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Case Studies

Jacksonville Hospital Collaborative

Brief description: The Jacksonville Hospital Collaborative consists of five health systems located in Northeast Florida. The hospital collaborative includes: Baptist Health, Brooks Rehabilitation, Mayo Clinic, St. Vincent’s HealthCare, and UF Health Jacksonville. Since 2016, the collaborative has trained ~3,400 first aiders and certified ~60 instructors in Mental Health First Aid (MHFA).
“An innovative approach to addressing mental health issues”
The Jacksonville Hospital Collaborative was formed in 2012 to conduct community health needs assessments. The most recent assessment conducted in 2016 highlighted mental health as a top priority to focus on. Mayo Clinic Community Relations Administrator Ann-Marie Knight says that one of the most worrying statistics that jumped out to her in the assessment was that “it takes 14-30 days to get access to mental health resources.” In addition to the accessibility issue, Knight highlighted that “the suicide rate was increasing in every county in Jacksonville, except one.”
When considering the assessment, it was clear that mental health needed to be prioritized in Jacksonville. According to Baptist Health Senior Vice President of Social Responsibility & Community Advocacy Audrey Moran, “Healthcare systems care about mental health stigma because it is a barrier to care and we feel responsible for eliminating any obstacles.” After deciding to prioritize mental health, the hospital collaborative considered working together on a project to address issues highlighted in the community health needs assessment. The group decided MHFA could be something that they could work on together, increasing the community impact. This led to the collaborative reaching out to the National Council for Behavioral Health to discuss next steps.
Each health system pitched the idea to their respective leadership team, which resulted in the CEOs of each organization publically voicing their commitment to mental health and pledging to contribute funding. For example, Doug Baer, CEO of Brooks Rehabilitation, clarified part of the rationale for investing in MHFA as “a training [that] will help citizens recognize signs of mental illness and intervene appropriately, much like CPR.”1 According to Moran, “MHFA was attractive to leadership because it addressed mental health stigma in a very tangible way.” Moran adds, “Offering MHFA was not a risk, it had a tremendous track record around the world.” City leadership is supportive of the initiative as well, as Jacksonville Mayor, Lenny Curry, referred to MHFA as an “innovative approach to addressing mental health issues.”10 Due to the size of this venture, the hospital collaborative hired the Health Planning Council of Northeast Florida (HPCNEF) to manage the effort. HPCNEF helps the collaborative set collective targets for training, and coordinates the efforts of the various stakeholders in meeting those targets.
Results of MHFA
The five hospital systems collectively funded two “train the trainer” sessions in Jacksonville, which resulted in ~60 certified instructors who made a commitment to train at least 100 people each year for three years. This has led to ~3,400 first aiders trained through free courses, meeting the year one target based on the collaborative’s ultimate goal of training 10,000 Jacksonville citizens in four years.
Beyond the number of people trained, Moran highlighted, “After taking MHFA, there is a realization that mental health is a disease just like diabetes. But unlike physical ailments, there is a certain way you need to talk about mental health because of the stigma surrounding it, and MHFA prepares you to do that.” The Jacksonville Sherriff’s Office (JSO) became familiar with MHFA and saw the need for its officers to be trained, which led to the department committing to train 3,000 of its employees.
Future direction of MHFA
The collaborative is on track to meet its goal of training 10,000 first aiders by 2020 and plans to continue its strong partnership. Tom VanOsdol, President and CEO of St. Vincent’s HealthCare, added, “Our MHFA collaborative aligns perfectly with St. Vincent’s mission of caring for everyone in our community, with special attention to those who are struggling the most. We are encouraged by the early success of the MHFA initiative and we look forward to continuing our work together to train even more in our community.” When asked about the future of MHFA, Baptist Health mentioned that the collaborative is working together on the 2017 community health needs assessment, which might highlight some opportunities to use MHFA to combat the opioid crisis. Mayo Clinic is planning on working with JSO to measure how MHFA has impacted the services it provides to the community. In 2018, Mayo Clinic is increasing the number of trainings offered on Saturday in hopes of increasing course attendance. In addition, UF Health is conducting an evaluation to gauge how first aiders are using what they learned.