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Using human-centered design to develop and implement a pediatric mental health care access program.

Chuan Mei Lee1,2, Joan Jeung1,3, Juliet C Yonek1

  • 1Child and Adolescent Psychiatry Portal, Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.

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Summary
This summary is machine-generated.

The Child and Adolescent Psychiatry Portal (CAPP) program enhances pediatric mental health care access by connecting primary care providers with psychiatrists. Human-Centered Design and strong partnerships were key to its rapid growth and provider satisfaction.

Keywords:
child psychiatrychild psychiatry access programdelivery of health carehuman-centered designintegratedpediatric mental health care access programpediatricsprimary care

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Area of Science:

  • Health Services Research
  • Child and Adolescent Psychiatry
  • Human-Centered Design

Background:

  • Pediatric mental health care access remains a challenge, particularly in underserved regions.
  • Primary care providers (PCPs) often lack direct access to specialized psychiatric consultation.
  • Integrating behavioral health services into primary care settings is crucial for improving child mental health outcomes.

Purpose of the Study:

  • To describe the development and implementation of the Child and Adolescent Psychiatry Portal (CAPP) program at UCSF.
  • To highlight the role of Human-Centered Design (HCD) in shaping CAPP's services.
  • To evaluate the initial impact and growth of a pediatric mental health care access (PMHCA) program.

Main Methods:

  • Utilized Human-Centered Design (HCD) principles for program development and iterative improvement.
  • Established a remote consultation service connecting PCPs with child and adolescent psychiatrists via a telephone warmline.
  • Implemented training and education programs for pediatric providers.

Main Results:

  • CAPP rapidly enrolled 1,714 providers from 257 practices across 36 counties.
  • Provided 3,288 consults for 2,703 unique pediatric patients as of August 2023.
  • Preliminary findings show high PCP satisfaction, despite ongoing integration challenges.

Conclusions:

  • Multidisciplinary partnerships and a people-centered approach are critical for the success and sustainability of PMHCA programs.
  • HCD is an effective framework for designing and implementing responsive mental health services.
  • The CAPP model demonstrates a scalable solution for improving pediatric mental health care delivery.