Andrew Dreyfus
speaker
86 appearances
1 recordings
1 series
first heard Nov 2020
last heard Nov 2020
Andrew Dreyfus’s voice in public audio — every appearance, attributed to the second.
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Appearances
We expanded access to a program called Learn to Live, which some of you may know is a cognitive behavioral therapy-oriented online program for mild anxiety, depression, substance use.
And we're also finally investing very heavily in something called the Collaborative Care Model, which I think is similar to what Victor was talking about, where we pay higher fees
of primary care practices that integrate mental health services into the practice, often with a psychiatrist supervising it.
Too often, someone might get screened for a mental health diagnosis in a primary care office, and then maybe they're handed a piece of paper with a scrawled number for a social worker.
Very different than walking down the hall and saying, you can make an appointment right now to see the social worker or the psychologist in our practice.
And so, you know, some people asked them, how can we afford to do this to expand so much services to people with mental health and substance use?
I think our response is we can't afford not to do it.
That given the need and given how widespread mental health and substance use is, we wanted to be a plan that responded to the needs of our members and our employer customers who are asking us to provide better mental health care for their employees.
I would say a couple of things.
First of all, you're right.
We need more specialized services and we need to dramatically diversify the clinicians who are serving the public.
You know, one of the things we looked at in the child psychiatry problem, I mean, there are 400 child psychiatrists in Massachusetts, and I think we may have one of the highest, if not the highest per capita number of child psychiatrists in the country.
And we got 140 of them in our network.
Hopefully many more will join now.
But we're not going to ever produce enough child psychiatrists to treat the kids and adolescents who need help.
So we're probably going to have to rely on other forms of clinicians, psychologists, social workers, mental health counselors.
We're going to have to help pediatricians do more.
We, with others, developed a program in our Commonwealth where pediatricians can essentially call a line and get a child psychiatrist or child psychologist on the phone for consult.
so they can handle some of the more moderate cases in their own office.
We're going to have to come up with both payment models and delivery mechanisms that better serve kids.
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