Psychiatric Services: Scope and Approach

How AccessCare Psychiatric Providers Partner with Primary Care to Expand Access to Child, Adolescent, and Adult Mental Health Care

Through our Virtual Care Collaboration and Integration (VCCI) model, AccessCare psychiatric providers work as an embedded specialty resource inside your existing clinic workflow giving your patients fast access to psychiatric expertise without leaving their medical home and without asking your clinic to build new infrastructure


Dr. Jordan Gardner – Medical Director of Telehealth
Dr. Jordan Gardner is a board-certified adult and child/adolescent psychiatrist. Dr. Gardner participated in the prestigious Medical Scholars Program, the 7-year combined B.S./M.D. program at the University of Miami Miller School of Medicine. He completed his adult psychiatry residency, as well as his child/adolescent psychiatry fellowship, at the University of Colorado School of Medicine.

Dr. Gardner offers comprehensive treatment for depression, anxiety, bipolar disorder, schizophrenia, post-traumatic stress disorder, personality disorders, autism spectrum disorder, attention deficit hyperactivity disorder, and child-hood behavioral disorders. He currently provides consultation and direct care services into integrated primary care practices via telehealth to outreach underrepresented communities in the state of Colorado.


WHAT WE PROVIDE TODAY

Faster Access to Care

Patients are typically seen for psychiatric consultation in days to weeks, not the three to six-month wait commonly associated with standalone psychiatric services.

Patients Stay in Their Medical Home

Your patients continue seeing you for prescribing, labs, vitals, and after-hours/crisis needs, rather than being referred to an unfamiliar practice.

No Infrastructure Lift for Partner Clinics

No new EHR, e-prescribing setup, or specialty staffing is required on your end to offer psychiatric consultation to your patients.

Diagnostic Evaluation and Screening

Psychiatric assessment services for children, adolescents, and adults referred by the primary care team.

Medication Recommendations

Evidence-based psychotropic medication regimens, with the primary care provider retaining prescribing authority and sending prescriptions to the pharmacy, while reducing liability with a psychiatric consultation note

Brief Intervention and Consultation

Direct and indirect consultation with the primary care physician on diagnosis, treatment planning, and course of care.

Ongoing Collaborative Management

Ongoing virtual follow-up visits to monitor response to treatment, in coordination with the referring clinic.

Clinic-Supported Infrastructure

The partnering primary care clinic collects vitals, orders and reviews labs, transmits prescriptions, and handles after-hours needs and crisis calls according to its own clinic protocols.

WHY THE VCCI MODEL FOR PSYCHIATRY? 

Collaborative, integrated care lets one psychiatric provider extend reach across many more patients and partner clinics than a direct-prescribing panel ever could because the primary care clinic already carries the vitals, labs, prescribing, and after-hours infrastructure.

In a specialty as chronically underserved as child, adolescent, and adult psychiatry, where many communities continue to experience significant shortages of psychiatric services, that leverage helps close access gaps while keeping patients connected to their healthcare team.

Outside Our Scope as Psychiatric Consultants

These are clinical and safety boundaries, not a matter of capacity. They hold true regardless of whether we operate under the collaborative model or a future direct-care model.

Neuropsychological Testing

Requires validated psychometric instruments and training outside general psychiatric practice.

Workers' Compensation Evaluations

Requires an independent evaluator role that conflicts with our role as the patient's treating clinician.

Forensic Evaluations

The same independent-evaluator conflict applies, along with specialized forensic training and legal standards we do not carry.

Moderate-to-Severe Eating Disorders

Requires multidisciplinary, often higher-level-of-care infrastructure, including medical monitoring, nutrition services, and therapy beyond outpatient psychiatric consultation.

Moderate-to-Severe Substance Use Disorders Including Suboxone Induction or Maintenance

Requires dedicated addiction medicine infrastructure, including induction monitoring, drug screening, counseling, and associated supports beyond consultative psychiatry.

Moderate-to-Severe Mental Health Issues During the Peripartum Period

Requires close medical and obstetric coordination and monitoring beyond outpatient telepsychiatry consultation.

Moderate-to-Severe Manic or Psychotic Symptoms Requiring a Higher Level of Care

Requires in-person evaluation and a higher level of care, such as inpatient or intensive outpatient treatment, than a consultative telepsychiatry visit can safely provide.

Learn More

AccessCare Services VCCI program, partners with healthcare organizations to expand access to child, adolescent, and adult psychiatric expertise through collaborative, integrated care.

To learn more about psychiatric services, referral pathways, or partnership opportunities, contact our team.

Phone: 720-267-8493

Email: vcci@accesscare.com