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Bridging the divide between child psychiatry and primary care: the use of telephone consultation within a
Barry Sarvet1, Joseph Gold, John H Straus
1Division of Child and Adolescent Psychiatry, Baystate Medical Center, 3300 Main Street, Springfield, MA, USA. Barry.sarvet@baystatehealth.org
Insights
The Massachusetts Child Psychiatry Access Project enhances pediatric primary care providers' ability to manage child mental health issues through telephone consultations. This system provides education, support, and care coordination, improving access to mental health services for children.
Area of Science:
- Child and Adolescent Psychiatry
- Pediatric Primary Care
- Mental Health Services Research
Background:
- Limited access to child mental health specialists poses a significant barrier to care for pediatric populations.
- Pediatric primary care providers (PCPs) are often the first point of contact for children with mental health concerns.
- Public health initiatives are crucial for bridging the gap in mental healthcare access.
Observation:
- The Massachusetts Child Psychiatry Access Project utilizes telephone consultations as a core component of its service delivery model.
- Case studies illustrate the practical application of these consultations in managing common pediatric mental health scenarios.
- Consultations offer immediate, case-based clinical education to PCPs.
Findings:
- Telephone consultations facilitate timely access to expert psychiatric advice for PCPs.
- These consultations act as a gateway for accessing specialized child psychiatry evaluations and care coordination.
- The program fosters collaborative relationships, empowering PCPs to better address children's mental health needs.
Implications:
- This model demonstrates a scalable approach to improving mental healthcare access for children within primary care settings.
- Enhanced PCP capacity can lead to earlier identification and intervention for pediatric mental health conditions.
- Sustained collaboration strengthens the mental healthcare infrastructure for underserved child populations.
Abstract:
The Massachusetts Child Psychiatry Access Project is a public system for improving access to care for children with mental health problems in which the provision of telephone consultation by child psychiatry teams to pediatric primary care providers (PCPs) plays a central role. In this article, the practice of telephone consultation within this system is explored through the examination of case studies, demonstrating its use in common clinical scenarios. The telephone consultations provide immediate case-based clinical education, and also serve as a gateway for the provision of as-needed direct child psychiatry evaluation and care coordination services. Most importantly, the telephone consultations build sustaining collaborative relationships, enhancing the ability of PCPs to meet the needs of children with mental health problems.
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