Availability of Telephone-Based Child Psychiatry Consultation: Implications from a Survey of Pediatric Providers in Two States
Autor: | Lourdes P. Dale, Anne E. Pidano, Lisa Honigfeld, Chelsea M. Slater, Preeti Sandhu, Kaitlyn L. Wilbur |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Behavioral pediatrics business.industry health care facilities manpower and services education Collaborative Care Primary care Psychotropic medication Mental health 03 medical and health sciences 0302 clinical medicine health services administration 030225 pediatrics Family medicine Developmental and Educational Psychology medicine Child and adolescent psychiatry 030212 general & internal medicine Life-span and Life-course Studies Psychiatry business health care economics and organizations Depression (differential diagnoses) |
Zdroj: | Journal of Child and Family Studies. 25:2607-2615 |
ISSN: | 1573-2843 1062-1024 |
DOI: | 10.1007/s10826-016-0423-8 |
Popis: | Pediatric primary care providers (PCPs) play a critical role in caring for children with mental health concerns. Some states have introduced programs to support PCPs in managing these patients more independently. The Massachusetts Child Psychiatry Access Project consultation program is one example. This study compared responses from PCPs in Massachusetts (n = 73) with PCPs in Indiana (n = 33), a state without a consultation program, to vignettes about children with possible attention-deficit/hyperactivity disorder or depression. Participants from MA indicated a stronger interest in behavioral health issues and were more likely to screen patients. PCPs from IN were more likely to have completed a rotation in developmental and behavioral pediatrics during residency. IN respondents were also more likely to choose the correct diagnosis for vignettes and less likely to refer to a psychiatric provider for psychotropic medication. Results suggest greater independence for PCPs in IN. |
Databáze: | OpenAIRE |
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