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Pediatric collaborative care outcomes in a regional model.

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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.

Keywords:
collaborative caremeasurement based caremental healthpediatricprimary careprimary care integration and behavioral health

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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.