Brief educational 'curbside consultation': Impact on attention-deficit/hyperactivity disorder referrals in an integrated healthcare setting
| Autor: | Erin Olufs, Kristen Hembree, Joseph H. Evans, Rachel J. Valleley |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Health Personnel Interprofessional Relations Primary care PsycINFO Psychotropic medication 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Health care medicine Attention deficit hyperactivity disorder Humans Practice Patterns Physicians' Psychiatry Referral and Consultation Applied Psychology business.industry Medical record Middle Aged medicine.disease 030227 psychiatry Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Family medicine Female business 030217 neurology & neurosurgery |
| Zdroj: | Families, systemshealth : the journal of collaborative family healthcare. 34(3) |
| ISSN: | 1939-0602 |
| Popis: | INTRODUCTION As behavioral health providers integrate into primary health care clinics, it is important to examine methods used to increase primary care providers' (PCPs) knowledge of behavioral health providers' areas of expertise and service provision. Attention-deficit/hyperactivity disorder (ADHD) has been identified as one of the most common behavioral health disorders PCPs diagnose and treat in children. METHOD This study examined whether 2 brief educational "curbside consults," during which a psychologist provided information regarding the assessment and treatment of ADHD, had an impact on PCPs' referral practices. Information was collected via medical records review for the same 6-month period prior to and following provider education. RESULTS The results indicated that there was an increase in ADHD referrals to the behavioral health clinic (BHC) following educational consultation. In addition, there was some evidence to suggest that following PCP education, fewer children were diagnosed by the PCP with ADHD and fewer children were previously prescribed a psychotropic medication upon referral to the BHC. Treatment (e.g., behavioral therapy, pharmacotherapy, combined approach) also differed between families previously diagnosed and prescribed psychotropic medication. DISCUSSION The current study provides some preliminary evidence that brief educational consultation with PCPs may increase both referrals for ADHD concerns and may influence the way PCPs diagnose and address behavioral health concerns. Implications of these findings and suggestions for future research are discussed. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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