TY - JOUR
T1 - Integrating mental health services in primary care continuity clinics
T2 - A national CORNET study
AU - Bunik, Maya
AU - Talmi, Ayelet
AU - Stafford, Brian
AU - Beaty, Brenda
AU - Kempe, Allison
AU - Dhepyasuwan, Niramol
AU - Serwint, Janet R.
N1 - Funding Information:
We are grateful for funding for this study from M. Doug Jones, MD, University of Colorado, and from Children’s Outcomes Research. We also want to thank the participants who were CORNET continuity clinic directors.
PY - 2013/11
Y1 - 2013/11
N2 - Objective To determine whether pediatric continuity clinics integrate mental health (MH) services into care delivery; and to determine whether the level of MH integration is related to access to MH services, types of MH screening performed, self-efficacy, satisfaction with referral sites, and communication with the primary care provider. Methods Pediatric Residency Integrated Survey of Mental Health in Primary Care (PRISM-PC) is a newly designed cross-sectional, Web-based survey of continuity clinic directors participating in a national network of pediatric continuity clinics (CORNET). Definitions of MH models included integrated or nonintegrated MH models or traditional care. The survey included questions regarding access, screening that was performed at sites, comfort with MH management as well as provider satisfaction and communication with referral sites. Results Seventy-eight percent (57 of 73) of CORNET site directors responded, representing input from 30% of US pediatric residency continuity programs. Thirty-five percent (n = 20) reported an integrated MH model while 65% (n = 37) reported a nonintegrated MH model. Seventy-nine percent screened for attention-deficit/hyperactivity disorder, 44% for behavioral-emotional issues, and 19% for pediatric depression. No differences were found in terms of screening or tools used on the basis of the level of MH integration. Those with integrated programs were more likely to have access to an on-site psychologist (P =.001) or psychiatrist (P =.006). Conclusions Directors from one-third of training programs surveyed reported some level of MH integration in their primary care teaching clinics. Future studies are needed to compare patient and resident education outcomes between integrated and nonintegrated sites.
AB - Objective To determine whether pediatric continuity clinics integrate mental health (MH) services into care delivery; and to determine whether the level of MH integration is related to access to MH services, types of MH screening performed, self-efficacy, satisfaction with referral sites, and communication with the primary care provider. Methods Pediatric Residency Integrated Survey of Mental Health in Primary Care (PRISM-PC) is a newly designed cross-sectional, Web-based survey of continuity clinic directors participating in a national network of pediatric continuity clinics (CORNET). Definitions of MH models included integrated or nonintegrated MH models or traditional care. The survey included questions regarding access, screening that was performed at sites, comfort with MH management as well as provider satisfaction and communication with referral sites. Results Seventy-eight percent (57 of 73) of CORNET site directors responded, representing input from 30% of US pediatric residency continuity programs. Thirty-five percent (n = 20) reported an integrated MH model while 65% (n = 37) reported a nonintegrated MH model. Seventy-nine percent screened for attention-deficit/hyperactivity disorder, 44% for behavioral-emotional issues, and 19% for pediatric depression. No differences were found in terms of screening or tools used on the basis of the level of MH integration. Those with integrated programs were more likely to have access to an on-site psychologist (P =.001) or psychiatrist (P =.006). Conclusions Directors from one-third of training programs surveyed reported some level of MH integration in their primary care teaching clinics. Future studies are needed to compare patient and resident education outcomes between integrated and nonintegrated sites.
KW - CORNET
KW - continuity experience
KW - integrated health care
KW - mental health care
KW - pediatric residency education
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U2 - 10.1016/j.acap.2013.07.002
DO - 10.1016/j.acap.2013.07.002
M3 - Article
C2 - 24238682
AN - SCOPUS:84887870109
SN - 1876-2859
VL - 13
SP - 551
EP - 557
JO - Academic pediatrics
JF - Academic pediatrics
IS - 6
ER -