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Enhancing Primary Care and Behavioral Health Teams' Confidence in Addressing Early Childhood Mental Health Using the
Kara Lindquist Lowen1, Marisa Matsudaira2, Maria Carolina Clark3
1UMass Chan Medical School, UMass Memorial Medical Center, Worcester, MA, USA. Kara.Lindquist@umassmed.edu.
Summary
The Project ECHO (Extension for Community Healthcare Outcomes) model improved primary care clinicians' knowledge and confidence in addressing young children's behavioral health needs. Participants reported significant positive impacts on their work with families and children.
Area of Science:
- Child and Adolescent Psychiatry
- Public Health
- Healthcare Education
Background:
- The Project ECHO (Extension for Community Healthcare Outcomes) model is a proven method for knowledge sharing and case-based learning.
- Addressing the behavioral health needs of young children requires specialized knowledge and confidence among primary care clinicians.
- Early relational health principles are crucial for understanding and supporting young children and their families.
Purpose of the Study:
- To evaluate the effectiveness of the Project ECHO model in enhancing primary care clinicians' and behavioral health teams' knowledge and confidence in addressing young children's behavioral health needs.
- To assess the impact of Project ECHO on clinical practice related to early childhood mental health.
- To identify key factors influencing the successful implementation of Project ECHO in early childhood behavioral health.
Main Methods:
- Two Project ECHO programs were developed, targeting primary care clinicians and integrated behavioral health providers.
- The programs emphasized early relational health principles, providing frameworks and tools for understanding young children and their caregivers.
- Quantitative and qualitative data were collected to assess program impact.
Main Results:
- Participants reported increased knowledge and confidence in evaluating early childhood mental health concerns.
- Nearly 75% of primary care clinicians implemented changes post-program, with 100% planning to within three months.
- Participants highlighted the importance of considering relational, social, cultural, and systemic factors in their work with young children and families.
Conclusions:
- The Project ECHO model is an effective strategy for improving clinician self-rated confidence and knowledge in early childhood mental health.
- The findings support the scalability and utility of the Project ECHO model for enhancing behavioral health services for young children.
- Continued application of the Project ECHO model can strengthen the capacity of primary care to meet the behavioral health needs of young children.
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