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1Virtual Knowledge NetworkNIMHANS ECHOINNOVATIVE TELE-MENTORING MODEL FOR SKILLED CAPACITY BUILDING IN ADDICTION & MENTAL HEALTH

Arun K, Jayant M, Mallikarjun R, Manjula S, Lakshmanan S, Lakshmi K, Kubenthiran, Vivek Benegal, Pratima Murthy, Miriam Komaromy*, Sanjeev Arora* NIMHANS, Bangalore, India and *UNM Health Science Centre, Albuquerque, USA Prabhat Chand, MD, DNB, MNAMSAddiction Psychiatrist

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VKN: Capacity building with Co-ordinated CareMental, neurological, and substance abuse (MNS) disorders: increasing global burden of disease (WHO 2014)Available resources to tackle the huge burden are insufficient, inequitably distributed, and inefficiently used.Large majority of people with these disorders receiving no (quality) care at all (mhGAP,WHO)National Institute of Mental Health and Neurosciences, Bangalore a public funded government academic medical centre of excellence on mental health and neurosciences

Skilled Capacity Building Quality careIs it possible to provide QUALITY CARE LIKE NIMHANS in the Community, the places where the patient/people stay ?3

Virtual Knowledge Network NIMHANS ECHO: Bridging the GAPDemonopolize knowledge and Amplify the Capacity to provide Best Practice Care in Addiction Mental Health in Community by leveraging technology

VKN: Capacity building with Co-ordinated Care

NIMHANSECHO (hub and spoke) model improves training CAPACITY and ACCESS to best practice in the Community

PMCMultidisciplinary NIMHANS

Counsellor General Practitioner Medical collegeSchool EducatorResident PsychiatryPrivate PsychologistPublic healthNGOVKN NIMHANS ECHO: Capacity building with Co-ordinated Care

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ObjectivesConnecting NIMHANS, an academic center to Community Health ProfessionalsCapacity building with Quality CareReduce the variations in standard of care. Sharing of best practice models.Sharing of wisdom along with clinical practice guidelines.Continued training Handholding and developing a Learning loop rather than a single or few sessions. DEMOCRITIZING KNOWLWDGE

VKN NIMHANS ECHO: Capacity building with Co-ordinated Care6

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Every Tuesday 2-4PM LIVE sessionVKN: Capacity building with Co-ordinated Care

Easy to access anywhere: No cost to participantsSecured, encrypted, HIPAA compliant

NIMHANS ECHO(Combination of Synchronous (LIVE) and Asynchronous (e-learning)Synchronous (LIVE)Clinical Case Presentation Clarification, Suggestion on Management Tentative follow up presentation Learning from the case

DidacticPresentation of relevant topic by ExpertsSharing of latest knowledge

Community health professionals also present complex clinical cases in the weekly tele-health Sessions and get input for best practice from CAM NIMHANS Team and also from the PeersVKN: Capacity building with Co-ordinated Care

E-learning Certificate module : AnytimeDidactic Module 1 Alcohol*2 - Opioid Use Disorders and Management3 - Addiction and Co morbidity4 - Cannabis Use Disorders*5 - Psychosocial Assessment and Intervention6 - Addiction Pharmacology*7 - Helping People : Quit Tobacco*8 - Stress and Resilience9 - Behavioural Addiction10 - Adolescent and Addiction11 - Substance Use in Special Population12 - Clinical Challenges13 - Evidence Based Practice : Alcohol14 - Substance Induced Psychotic Disorders 15 - Biological Functions16 - Forensic Aspects of Addiction17. Psychological Management

VKN: Capacity building with Co-ordinated CareRecorded Videos are uploadedCurrently Running

VKN NIMHANS ECHO : two years after and ongoing..VKN: Capacity building with Co-ordinated Care

VKN: Capacity building with Co-ordinated CareFeedback: Healthcare perspective (n=408)

Commercial Bias (N=408)12

Will you like to Change in your Clinical Practice? (n=408)13

Benefits to Participant SpokeVKN: Capacity building with Co-ordinated Care

15Patient perspective: One SpokeReduction in their expenses No Need of Travel Easy accessibility Regular and frequent Follow-upsBetter Language communicationOverall satisfaction is 9.2(SPOKE) out of 10(NIMHANS)

16Current status

9 Districts of BiharAlcohol Addiction2nd and 4th WednesdayMarch 2016

Training ECHO

Copyright 2014 Project ECHO

Technology Force Multiplication Demonopolizing Knowledge Knowledge ExpansionTask SharingInterprofessional ConsultationGuided PracticeMentor/Mentee RelationshipCommunity of Practice(Social Network)Joy of WorkMovement Buildingvs.Organization BuildingLesson learnt?Identifying champions

Conclusion

VKN in NewsFirst Prize at International Telemedicine Congress 2015Mental Health Innovation NetworkFunding to train and handhold doctors/counsellors from State Health Society BiharInnovative, replicable, public health practices by National Health Mission (NHM) IndiaVKN: Capacity building with Co-ordinated Care

Moving Knowledge: Instead of Patients

Virtual Knowledge Networkvlc.nimhans.ac.inVKN: Capacity building with Co-ordinated Care