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The Michigan Child Collaborative Care Program: Building a Telepsychiatry Consultation Service
Sheila Marcus1, Nasuh Malas1, Richard Dopp1
1Department of Psychiatry (Marcus, Malas, Dopp, Quigley, Kramer, Tengelitsch, Patel) and Department of Pediatrics and Communicable Diseases (Malas, Quigley), University of Michigan, Ann Arbor. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., are editors of this column.
Abstract:
This column describes the establishment of the Michigan Child Collaborative Care (MC3), a statewide telepsychiatry consultation program that provides support to primary care providers (PCPs) in meeting the mental health needs of youths and perinatal women. The MC3 program provides cost-effective, timely, remote consultation to primary care providers in an effort to address the lack of access and scarcity of resources in child, adolescent, and perinatal psychiatry. Data from 10,445 service requests are summarized. Common diagnoses included attention-deficit hyperactivity disorder, mood disorders, anxiety disorders, and autistic spectrum disorders, with many cases (58%) deemed moderate to severe. Co-occurring psychological trauma was suspected in 9% of service requests. Partnerships, stakeholder roles, PCP engagement, and workflow integration are highlighted as keys to the program's success.
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