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Utilization and Outcomes of Direct Consultation in a Child Psychiatry Access Program
Deepika Shaligram1, Heather J Walter1
1Department of Psychiatry and Behavioral Sciences, Boston Children's Hospital, and Harvard Medical School, Boston.
Psychiatric Services (Washington, D.C.)
|October 13, 2022
Summary
Child psychiatry consultation programs help pediatricians manage more behavioral health cases. These programs extend mental health services into primary care, addressing a critical shortage of specialists.
Area of Science:
- Child and Adolescent Psychiatry
- Primary Care Pediatrics
- Mental Health Services Research
Background:
- High prevalence of child and adolescent psychiatric disorders in the U.S.
- Severe shortage of child and adolescent psychiatrists nationwide
- Limited evidence on the effectiveness of consultation programs beyond user satisfaction
Purpose of the Study:
- To evaluate the outcomes of a child psychiatry consultation program for pediatricians
- To determine if pediatricians can manage referred cases after consultation
- To assess the potential of these programs to expand the behavioral health workforce
Main Methods:
- Implementation of a child psychiatry consultation program
- Tracking of referred cases and pediatrician management post-consultation
- Analysis of program outcomes focusing on case management capabilities
Main Results:
- Pediatricians successfully managed most cases after receiving consultation
- Consultation program demonstrated potential to extend mental health expertise
- Findings suggest a positive impact on primary care's capacity to address behavioral health needs
Conclusions:
- Child psychiatry consultation programs can empower pediatricians to manage complex cases
- These programs effectively extend the behavioral health workforce into primary care settings
- Evidence supports the utility of consultation models for improving access to child mental health care
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