What’s known about implementing co-located paediatric integrated care: a scoping review

Rheanna Platt, Andrea E. Spencer, Matthew D. Burkey, Carol Vidal, Sarah Polk, Amie Bettencourt, Sonal Jain, Julia Stratton, Lawrence S Wissow

Research output: Contribution to journalReview article

Abstract

Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.

Original languageEnglish (US)
Pages (from-to)242-271
Number of pages30
JournalInternational Review of Psychiatry
Volume30
Issue number6
DOIs
StatePublished - Nov 2 2018

Fingerprint

Mental Health
Pediatrics
Observational Studies
Primary Health Care
Randomized Controlled Trials
Communication
Demography
Delivery of Health Care
Costs and Cost Analysis
Adolescent Health

Keywords

  • co-location
  • implementation
  • Integrated care
  • paediatric
  • primary care
  • utilization

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

What’s known about implementing co-located paediatric integrated care : a scoping review. / Platt, Rheanna; Spencer, Andrea E.; Burkey, Matthew D.; Vidal, Carol; Polk, Sarah; Bettencourt, Amie; Jain, Sonal; Stratton, Julia; Wissow, Lawrence S.

In: International Review of Psychiatry, Vol. 30, No. 6, 02.11.2018, p. 242-271.

Research output: Contribution to journalReview article

Platt, Rheanna ; Spencer, Andrea E. ; Burkey, Matthew D. ; Vidal, Carol ; Polk, Sarah ; Bettencourt, Amie ; Jain, Sonal ; Stratton, Julia ; Wissow, Lawrence S. / What’s known about implementing co-located paediatric integrated care : a scoping review. In: International Review of Psychiatry. 2018 ; Vol. 30, No. 6. pp. 242-271.
@article{701142bda4ea48c09370c37badfb7af4,
title = "What’s known about implementing co-located paediatric integrated care: a scoping review",
abstract = "Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.",
keywords = "co-location, implementation, Integrated care, paediatric, primary care, utilization",
author = "Rheanna Platt and Spencer, {Andrea E.} and Burkey, {Matthew D.} and Carol Vidal and Sarah Polk and Amie Bettencourt and Sonal Jain and Julia Stratton and Wissow, {Lawrence S}",
year = "2018",
month = "11",
day = "2",
doi = "10.1080/09540261.2018.1563530",
language = "English (US)",
volume = "30",
pages = "242--271",
journal = "International Review of Psychiatry",
issn = "0954-0261",
publisher = "Informa Healthcare",
number = "6",

}

TY - JOUR

T1 - What’s known about implementing co-located paediatric integrated care

T2 - a scoping review

AU - Platt, Rheanna

AU - Spencer, Andrea E.

AU - Burkey, Matthew D.

AU - Vidal, Carol

AU - Polk, Sarah

AU - Bettencourt, Amie

AU - Jain, Sonal

AU - Stratton, Julia

AU - Wissow, Lawrence S

PY - 2018/11/2

Y1 - 2018/11/2

N2 - Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.

AB - Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.

KW - co-location

KW - implementation

KW - Integrated care

KW - paediatric

KW - primary care

KW - utilization

UR - http://www.scopus.com/inward/record.url?scp=85065439640&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065439640&partnerID=8YFLogxK

U2 - 10.1080/09540261.2018.1563530

DO - 10.1080/09540261.2018.1563530

M3 - Review article

C2 - 30912463

AN - SCOPUS:85065439640

VL - 30

SP - 242

EP - 271

JO - International Review of Psychiatry

JF - International Review of Psychiatry

SN - 0954-0261

IS - 6

ER -