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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Updated: Jun 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Building independent mental health practice through collaborative care.

Rachel Ballard1, Ndeah Terry2, Susan J Friedland3

  • 1Ann & Robert H. Lurie Children's Hospital, Chicago, Illinois.

Academic Pediatrics
|June 24, 2026
PubMed
Summary

Collaborative care programs improve pediatrician management of youth anxiety and depression. Pediatricians in these programs diagnose and treat more mental health conditions independently.

Keywords:
independent practiceintegrated caremental health care

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Last Updated: Jun 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Pediatric mental health care delivery
  • Integrated care models
  • Health services research

Background:

  • Pediatricians manage most US youth mental health care but often lack confidence.
  • Integrated care, like collaborative care, can enhance pediatrician competence.
  • These models may increase pediatrician autonomy in managing mental health.

Purpose of the Study:

  • To evaluate the impact of a collaborative care program on pediatrician management of pediatric anxiety and depression.
  • To compare mental health care practices between pediatricians in a collaborative care program and those in a control group.

Main Methods:

  • A four-year retrospective cohort study compared two groups of pediatric practices.
  • Group 1 (15 pediatricians) participated in an off-site collaborative care program.
  • Group 2 (15 pediatricians) did not participate; outcomes included diagnosis, treatment, and visit frequency.

Main Results:

  • Collaborative care was linked to higher odds of annual (OR=2.35) and thrice-annual (OR=2.98) visits for anxiety/depression.
  • Pediatricians in the program were more likely to prescribe antidepressants (OR=6.33) and ADHD medications (OR=1.31).

Conclusions:

  • Participation in collaborative care increased pediatrician diagnosis and management of anxiety and depression.
  • The program facilitated independent management beyond formal consultations.