A University Health Center and Academic Training Clinic Partnership

1. Innovative Approaches to Mental Health Services: A University Health Center and Academic Training Clinic Partnership Aaron Krasnow, Ph.D. Natalie Fabert, Ph.D. Associate Vice President Behavioral Health Lead Counseling Services & Health Services Health Services

2. { • The Question • An idea • An example • Method • Outcomes • Future • Final thoughts Presentation Overview

3. The Question(s) • How do we maximize the talent in a College or University to support student wellbeing when we… • Have constrained budgets? • Have increasing demand?

4. An idea Maybe I can leverage my assets to solve someone else’s problem (and vice-versa).

5. Assets and need • What do I have: • Volume (!) • Physical locations • Brand name • Diversity • What do I need: • Additional service providers • New types of service

6. Who has what I need? • Academic programs with professional training components: • Clinical and Counseling Psychology • Counselor Education • Social Work • MFT • Nursing • Wellness and Health Promotion • Nutrition • Kinesiology • Supply Chain management • Data analytics • Compliance

7. Who needs what I have? • Academic programs with professional training components: • Clinical and Counseling Psychology • Counselor Education • Social Work • MFT • Nursing • Wellness and Health Promotion • Nutrition • Kinesiology • Supply Chain management • Data analytics • Compliance

8. One example • Clinical Psychology at ASU runs a training clinic focused on behavioral health, substance use, depression, and anxiety. • Clinical Psychology students in training need: • Diverse clients • The right kinds of diagnoses • Experience in primary care • ASU Health Services needs: • Behavioral health onsite • Personnel • Capacity

9. The ask… “I have an idea…lunch?”

10. A partnership ASU Health Service gets trainees and 5 hours of supervision from Clinical Psychology faculty. ASU Health Service gets priority service at the Clinical Psychology training clinic designed for our service needs. Clinical Psychology gets a steady flow of patients. Clinical Psychology trainees get real-world healthcare training. Clinical Psychology gets a small amount of money.

11. { • Build co-located BH program • Define roles • Clarify services • Cross-train staff Method

12. Building co-located BH program: Involving trainees

13. Referral Flow Community Referral Behavioral Health Medical Provider Clinical Training Center UCC Other University Resource

14. Services provided by trainees Community Referral Behavioral Health Medical Provider Clinical Training Center UCC Other University Resource

15. Services provided by trainees Behavioral Health: Assessment Brief Intervention Crisis Management Referral services Case Management Clinical Training Center: Group Therapy Individual Therapy (case by case basis)

16. Defining roles: Shared training and supervision

17. Defining scope of services: Tracking student patient needs and complementing existing clinical systems

18. Staff cross-training: academic staff, student services staff

19. Communication: Integrating departments and disciplines

20. { 403 unique patients received BH services during the 2017-2018 academic year Outcomes

21. { Trainees provided 30% of the BH services provided at the UHS location Outcomes

22. { Clinical training center adapted services to meet UHS referral needs Outcomes

23. { Increased integration and improved student patient care. Outcomes

24. Future directions: Expand BH training program and increase “in-house” BH services

25. Future directions: Expand cross-training of staff

26. Future directions: Continue integration efforts

27. Final thoughts Understand your needs and your assets. Scan your college/university for those with assets that match your needs (and needs that match your assets). Pitch and “get to yes” through agreement. Take a risk.

28. Questions and Discussion