Prevention Programs
CBHNP has implemented two prevention programs for our Members. Prevention programs were chosen based on the needs of our Members. Demographic, cultural, clinical and risk information was considered in choosing prevention programs. Factors such as age, sex, socioeconomic status, ethnic background, family support system, cultural identity and practices, diagnostic and risk characteristics were all considered in identifying the needs of our HealthChoices population and in choosing appropriate and effective prevention initiatives. The Preventive Behavioral Health Program Member education materials can be viewed by Providers via a secure website at www.themihalikgroup.com. From The Mihalik Group’s home page, click on the Secure Site Access link. You will be prompted to provide the username and password previously provided to you. If you do not know your username and password, please contact your Provider Relations Representative. If you have any problems accessing the site, please call The Mihalik Group at 773-929-1722.
Early Identification of ADHD
CBHNP offers a preventive health program designed to assist parents in identifying age-appropriate behaviors and raising awareness about Attention Deficit Hyperactivity Disorder (ADHD). The information is supplied in a newsletter format that includes a screening tool for ADHD. This information is sent to parents of all HealthChoices Members turning age 6.
This educational program compliments the care by providers. Together with provider support, CBHNP can help parents recognize the signs and symptoms of ADHD. This program can help parents understand age-appropriate behaviors and skills as well as behaviors that might be indicative of ADHD. The goal of the program is to identify children at high risk for ADHD so that they receive a professional diagnostic evaluation. An evaluation early in the course of illness coupled with appropriate treatment will improve outcomes for these children.
CBHNP regularly measures how well the prevention programs are working. The most recent quarterly reports indicate for ADHD, 891 modules were sent to homes with Members turning the age 6. 865 were delivered and there were no pt-outs. 2% returned the survey with 100% indicating the information as helpful to improve their basic understanding of ADHD. For the ADHD Program, 5 items are measured on a “1” (worst) to “4” (best) scale. These items and the most current results are as follows:
Basic Skills and Abilities (Item 1) – how helpful is the program in describing the basic skills and abilities that children need in order to do well at home and in school.
Average Response = 3.47 with 88.2% positive ratings.
Problem Recognition (Item 2) – how informative the materials were in describing how to recognize problems their child may experience.
Average Response = 3.53 with 94.1% positive ratings.
ADHD Information (Item 3) – how helpful the materials were in providing them with a basic understanding of ADHD and its symptoms.
Average Response = 3.59 with 100% positive ratings.
ADHD Identification (Item 4) – how helpful the screening tool was.
Average Response = 3.41 with 82.3% positive ratings.
Directing Further Action (Item 5) – how much the information helped them understand what they could do about difficulties their child may experience.
Average Response = 3.41 with 88.2% positive ratings.
Improving Treatment for Adults with Depression
CBHNP offers a preventive health program for Members between the ages of 18 and 64 who have recently been diagnosed with Major Depressive Disorder (MDD) and are being treated with psychotherapy and/or antidepressant medication. This program is designed to improve clinical outcomes for these individuals by educating them about depression and its symptoms, available treatments, the course of recovery, and by helping them understand critical aspects of their own role in the treatment process. A series of three education newsletters is sent to all Members with new diagnoses of major depression.
This educational program compliments the care provided. CBHNP aims to help its Members receiving treatment for MDD become informed consumers of health care, actively involved in their own treatment. It is our hope that the educational materials will help Members understand the importance of communicating with their Providers to increase their treatment compliance. Treatment compliance and communication about treatment issues are critical to helping individuals overcome their depression in a timely and effective manner.
CBHNP regularly measures how well the prevention programs are working. The most recent quarterly reports indicate for Depression, 539 modules were sent to persons identified with Depression for the first time. Of those, 464 reached the party, 3 opted out of the program and 20 returned the survey indicating the information was helpful. 5% of the total sample responded. For the MDD Program, One question was rated Three, Two, One, None; two questions were rated All, Most, Some, None; one question was rated Yes or No; 16 questions are measured on a “1” (least helpful) to “4” (most helpful) scale. These questions and the most current results are as follows:
Question 1 - how many of the newsletters about depression and its treatment did you receive?
86% received 3/3; 14% received 2/3; 0% received 1/3; and 0% received 0/3.
Question 2 – to what extent did you read the newsletters?
56% read all; 22% read most; 22% read some; 0% read none;
Question 3 - how much of the information in this newsletter did you already know?
22% knew all; 33% knew most; 45% knew some; 0% knew none;
Question 4 – did you share the newsletters with family or friends?
Yes 57%; No 43%
Question 5 – how helpful was the information about symptoms associated with depression?
Average Item Rating = 3.33 with 89% positive ratings
Question 6 - how helpful was the information about antidepressant medications?
Average Item Rating = 3.25 with 88% positive ratings
Question 7 - how helpful was the information about the side effects of the medications?
Average Item Rating = 2.63 with 50% positive ratings
Question 8 - how helpful was the information about the expected course of your antidepressant treatment? Average Item Rating = 3.25 with 88% positive ratings
Question 9 - how helpful was the information about working effectively in talking therapy?
Average Item Rating = 3.25 with 75% positive ratings
Question 10 - how helpful was the information about things that you can do to cope better while depressed or in recovery?
Average Item Rating = 3.38 with 100% positive ratings
Question 11 - how helpful was the information about keeping your primary care doctor informed?
Average Item Rating = 3.13 with 63% positive ratings
Question 12 - how helpful was the information over all?
Average Item Rating = 3.75 with 100% positive ratings
Question 13 - how informed were you about depression treatment issues prior to receiving the newsletters?
Average Item Rating = 2.78 with 67% positive ratings
Question 14 - how informed were you about depression treatment issues after reading the newsletters?
Average Item Rating = 3.86 with 100% positive ratings
Question 15 - how much did the newsletters help you continue medication even as you experienced side effects?
Average Item Rating = 3.60 with 80% positive ratings
Question 16 - how much did the newsletters help you discuss issues related to side effects with your physician?
Average Item Rating = 2.83 with 67% positive ratings
Question 17 - how much did the newsletters help you continue treatment?
Average Item Rating = 3.43 with 86% positive ratings
Question 18 - how much did the newsletters help you communicate with your doctor or therapist?
Average Item Rating = 3.43 with 86% positive ratings
Question 19 - how much did the newsletters help you communicate with family or friends about your depression?
Average Item Rating = 3.38 with 87% positive ratings
Question 20 - how much did the newsletters help you make changes in your life to cope better with depression?
Average Item Rating = 3.57 with 86% positive ratings.
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