Transdisciplinary Evaluation and Support Clinic (TEASC) Funded by the NM DOH/DDSD

1. Transdisciplinary Evaluation and Support Clinic(TEASC)Funded by the NM DOH/DDSD UNM HSC Department of Family and Community Medicine Family Medicine Resident School October 17, 2018

2. TEASC Mission • To provide transdisciplinary consultation for adults with intellectual/developmental disabilities, around complex medical, behavioral, and/or support needs. • All services are provided at no cost to the consumer/referring parties. • All services are intended to complement or support those of the person’s ongoing medical, psychiatric or IDT providers—not to replace them.

3. The TEASC Team • Toni Benton, MD, Family Medicine, Medical Director • Liz Donsbach, BA, Senior Program Manager • Helene Silverblatt, MD, Psychiatrist • Gail B. Thaler, MD, Psychiatrist • May Goldenberg, PA-C, Family Medicine • Richard Campbell, PhD, Neuropsychologist • Patricia Beery, MA, Sr. Program Therapist • Gretchen Ray, PharmD • Cynthia King, MD, Psychiatrist • Stephanie Baca, RDH, Dental Hygiene • Helen “Bonnie” Priest, RN

4. TEASC Services Include: • Comprehensive, whole-person evaluations for individuals with intellectual/developmental disability provided statewide • Adult Special Needs Clinic, provided bi-monthly in Albuquerque • Specialty clinics: SAFE, Adult CP clinic • Neuropsychological testing offered through a contract with the UNM Center for Neuropsychological Services • DDMI Clinics and consultation with COC

5. TEASC Services continued • Community-based physician and other provider support • Technical assistance and other follow-up consultations • Training and experience for medical and other students, residents, and interns • Collaboration with the State, University of New Mexico, and other community agencies and providers • Training on medical and psychiatric topics by request at Quarterly Regional Meetings

6. TEASC Evaluation • TEASC Evaluations are comprehensive, multidisciplinary evaluations which address the individual, complex medical, psychiatric, psychosocial, behavioral and vocational concerns of the individual. • TEASC evaluations are initiated by referral from an individual, their family/guardian, medical or psychiatric provider, or their IDT. • We request IDTs first complete and submit a referral packet, including medical and IDT/therapy records. We complete a comprehensive review of these records as the initial basis for the evaluation.

7. TEASC Evaluation, continued • The TEASC team then meets with the individual and their family/guardian, IDT, and medical providers (when possible), in their home, dayhab, or an agency meeting room in their community. The evaluation is scheduled for 2 hours to allow input and discussion by all participants. • A comprehensive report and recommendations follow the evaluation. • Follow up after the evaluation is provided to determine whether recommendations were helpful or if further input would be useful.

8. Examples of Referral Questions • Concerns about changes in behavior or medical status • Long-standing behavior or medical issues • Review of psychotropic medications • Problems accessing support systems, or questions about what support is available

9. Adult Special Needs Clinic (ASNC) • Similar to the TEASC evaluation, this clinic is a collaborative effort of the TEASC Project and the Continuum of Care Project • Meets twice monthly at the UNM Family Medicine Center in Albuquerque • Like a TEASC evaluation, it includes comprehensive records review, meeting with the individual/IDT, report, and follow up.

10. Adult Special Needs Clinic, continued • The Adult Special Needs Clinic team includes: • Family medicine providers • Psychiatrists • Specialist in DD waiver and systems • Clinical pharmacist • Nurse • Clinical dental hygienist • Neurologist • Neuropsychologist

11. Neuropsychological Services • Through a contract with the UNM Center for Neuropsychological Services, we can refer a limited number of adults for neuropsychological testing: • To establish IQ and adaptive skill levels to support applications for services (such as DD Waiver) • To test persons with complex cognitive pictures for better understanding of their abilities and needs.

12. Autism Spectrum Disorder Diagnostic Evaluation for Adults • A limited number of openings are available in the Adult Special Needs Clinic to evaluate adults for diagnosis of Autism Spectrum Disorder. • Due to limited availability and high need, priority is given to persons in need of significant support services/DD Waiver.

13. Adult Special Needs Outreach Clinics • Held quarterly or at the request of local providers. • We have done outreach in Belen, Los Lunas, Santa Fe, Roswell, Las Cruces and more recently in Grants. • TEASC Team travels to the requesting clinic to see patients with the provider in their clinic. • Contact TEASC if an area provider is interested (505-272-5158)

14. Adult Cerebral Palsy Clinic • Collaborative clinic with Continuum of Care • Comprehensive evaluations include psychosocial assessments, full medical and neurological examinations, and facilitation of specialist referrals as necessary. • Family Medicine • Neurology • Social Work • Nursing • Referrals include spasticity management, functional decline, falls, pain, agitation, unexplained weight loss, behavior changes. • Contact: Vera Asplund, RN -505-925-2386

15. NM DOH SAFE Clinic (Supports and Assessments for Feeding and Eating) • Consultative multidisciplinary clinic for adults with intellectual/developmental disabilities addressing challenges related to oral eating and/or enteral tube feeding. • SAFE Team: Family Medicine, SLP, PT, OT, Nurse, Dietician, if needed a Psychologist. • Focus is on aspiration risk management, oral motor function and swallowing, positioning, nutrition, behavioral supports related to feeding and comprehensive medical management. • Contact: 505-841-6188

16. Technical Assistance to IDT Teams or Medical Providers • TEASC Providers are also available for assistance with less complex and/or more immediate issues. • This can consist of phone consultation with an IDT team or medical provider about a specific medical or psychiatric issue that may be complicated by the client’s disability.

17. How to Refer for TEASC/ASNC Evaluations or just ask a question… • Call or email us ……. • Liz Donsbach, Sr. Program Manager • 505-272-5158 • edonsbach@salud.unm.edu • Toni Benton, MD, Medical Director • 505-272-5158 fcm.unm.edu/programs/teasc