Project ECHO in Psychiatric Workforce Development: the Example of a Perinatal Mental Health ECHO.

Autor: Ramaraj AB; University of Washington, Seattle, WA, USA., Franz NA; University of Washington, Seattle, WA, USA., Bhat A; University of Washington, Seattle, WA, USA., Adachi J; University of Washington, Seattle, WA, USA., Quiray JA; University of Washington, Seattle, WA, USA., Bespalova N; University of Washington, Seattle, WA, USA., Duncan MH; University of Washington, Seattle, WA, USA., Cowley DS; University of Washington, Seattle, WA, USA. dcowley@uw.edu.
Jazyk: angličtina
Zdroj: Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry [Acad Psychiatry] 2024 Jun; Vol. 48 (3), pp. 249-253. Date of Electronic Publication: 2023 Dec 12.
DOI: 10.1007/s40596-023-01917-z
Abstrakt: Objective: Perinatal mental health and substance use disorders (PMHSUD) often go unrecognized and untreated. This study examined the use of the Project ECHO model to teach obstetric, primary care, and mental health clinicians about screening, diagnosis, and treatment of PMHSUD.
Methods: Participants in 3 years of the University of Washington's Moms' Access Project (MAP) ECHO program (2019-2022) completed pre- and post-program surveys. Nine participants in year 1 completed qualitative interviews. Dedoose was used for qualitative analysis of interviews.
Results: Of 136 participants, 62.5% (15/24) completed both pre- and post-surveys in year 1, 56% (28/50) in year 2, and 32.2% (20/62) in year 3. Most respondents agreed or strongly agreed that they were glad to have participated (96.8%; 60/62) and that they had used information learned in the program in treating a patient (95.1%; 58/61). In all years, respondents endorsed increased confidence regarding learning objectives of the program. Qualitative interviews following year 1 yielded themes of hierarchy of competence, motivation versus results of participation, connection, and politics of change: position and practice type.
Conclusions: Findings supported the feasibility, acceptability, and self-reported effectiveness of the ECHO model for workforce development in PMHSUD.
(© 2023. The Author(s), under exclusive licence to American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry and Association of Directors of Medical Student Education in Psychiatry.)
Databáze: MEDLINE
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