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Colocated Mental Health/Developmental Care.

Sheryl L Levy1, Elena Hill2, Kathryn Mattern1

  • 11 Division of Developmental-Behavioral Pediatrics, Floating Hospital for Children, Tufts Medical Center, Boston, MA, USA.

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|April 29, 2017
PubMed
Summary
This summary is machine-generated.

Colocating mental health and developmental specialists in pediatric primary care settings shows promise. This model can improve access to essential services for children, despite implementation challenges.

Keywords:
behaviorcollaborative caredevelopmentdevelopmental delaydevelopmental-behavioral pediatricsinterdisciplinary teamspractice guidelinespreventionpsychiatrypsychology

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Area of Science:

  • Pediatrics
  • Child Mental Health
  • Healthcare Systems

Background:

  • Child mental health and developmental services are insufficient to meet growing demand.
  • Previous proposed solutions have lacked widespread success or feasibility.

Purpose of the Study:

  • To describe colocation models of mental health/developmental specialists (MH/DS) within primary care settings.
  • To report on the perceived benefits and challenges of these colocation models from the perspectives of pediatricians and their colocated colleagues.

Main Methods:

  • Survey and interviews were conducted with pediatricians in 18 Massachusetts practices featuring a colocated MH/DS.
  • Practices demonstrated variability in MH/DS expertise, provider communication, and financial structures.

Main Results:

  • The majority of pediatricians and MH/DSs expressed satisfaction with their colocated arrangements.
  • Colocation costs were seldom covered by billing revenues, indicating a financial challenge.

Conclusions:

  • Colocation models in pediatric primary care offer a promising approach to address the deficit in child mental and developmental health services.
  • Further development of these integrated care systems is recommended to enhance accessibility.