Related Experiment Video
Updated: Jul 8, 2025
07:01
A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
Published on: February 7, 2025
405
Pediatric collaborative care outcomes in a regional model.
John T Parkhurst1,2, Catherine Garcia-Goetting1, Eric Peist1,2
1Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Frontiers in Psychiatry
|December 11, 2023
Summary
The Mood, Anxiety, ADHD Collaborative Care (MAACC) program successfully improved mental health outcomes for children and adolescents in independent pediatric practices. This collaborative care model enhanced treatment capacity and community resource integration.
Area of Science:
- Pediatric Primary Care
- Mental Health Services
- Collaborative Care Models
Background:
- Many pediatric primary care physicians operate in small, independent practices, facing challenges in accessing mental healthcare services for their patients.
- Expanding mental healthcare requires service delivery models tailored to the specific needs of primary care practices and available regional resources.
Purpose of the Study:
- To implement and evaluate the Mood, Anxiety, ADHD Collaborative Care (MAACC) program over four years.
- To assess the program's impact on mental health training for clinicians and treatment of referred patients.
- To evaluate the effectiveness of a child community therapy referral network.
Main Methods:
- The MAACC program engaged 97 pediatric clinicians across 39 practices, providing mental health training.
- A collaborative care model supported treatment for referred patients.
- A referral network of 213 licensed psychotherapists was established to address psychosocial needs.
- Data on service delivery, treatment use, and patient outcomes were collected using validated measures.
Main Results:
- Six hundred ninety-six children and adolescents (aged 6-18) received evaluations and treatment recommendations.
- Anxiety disorders (45.4%) were the most common diagnosis, followed by ADHD (30.7%) and mood disorders (17%).
- Significant improvements in anxiety and depression were observed for patients with anxiety or mood disorders.
- Patients with ADHD showed significant improvement in parent-reported inattentive symptoms.
- Children with anxiety receiving psychotherapy alone or with medication management showed significant outcome differences.
Conclusions:
- The MAACC program demonstrated that collaborative care can effectively deliver high-quality mental healthcare in primary care settings.
- The program successfully increased primary care treatment capacity.
- MAACC's utilization and patient outcomes highlight the value of integrating existing community resources for enhanced pediatric mental healthcare.
Keywords:
collaborative caremeasurement based caremental healthpediatricprimary careprimary care integration and behavioral healthMore Related Videos
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:30Specialized Care Centers and Settings-II
728
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
728
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:19Standards of Care II
656
Nurses bear specific legal responsibilities under several federal statutes, including:
656
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K