The Poster Presentation session will feature a selection of academic posters resulting from the conference call for posters. Poster authors will provide brief presentations on their posters and answer questions from the audience. Posters can align with any of the following categories.
- Clinical Inquiry
- Entrepreneurial Venture
The featured posters for the 2018 integrated healthcare conference, The 5 C’s of Integrated Healthcare: Care, Collaboration, Cost, Community, & Culture are:
Primary care providers face tremendous challenges in meeting the treatment needs of patients with mental health issues and co-morbid health conditions. Integrating behavioral health clinicians into primary care settings is seen as a promising treatment model to more effectively meet the multi-faceted needs of patients while assisting the primary care providers to provide effective and efficient treatment of their patients. In this study, the research reviewed health outcomes for 300 patients that were referred to the integrated behavioral health clinicians in two primary care practices. The data included results from the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Questionnaire (GAD-7) from the first visit with the behavioral health clinician until the last visit with the behavioral health clinician. This research also reviewed Emergency Department utilization amongst this patient cohort and all-cause inpatient admissions. The results demonstrated a statistically significant decrease in depression severity as indicated by scores on the PHQ-9 and a statistically significant decrease in anxiety severity as indicated by scores on the GAD-7. There was a decrease in Emergency Department utilization and a decrease in all – cause inpatient admissions of statistical significance. This study also surveyed the primary care providers and demonstrated increased provider job satisfaction as a result of integrating behavioral health clinicians into their primary care practices. This study provides further support of the effectiveness of integrating behavioral health clinicians into primary care settings. Future studies should focus on financial modeling that would support scaling and expansion of these clinical interventions in primary care settings.
Military culture and training lead to increasing cases of treatment resistance particularly among those diagnosed with Post Traumatic Stress Disorder co-occurring with Traumatic Brain Injury. This poster seeks to show that Neurofeedback is a viable option as an alternative treatment for those with treatment resistant Post Traumatic Stress Disorder co-occurring with Traumatic Brain Injury. Many case studies have been done utilizing Neurofeedback to treat both conditions with success. In addition, this poster also establishes a solid case for the integration of the Behavioral Health Provider into the Medical Clinic, thus increasing positive outcomes and addressing issues of excessive usage of the emergency room and health care visits. A survey of veterans, active duty military, and their families indicates that there is a need for the integration of the Behavior Health Provider into the Medical Clinics to address such issues as difficulty navigating the medical system, treatment failures, long wait times, patient education, and behavioral issues that complicate successful treatment. Future recommendations would be to conduct surveys that specifically target the population of military veterans with Post Traumatic Disorder co-occurring Traumatic Brain Injury to see what their specific challenges and issues are with receiving health care. Additionally, larger scale studies utilizing Neurofeedback as an alternative treatment would be beneficial for the medical community as a whole to be able to recognize the benefits for treating those who do not respond to traditional methods of treatment.
The purpose of this study is to determine the efficacy of providing guided meditations to reduce insomnia and other sleep disorders in a juvenile justice-involved population. Studies have shown that early childhood trauma, identified as Adverse Childhood Experiences, has a detrimental effect on the overall emotional and physical well-being of the trauma sufferer, often resulting in sleep disruption. Consequently, adolescents develop ineffective behaviors such as aggression, violence, social functioning deficits, and self-harm, often requiring directed means of moderating and resolving those behaviors. Research supports the use of evidence-based mindfulness modalities in the treatment of adolescent sleep disorders). The use of guided meditations was implemented at a New Mexico juvenile justice facility, with a population of incarcerated youth ranging in age from 15 to 20 years old. Guided meditations were broadcast over an FM frequency during sleeping hours over a four-week period, with pre- and post-intervention assessments using the Insomnia Severity Index and Pittsburgh Sleep Quality Index. Data analysis of the pre-and post assessment scores of the study population (n=27) showed a strong relationship to the use of guided meditations in the decrease of insomnia symptoms and an increase in the quality of sleep. Paired sample t-tests for both the ISI and PSQI showed statistical significance within this study. Of the starting population (n=42), approximately 69% of the study group meet the criteria for inclusion in the final data analysis.