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Project ECHO

What is Project ECHO?

Sunflower Project ECHO

Project ECHO is a lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best-practice specialty care and reduce health disparities. ECHO trains primary care clinicians to provide specialty care services.

Watch this space or sign up for email alerts to be notified of our next ECHO topic beginning in September.

If you have questions or would like to submit a case study or recommend a future ECHO topic, please send to projectECHO@sunflowerhealthplan.com.

ECHO Presentations & Documents

Supporting an Integrated Life for Members with Intellectual and Developmental Disabilities (I/DD) was our ECHO topic in June. The presentations and case study recommendations are linked below.

  • The Quality of Life Assessment: An Integrated Approach to Identifying Solutions (PDF) - Presented by Nanette Perrin and Kristine Meier
  • Case Study Recommendations
    • Considering the complex medical conditions described with the individual, consider having genetic testing (please specify) to see if conditions describe match a specific syndrome. This information could provide caregivers with a better understanding of how to work with the individual.
    • Consider completing a comprehensive psychological evaluation, including a full scale IQ, to better understand how to address behavioral health needs.
    • Work with guardian, walk alongside individual’s grandmother/guardian and frame conversation around his quality of life. Include her as much as possible in any planning for strategies, including the upcoming consultation with Parsons Outreach Team.
    • Loop in an outside organization, such as the KS Guardianship Program, CDDO or Disability Rights Center, to help educate on a guardian’s duties and responsibilities, and the limitations of those roles and responsibilities.
    • Work with his behavioral health provider (therapist) on incorporating recommendations to broaden world within treatment planning.
    • Have other SSRIs been considered to treat the depression?

Dementia and I/DD (PDF), Megan Kaunley, RN, BSN

Case Study Recommendations

  • When engaging in activities, keep them short and achievable enough so that she experiences success with it.
  • Continue presenting activities based on her interest.
  • Consider making a referral for physical therapy to maintain whatever strength and muscle mass she may have.
  • Consider adding to the memory book, as she has new experiences and visits places, take photos and add to her memory book.
  • Additional recommendations that came after the ECHO session ended:
    • When offering choices for activities, consider using picture or even object representation of those activities.
    • Review end of life preparation - with the rapid decline, it’s possible that this may come sooner rather than later. Prepare her support team for this as it seems like they are her closest supports at this time.
  • Crisis Planning for Dual Diagnosis (PDF), Katrin Sweeney, MA, LPC, NADD-DDS
  • Case Study Recommendations
    • Revisit the possibility of getting psychotropic medication by injection to address noncompliance.
    • Considering that a side effect of Yasmin is mood swings, would a different birth control be more appropriate? Consider Depo-Provera.
    • Consider specific trauma therapy, such as EMDR. There is literature that suggests that this treatment has been shown to be effective with individuals with IDD who have experienced trauma.
    • Other mental health treatment modalities to consider: modified DBT (Dialectical Behavior Therapy) or attachment therapy.
    • Work with local agencies, i.e. local school district, to get access to a baby simulator. This could allow her to feel the experience of caring for a baby.
  • Creating a Path to Employment (PDF), Cheryl Laaker
  • Case Study Recommendations
    • Consider occupational therapy evaluation to look at sensory needs to support self-regulation.
    • Consider supports from a therapist to develop self-regulation/coping strategies
    • Consider supports from a therapist or job coach on identifying work-appropriate social interactions (i.e. some social interactions are appropriate with a group of friends, but not necessarily in a work setting)
    • Consider the timing and potential of interaction between medications, particularly the stimulant in the evening:
      • How is his sleep affected
      • Look at side effects of Concerta
      • Review medications with psychiatrist
    • Identify strategies to engage appropriately between tasks, i.e. finding work or having a list of maintenance tasks to work through the end of the shift
    • Look for a work setting that may have similar-aged co-worker