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Characteristics of Providers Using a Child Psychiatry Access Program
Aronica Cotton1, Mark A Riddle1, Shauna P Reinblatt1
1University of MarylandSchool of Medicine (Cotton, Reinblatt) and Johns Hopkins University School of Medicine (Riddle, Bettencourt), Baltimore.
Pediatric primary care clinicians (PPCCs) use Child Psychiatry Access Programs (CPAPs) for mental health consultations. Rural providers are more likely to manage care independently, indicating resource disparities.
Area of Science:
- Child and Adolescent Psychiatry
- Primary Care Pediatrics
- Mental Health Services Research
Background:
- Child Psychiatry Access Programs (CPAPs) are crucial for improving access to mental health services for children.
- Understanding the characteristics of primary care clinicians utilizing these programs is essential for optimizing support.
Purpose of the Study:
- To identify the types of pediatric primary care clinicians (PPCCs) who contact Maryland's CPAP.
- To analyze patterns in CPAP utilization by PPCCs.
Main Methods:
- Analysis of data from 676 PPCCs who contacted Maryland's CPAP between October 2012 and June 2019.
- Descriptive statistics and multinomial logistic regressions were employed.
Main Results:
- PPCCs contacted the CPAP an average of 6.8 times.
- Frequent callers (≥7 times) were more likely to hold MD/DO degrees and specialize in pediatrics.
- Rural providers were less likely to call exclusively for referrals.
Conclusions:
- Most PPCCs sought consultation or referrals, but rarely both.
- Rural PPCCs' higher likelihood of calling for consultation suggests they may manage more mental health cases due to resource limitations.
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