Implementation of Contraception Care for Psychiatrically Hospitalized Adolescents: A Hybrid Type 2...

Area of Science:

• Adolescent health
• Reproductive health
• Mental health services

Background:

• Adolescents with psychiatric disorders have unique reproductive health needs.
• Inpatient psychiatric settings present an opportunity for targeted health interventions.
• Access to contraception is crucial for this vulnerable population.

Purpose of the Study:

• To assess the implementation and effectiveness of the Contraception Care at the Behavioral Health Pavilion (CC@BHP) intervention.
• To evaluate the delivery of contraceptive counseling and initiation among hospitalized adolescents.
• To determine the feasibility of integrating reproductive health services into inpatient psychiatric care.

Main Methods:

• Prospective, observational, hybrid type 2 effectiveness-implementation study.
• Intervention implemented across 4 inpatient psychiatric units at a quaternary children's hospital.
• Data collected on provider adoption, intervention reach, and patient outcomes (consultation, initiation).

Main Results:

• The CC@BHP intervention was adopted in 29.0% of visits, with 19.1% resulting in a consultation order.
• Adolescents received consultations in 16.7% of visits, and 7.9% initiated contraception.
• Implementation metrics, including adoption and reach, improved across later study waves.

Conclusions:

• The CC@BHP intervention successfully provided contraceptive counseling and initiation, including long-acting reversible contraceptives.
• Inpatient psychiatric admissions are a viable and timely setting for addressing adolescent reproductive health.
• The study highlights the potential for integrating comprehensive care for adolescents with behavioral health conditions.