out without falling over: The future of outreach psychiatry​

 

A CAMH Grand Rounds presentation by Dr. Allison Crawford May 2018

Learning objectives: Appraise the current evidence for models of psychiatric outreach services to rural, remote and underserved areas, including fly-in/drive-in, televideo and e-behavioural health; Consider quality, equity, cultural safety and health systems approaches to outreach that move beyond traditional models; Share methods of provider reflective practice and community engagement that can enhance the quality of outreach. 

Dr. Allison Crawford is a psychiatrist at the Centre for Addiction and Mental Health and is a Director of the Northern Psychiatric Outreach Program and Telepsychiatric at CAMH. She is also a co-chair of ECHO Ontario Mental Health and ECHO Ontario. She is an Assistant Professor in the Department of Psychiatry at the University of Toronto. Most of her own clinical work as a psychiatrist has been in Nunavut. Her main goal is engaging people in mental health treatment that feels safe and culturally relevant. She does through community collaboration, adapting therapies to make them culturally appropriate, and through educating healthcare staff in Inuit cultural, culturally safe and trauma-informed care.

More on Telemental Health
https://www.porticonetwork.ca/web/telemental-health

Telepsychiatry being underused in Ontario by patients and psychiatrists
https://www.ncbi.nlm.nih.gov/pubmed/28541753

More on ECHO Ontario Mental Health at CAMH and U of T 
https://camh.echoontario.ca/mental-health/

More on ECHO Ontario First Nations, Inuit, and Métis Wellness at CAMH and University of Toronto
https://camh.echoontario.ca/first-nations-inuit-metis-wellness/

Adapting the Consolidated Framework for Implementation Research to Create Organizational Readiness and Implementation Tools for Project ECHO. Eva Serhal, MBA; Amanda Arena, PhD; Sanjeev Sockalingam, MD, MHPE; Linda Mohri, MSW;
Allison Crawford, MD, PhD, Journal of Continuing Education in the Health Professions (JCEHP), Spring 2018,  Volume 38, Number 2.