A Collaborative Psychiatric-Genetics Inpatient Care Delivery Model Improves Access to Clinical Genetic Evaluation,
Amelle Shillington1,2,3, Martine Lamy2,3, Kelli C Dominick2,3
1Cincinnati Children's Hospital Medical Center, Department of Human Genetics, Cincinnati, OH, United States.
Frontiers in Genetics
|June 30, 2022
Summary
Clinical genetics evaluations improve care for neurodevelopmental disorders. A new psychiatric-genetics service reduced wait times and improved access, leading to new genetic diagnoses that changed patient care.
Area of Science:
- Medical Genetics
- Neurodevelopmental Disorders
- Psychiatry
Background:
- Neurodevelopmental disorders (NDDs) like autism spectrum disorder and intellectual disability are common reasons for genetic evaluation.
- Access to clinical genetics services for NDD patients faces significant barriers.
- Clinical genetic testing is crucial for diagnosing and managing NDDs.
Purpose of the Study:
- To improve care delivery for patients with NDDs.
- To address barriers in accessing clinical genetics evaluations.
- To establish a collaborative psychiatric-genetics service and outpatient clinic.
Main Methods:
- Implementation of a pilot collaborative psychiatric-genetics consultation service.
- Establishment of a psychiatric-genetics outpatient clinic.
- Analysis of patient access metrics and diagnostic outcomes over two years.
Main Results:
- Improved access to genetics evaluations for patients with NDDs.
- Significant reduction in wait times for appointments.
- Fewer patients were lost to follow-up.
- New genetic diagnoses were identified for the majority of patients, altering their medical care.
Conclusions:
- Collaborative psychiatric-genetics services enhance access to essential genetic evaluations for NDD patients.
- Shorter wait times and reduced loss to follow-up demonstrate improved care delivery.
- Genetic diagnoses obtained through this service have a substantial impact on patient management and medical care.
Related Concept Videos
Human Genetics
710
Human genetics provides a profound framework for understanding the interplay between genetic predispositions and human psychology. At the heart of this discipline lies the study of how genes influence physical traits, behaviors, and susceptibility to diseases. Each person carries a unique genetic code that subtly or significantly shapes their psychological and behavioral landscape.
The complex relationship between genetics and psychology is observable through common biological components such...
The complex relationship between genetics and psychology is observable through common biological components such...
710
Behavioral Genetics and Its Designs
497
Behavior genetics explores how genetic inheritance influences human behavior. It focuses on how genes, passed from parents to offspring, contribute to the development of behavioral traits and tendencies. This branch of genetics seeks to understand the complex interplay between inherited genetic factors and environmental influences in shaping our behaviors.
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
497
Genetic Screens
5.1K
Genetic screens are tools used to identify genes and mutations responsible for phenotypes of interest. Genetic screens help identify individuals or a group of people at risk of developing genetic diseases and help them with early intervention, targeted therapy, and reproductive options.
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
5.1K
Genome-wide Association Studies-GWAS
14.1K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
14.1K
Psychosis: Goals of Pharmacotherapy
207
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
207
Modeling in Therapy
141
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
141


