Telementoring and Education for Treating SMI in Rural Settings
Resource Availability
This course material was originally created by SMI Adviser, now rebranded as SMI CalAdviser. The content in this course material is still current and relevant, yet, please be aware that some external resources and links may no longer be active or available. 
Overview

Description 

Being a psychiatrist and providing care for individuals with serious mental illness (SMI) in rural settings has many challenges. In addition to lack of some more robust services (such as coordinated specialty care) and travel distance to care, other challenges exist for a psychiatrist in working in these settings. There may be challenges such as feeling isolated from peers, sparse opportunities for educational events, difficulty with access to REM pharmacies for clozapine or other medications and lack of anonymity in the community to name a few.  

This presentation will be provided by a psychiatrist who has worked in rural settings over her 30-year career starting with the Indian Health Service in remote area on the Navajo Reservation and then in rural Colorado as the Medical Director of a community mental health center. She will share her experiences, how they pushed the borders of her comfort zone at times, and how she overcame some of the challenges of working in these settings.  

The presentation will look at ways to provide educational opportunities utilizing technology advances such as eConsult and Project ECHO (Extension of Community Healthcare Outcomes) which includes an educational component, opportunities for case presentations and the development of a telementoring community of colleagues. 

Format   

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.   

This presentation was recorded on August 26, 2022.  

Learning Objectives 

Apply updated knowledge to attendee's current work or anticipated work in a rural setting 

Assess possible technology solutions for educational opportunities while working in rural settings that could apply to your population 

Explain the challenges that may present in rural settings and possible solutions 

Outline 

  • Challenges of Practicing Psychiatry in Rural Areas 
  • Innovative Approaches to Treating Serious Mental Illness (SMI) 
  • Telehealth and Telementoring Solutions 
  • Recommendations for Expanding Access to LAAs 
  • Building a Sustainable Rural Psychiatry Practice 

Target Audience 

Psychiatrist, Physician (Non-psychiatrist), Nurse, Nurse Practitioner, Psychologist, Counselor, Social Worker 

Instructional Level 

Intermediate 

Estimated Time to Complete 

Estimated Duration: 1.0 hours  
Program Start Date: July 30, 2025 
Program End Date: July 30, 2028 

Ongoing Interdisciplinary Discussion Board 

After completing the course, engage with colleagues in the mental health field through the Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.  

How to Earn Credit  

After completing the evaluation, participants will have the opportunity to claim their hours of participation and download the appropriate certificate. Physicians may obtain an official CME certificate, other healthcare professionals may receive a CE certificate (as applicable), and all other attendees may generate a certificate of participation. Each certificate will reflect the event date and total hours earned.  

Continuing Education Credit  

In support of improving patient care, American Psychiatric Association (APA) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   

Physicians    

The APA designates this live event for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.    

Nurses/Nurse Practitioners    

The American Psychiatric Association (APA) designates this activity for 1.00 Nursing contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.    

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME's Standards for Integrity and Independence in Accredited Medical Education. Any individuals in a position to control the content of a CME activity - including faculty, planners, reviewers, or others - are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.  

Faculty 

  • Lori Raney, MD is a board-certified psychiatrist and Principal with Health Management Associates in Denver, Colorado. She is considered a leading authority on the collaborative care model and the bidirectional integration of primary care and behavioral health.  Her work focuses on service evaluation, gap analysis and design and training of multidisciplinary teams to implement evidence based practices to improve the identification and treatment of mental illness in the primary care setting and improve the health status of patients with serious mental illness behavioral health settings. Dr. Raney reports no financial relationships with commercial interests. 

Program Planners 

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. 
  • John Torous, MD, Beth Israel Deaconess Medical Center. Reports no financial relationships with commercial interests.  
  • Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests. 

Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.  

Technical Requirements 

This internet-based CME activity is best experienced using any of the following:  

The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari  

Internet Explorer 11+  

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.  

Optimal System Configuration:  

Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)  

Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)  

Internet Connection: 1 Mbps or higher  

Minimum Requirements:  

Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content  

Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content  

For assistance: Contact educme@psych.org for questions about this activity |  Contact support@smicaladviser.org for technical assistance  

 

Summary
Availability:
On-Demand
Expires on Jul 30, 2028
Credit Offered:
1 CME Credit
1 NCPD Credit
1 COP Credit
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