Child & Adolescent
Psychiatry via Telehealth
Trillium Family Services
Keith Cheng, MD & Lana Shotwell, LPC
Pilot Project Summary
• The Trillium Family Services (TFS)
Telehealth Project seeks to provide
psychiatric services via video conferencing
to youth transitioning from residential
treatment to rural community placements
and youth in rural settings receiving schoolbased mental health services.
• TFS residential services include: Secure
Inpatient Program, Sub-Acute, and
Psychiatric Residential Treatment Services
(PRTS).
• TFS has about 110 beds available. For the
past two calendar years TFS has averaged
roughly 700 admissions per year to these
programs and approximately 20% of the
admissions to these programs are from
rural Oregon communities.
• TFS provides mental health services in
about 80 schools in Oregon, and 20 of
these schools are in rural communities.
Grant Timeline
• 5/26/15 Grant Starts
• 7/1/15 Ready for Secure Inpatient Follow-Up
Appointments
• 9/21/15 Approval Obtained to Include PRTS
(Psychiatric Residential Treatment Services)
• 10/1/15 Ready for PRTS Follow-Up and OP
Appointments
• 10/9/15 First SAIP Client Served
• 11/4/15 First OP Client Served
PRTS & Secure IP Population
Program
Service Period
Number of Clients
Enrolled/Admitted
Percentage of
Enrolled/Admitted Clients from
Rural Oregon
Total Number of Discharges
Number of Rural Clients
Discharged
Number of Rural Clients
Receiving Follow-Up Psychiatric
Services via Telehealth
Secure Inpatient
PRTS
7/1/15 - 1/31/16
10/1/15 - 1/31/16
86
144
29.07%
37.50%
46
105
7
34
1
0
Where did they go?
Program
Service Period
Number of Rural Clients Discharged
Served Under of Pilot Project
Discharged Home/Foster Care with
Psychiatrist Appointment Scheduled
Discharged Home/Foster Care without
Psychiatrist Appointment
Moved to Other Residential Program
Discharged to Day Treatment Program
Discharged to Transition Age Youth
Program or Group Home
Discharged to Oregon Youth Authority
Facility
Discharged Against Medical Advice
Secure Inpatient
7/1/15 - 1/31/16
PRTS
10/1/15 - 1/31/16
7
1
34
0
2
6
0
10
1
0
5
9
2
2
1
0
1
1
Enhancements to Residential
• Using Telehealth infrastructure &
technology to increase contact between
clients in our residential programs who hail
from rural areas and their
families/communities
• Examples:
– Court appearances
– Family therapy & visits
– Screenings & assessments for next placement
Outpatient Population
Service Period
Number of Clients Enrolled/Admitted
Percentage of Clients Receiving Psych Services
Percentage of Enrolled/Admitted Clients from
Rural Oregon
Percentage of Rural Clients Receiving Psych
Services
Percentage of Rural Clients Receiving Psych
Services via Telehealth
Program
Outpatient
10/1/15 - 1/31/16
829
17.37%
15.38%
18.40%
13.04%