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Preventive pediatric mental health care: A co-location model
Rahil D Briggs1, Andrew D Racine1, Susan Chinitz2
1Children's Hospital at Montefiore.
Insights
Co-locating infant mental health professionals in pediatric offices improves access to care for young children. This model addresses barriers and enhances early identification and treatment of developmental and mental health needs.
Area of Science:
- Pediatric mental health
- Infant development
- Integrated care models
Background:
- Current recommendations support integrating mental health professionals into pediatric settings.
- Pediatric offices offer a non-stigmatized environment for early childhood mental health services.
- Barriers include time constraints, reimbursement issues, and inadequate training for pediatricians.
Purpose of the Study:
- To describe a successful co-location program integrating infant mental health services within a pediatric practice.
- To present preliminary data on patient demographics, screening outcomes, and treatment referrals.
Main Methods:
- A psychologist specializing in infant mental health was co-located in a large pediatric practice.
- The psychologist provided screening, assessment, referral, and treatment for children aged 0-3 years.
- The program aimed to address developmental and mental health needs within the pediatric setting.
Main Results:
- The program successfully integrated mental health services into a pediatric practice.
- Preliminary data on patient population, screening scores, and disposition were collected.
- The co-location model demonstrated potential for addressing early childhood mental health challenges.
Conclusions:
- Co-location of infant mental health professionals in pediatric settings is a viable model for improving access to care.
- This integrated approach can overcome common barriers to early childhood mental health services.
- The described program offers a successful example of implementing such a model in a real-world setting.
Abstract:
Current practice recommendations in both the fields of infant mental health and pediatrics support the co-location of mental health professionals into the pediatric setting. Multiple policy reports and statements of the past 5 years have repeatedly argued the need for coordination and integration between mental health care and pediatrics (Halfon, Regalado, McLearn, Kuo, & Wright, 2003; Osofsky, 2004). The pediatric office is recognized as a universally accessed, nonstigmatized setting, ideal for the assessment and treatment of early childhood mental health problems. However, barriers to this type of care are rampant, including time limitations on the part of pediatricians, inadequate reimbursement structures, inadequate training of pediatricians, and insufficient connections between medical and mental health providers. An innovative response to these barriers is the co-location of a mental health professional in the pediatric practice to provide pediatrician education and appropriate screening, assessment, referral, and treatment of young patients. This article describes a successful program of this type situated in the Bronx, NY, where a psychologist with expertise in infant mental health spends 25 hours per week in a large pediatric practice to address the developmental and mental health needs of children aged 0-3 years old. Preliminary descriptive data regarding the patient population, screening scores, and disposition are presented.
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