Outcomes Inc

DISASTER ASSISTANCE WORLDWIDE

DEVELOPMENT AND VALIDATION OF SOFTWARE FOR INTERNET AND PC SCID ADMINISTRATION

IRT-BASED SELF-REPORT SCREENER FOR PRODROMAL SCHIZOPHRENIA & EARLY PSYCHOSIS

TA TO SUPPORT PROJECT DEVELOPMENT AND CAPACITY BUILDING FOR POTENTIAL AND EXISTING PORTFOLIO COMPANIES OF SDG OUTCOMES FUND.

SOFTWARE FOR DYNAMIC BEHAVIORAL OUTCOMES PORTAL AND DASHBOARD

DEVELOPMENT AND VALIDATION OF SOFTWARE FOR AN ELECTRONIC-BASED DISC-5, THE NETDISC-5

HUMANITARIAN ASSISTANCE

BRIEF DEPRESSION SCREENER DEVELOPED USING IRT FOR ANTENATAL AND POSTPARTUM WOMEN

NEW AWARD FOR DISASTER RISK REDUCTION WORLDWIDE.

WEB SOFTWARE TO DEVELOP AN RDOC-COMPATIBLE ADAPTIVE DIAGNOSTIC NOSOLOGY, THE SID-5

HUMANITARIAN ASSISTANCE

USING META-LEVEL SMARTPHONE DATA TO PROMOTE EARLY INTERVENTION INSCHIZOPHRENIA

USAID OVERSEAS ASSISTANCE

HUMANITARIAN ACTIVITIES

DEVELOPMENT OF A CLOUD-BASED, SELF-REPORT SUD INTAKE SYSTEM ENABLING PRIMARY CARE CLINICIANS TO ROUTINELY COMPLETE, IMPLEMENT, DOCUMENT, AND BILL FOR BIOPSYCHOSOCIAL ASSESSMENTS FOR THE UNDERSERVED - PROJECT SUMMARY THE US HEALTHCARE DELIVERY SYSTEM SUFFERS FROM INTRACTABLE PROBLEMS THAT INCREASINGLY PREVENT IT FROM IDENTIFYING AND TREATING PEOPLE SUFFERING FROM SUDS. PRIMARY CARE CLINICIANS, THE FRONT LINE OF OUR HEALTH CARE DELIVERY SYSTEM, HAVE NEITHER ADEQUATE TOOLS NOR INCENTIVES TO EVALUATE SUDS AND CO-OCCURRING MENTAL HEALTH DISORDERS. THE RESULT IS CHRONIC UNDER-DIAGNOSIS AND UNDER-TREATMENT, IN ADDITION TO THE ASSOCIATED ADVERSE PERSONAL AND SOCIETAL IMPACTS. THESE SHORTCOMINGS DISPROPORTIONATELY AFFECT INDIVIDUALS FROM UNDERSERVED POPULATIONS WHO ALREADY HAVE POOR ACCESS TO HEALTH CARE RESOURCES. WE PROPOSE TO DEVELOP AND TEST A NEW PRIMARY CARE-SUD-INTAKE SYSTEM (P-SUD-IS) THAT IS INTENDED TO ADDRESS THE PROBLEM OF UNDER-DIAGNOSIS BY CHANGING PRIMARY CARE CLINICIAN BEHAVIOR AND MOTIVATING CLIENTS WITH PREVIOUSLY UNDIAGNOSED SUDS TO SEEK HELP. THE P-SUD-IS WILL BE A HIPAA-COMPLIANT, USER-FRIENDLY, AUTOMATED, AND CLOUD-BASED SYSTEM, AND, IF SUCCESSFUL, WILL REDUCE THE TIME NEEDED FOR PRIMARY CARE CLINICIANS TO COMPLETE AND BILL FOR A BIOPSYCHOSOCIAL ASSESSMENT. THE P-SUD-IS WILL ASSESS AND RECORD FAMILY SUD HISTORY, PERSONAL SUD HISTORY, EDUCATIONAL HISTORY, OCCUPATIONAL HISTORY, SOCIAL HISTORY, CURRENT SOCIAL SUPPORTS, AND WILLINGNESS TO PARTICIPATE IN TREATMENT. DIAGNOSIS AND A MENTAL STATUS EXAM WILL BE CONDUCTED USING TELESAGE’S EXISTING VALIDATED DSM-5 SELF-REPORT DIAGNOSTIC SYSTEM (SAGE), WHICH WILL BE INTEGRATED INTO THE NEW P-SUD-IS. RESPONSES TO ALL QUESTIONS WILL BE USED TO PROVIDE CLINICIANS WITH DETAILED ELECTRONIC REPORTS THAT CAN BE ENTERED INTO THE CLIENT’S EHR. THIS SYSTEM IS IN NO WAY INTENDED TO REPLACE THE CLINICIAN. AS A DECISION-SUPPORT TOOL, THE P-SUD-IS IS INTENDED TO HELP CLINICIANS WITHOUT SPECIALIZED TRAINING IN BEHAVIORAL HEALTH AND SUDS USE ALL AVAILABLE RESOURCES TO COMPLETE A BIOPSYCHOSOCIAL ASSESSMENT. THIS STUDY WILL ASSESS WHETHER UNDERSERVED PRIMARY CARE CLIENTS MIGHT BE WILLING AND ABLE TO COMPLETE THE P-SUD-IS. QUESTIONS WILL BE WRITTEN AT A 5TH GRADE READING LEVEL AND READ ALOUD USING A NATIVE TEXT-TO- SPEECH APPLICATION. THE CLIENT WILL RECEIVE A HIGHLY CUSTOMIZED ELECTRONIC REPORT WITH EDUCATIONAL & SELF-HELP INFORMATION AS WELL AS LINKS TO RELEVANT ON-LINE REFERRAL SYSTEMS. THE P-SUD INTAKE SYSTEM WILL GENERATE A REPORT CONTAINING ACTIONABLE INFORMATION THAT WILL MAKE IT EASIER FOR PRIMARY CARE CLINICIANS TO DETERMINE IF A REFERRAL IS WARRANTED, AND FOR THEM TO PROVIDE THE REFERRAL DOCUMENTATION THAT WILL BE MOST HELPFUL. THE NEW STRATEGY NEEDS TO FIT WITHIN THE NORMAL WORKFLOW OF PRIMARY CARE CLINICS SO AS NOT TO CAUSE DISRUPTIONS. OUR GOAL IS FOR THE CLINICIAN TO BE ABLE TO LOOK AT THE REPORT FOR 2-3 MINUTES, ASK THE CLIENT SPECIFIC QUESTIONS INFORMED BY THE REPORT, DISCUSS OPTIONS WITH THE CLIENT, FINALIZE THE TREATMENT PLAN, WRITE ORDERS, AND BILL A SUFFICIENT AMOUNT FOR A BIOPSYCHOSOCIAL ASSESSMENT TO MAKE THE WHOLE PROCESS ECONOMICALLY FEASIBLE. BY MAKING PRIMARY CARE SUD ASSESSMENTS COST EFFECTIVE AND FEASIBLE, THE P- SUD-IS WILL HAVE A LARGE IMPACT ON THE UNDERSERVED AND UNDIAGNOSED.

DEVELOPMENT AND VALIDATION OF SOFTWARE FOR AN ELECTRONIC-BASED DISC-5, THE NETDISC-5

COMPUTERIZED ADAPTIVE SELF-REPORT DIAGNOSTIC ASSESSMENT FOR MENTAL HEALTH: THE SC

THIS PROJECT BUILDS UPON WORK FUNDED BY A 2022 PROACTIVE CONSERVATION COOPERATIVE AGREEMENT. UNDER THAT AGREEMENT, THE PLACER MINING RESOURCE NETWORK (PMRN) WAS DESIGNED AND ESTABLISHED WITH A FOCUS ON INTERAGENCY RELATIONSHIPS, BUILDING AN UNDERSTANDING OF AND TRUST WITH ALASKA PLACER MINERS, AND GATHERING QUALITATIVE AND QUANTITATIVE DATA ON WHICH TO BUILD A FOUNDATION OF UNDERSTANDING REGARDING THE CHALLENGES PLACER MINERS FACE AND WAYS TO ASSIST THEM IN MEETING AND EXCEEDING PERMITTING REQUIREMENTS, WITH A FOCUS ON THOSE THAT IMPACT USFWS TRUST RESOURCES.WITH A PMRN INTERAGENCY GROUP NOW ESTABLISHED AND INITIAL DATA GATHERED, THE PMRN PROJECT IS POISED TO MOVE TO AN IMPLEMENTATION PHASE FOCUSED ON: (1) BUILDING UPON AND ENHANCING THE WORKING RELATIONSHIPS RECENTLY FOSTERED VIA THE PMRN BETWEEN AGENCIES AND BETWEEN AGENCIES AND PLACER MINERS (2) AGENCIES AND PLACER MINERS CO-DEVELOPING INFORMATION, TOOLS, AND RESOURCES TO MEET THE NEEDS OF PLACER MINERS AND (3) PROACTIVELY HELPING TO ENSURE THE USE OF STANDARDIZED BEST PRACTICES TO MINIMIZE NEGATIVE IMPACTS TO FISH, WILDLIFE, AND THEIR HABITATS.

AID WORKER SECURITY - OPERATIONAL RESPONSE

THIS PROJECT INVOLVES PARTNERING WITH AGENCIES AND PLACER MINERS TO CO-PRODUCE, COORDINATE, AND MAINTAIN A PLACERMINING RESOURCE NETWORK TO FACILITATE INFORMATION SHARING AND UNDERSTANDING AND USE OF PRODUCTS, TOOLS, AND BESTMANAGEMENT PRACTICES TO MINIMIZE IMPACTS ON USFWS TRUST RESOURCES RELATED TO PLACER MINING OPERATIONS IN ALASKA.SPECIFIC OBJECTIVES, OUTCOMES AND PRODUCTS ARE AS FOLLOWS:OBJECTIVE 1: BUILD AND MAINTAIN A NETWORK OF AGENCY PERSONNEL, CONSULTANTS, PLACER MINERS, MINING ORGANIZATIONS,AND OTHER INTERESTED ENTITIES OR MEMBERS OF THE PUBLIC.METHODS 2: CONDUCT INTERVIEWS, SURVEYS, MEETINGS AND OTHER INFORMATION GATHERING ACTIVITIES TO GATHER INPUT ANDSUGGESTIONS FOR THE PLACER MINING RESOURCE NETWORK.OUTCOME 1: ESTABLISHED NETWORK FOR COMMUNICATION AND INFORMATION/TOOLS SHARING THAT IS USEFUL AND USED BY PLACERMINERS, MINING ORGANIZATIONS, AGENCY PERSONNEL.OBJECTIVE 2: CO-DEVELOP AND IMPLEMENT A COMMUNICATION AND OUTREACH STRATEGY AND PRODUCTS FOR ENGAGING ANDBENEFITTING PMRN PARTICIPANTS. THE COMMUNICATION STRATEGY WILL BE BASED ON IDENTIFIED NEEDS OF PLACER MINERS ANDAGENCY PERSONNEL.METHODS 2: USING INFORMATION GATHERED FOR OBJECTIVE 1, DESIGN A COMMUNICATION STRATEGY AND PRODUCTS IDENTIFIED ASDESIRED BY PLACER MINERS AND AGENCY PERSONNEL.OUTCOME 2: COMMUNICATION STRATEGY BASED ON INPUT FROM PLACER MINERS AND AGENCY PERSONNEL. PENDING INPUT FROMPLACER MINERS AND AGENCY PERSONNEL, COMMUNICATION AND OUTREACH PRODUCTIONS COULD INCLUDE (1) AN INTERACTIVEINTERNET-BASED PLATFORM FOR PLACER MINING INFORMATION SHARING AMONG AGENCIES, MINERS, AND OTHER INTERESTEDSTAKEHOLDERS; (2) ALTERNATIVE COMMUNICATION CHANNELS AND METHODS (E.G., HARD COPY MATERIALS, PRESENTATIONS,NEWSLETTERS, IN-PERSON TRAININGS) TO REACH PLACER MINERS THAT DO NOT HAVE OR USE INTERNET-BASED OPTIONS; AND (3)TRAINING PROGRAMS.OBJECTIVE 3: PROVIDE CONTINUAL OPPORTUNITIES FOR PLACER MINERS AND AGENCIES TO PROVIDE INPUT ON AND EVALUATE THEPLACER MINING RESOURCE NETWORK.METHODS 3: DESIGN AND COORDINATE VARIOUS OPTIONS FOR INPUT GATHERING AND DIALOGUE PER THE INTERESTS OF PLACERMINERS AND AGENCY PERSONNEL. WITH INPUT FROM PARTICIPANTS, DEVELOP SPECIFIC EVALUATION CRITERIA TO ASSESS ANDIMPROVE THE PLACER MINER RESOURCE NETWORK.OUTCOME 3: USING INPUT FROM INTERVIEWS AND A SURVEY OF PLACER MINERS, PROVIDE SPECIFIC AND DIVERSE OPPORTUNITIESFOR PLACER MINERS AND AGENCY PERSONNEL TO PROVIDE INPUT TO HELP EVALUATE AND IMPROVE COMMUNICATION METHODS, TOOLSAND PRODUCTS DEVELOPED TO SERVE AND BENEFIT PARTICIPANTS IN THE NETWORK. POSSIBILITIES INCLUDE PERIODIC INPERSON/VIRTUAL MEETINGS, ON-LINE SUGGESTION BOX, PERIODIC CHECK-IN SURVEYS OR INTERVIEWS, ANALYTICS FOR ANY WEBBASEDPLATFORM THAT MAY BE DEVELOPED.