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Partners HealthCare Annual Report 2016

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For patients with mild to moderate depres- sion, barriers to in-person treatment with mental health providers include limited insurance coverage, long wait times to see a provider, and even practical issues like work conflicts or transportation. With a new pilot program, Partners primary care practices are experimenting with reducing these barriers by offering patients Inter- net-based cognitive behavioral therapy (iCBT) that can be undertaken from the comfort of their home. The six-to-ten week iCBT course is design- ed to deliver online learnings in an easily accessible format for patients with low to moderate depression. First developed in Australia, this tool was brought to Partners by the research team at McLean Hospital that established its efficacy in the U.S. In the iCBT pilot, patients who may benefit from the program are identified through five primary care practices at Brigham and Women's Hospital, Massachusetts General Hospital, and Newton-Wellesley Hospital. Efforts to educate patients about the potential benefits of iCBT will soon be augmented by vidscrips – patient education videos featuring Partners pro- viders speaking about topics related to a patient's treatment, which patients can access directly on smartphones or other web-enabled devices. By appealing to patients who seek an alternative to face-to-face therapy and overcoming the typical barriers to treat- ment, the online course and vidscrips aim to improve outcomes for patients. Brent Forester, MD, Chief of Geriatric Psychiatry at McLean Hospital and Medical Director of Behavioral Health for Partners Center for Population Health, explains that Internet-based CBT offers a user-friendly approach for the treatment of behavioral health conditions. "We are learning from our pilot that patients find the experience to be both educational and therapeutic. They benefit greatly from the remote behavioral health coaching that iCBT offers," he says. "Tech- nologies such as iCBT will likely be in high demand and expand the opportunities for cost-effective therapies to reach our patients with depression and, eventually, other behavioral health conditions." A New Hospital for Nantucket NANTUCKET COT TAGE HOSPITAL To build the island's first new hospital since 1957, Nantucket Cottage Hospital's capital campaign achieved significant progress in 2016 with a $10 million commitment from the Percelay family – the largest single gift in Nantucket's history. Having won regulatory support, including Department of Public Health endorsement, the project began in earnest by clearing a portion of the property to make way for the dynamic, new 106,000 square-foot facility that should break ground spring 2017. With opening anticipated in the summer of 2018, the hospital will transform care for residents and visitors – and create a foundation for the future, providing enhanced services, privacy, and safety; better provider access; and innovation throughout the building. Internet Therapy Removes Barriers MCLEAN HOSPITAL | PARTNERS HEALTHCARE System-wide collaboration

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