Bridging Mental Health and Medical Care in Underserved Pediatric Populations: Three Integrative Models

Brito, Arturo; Khaw, Adrian J.; Campa, Gladys; Cuadra, Anai; Joseph, Sharon; Rigual-Lynch, Lourdes; Olteanu, A.; Shapiro, Alan; Grant, Roy

doi:10.1016/j.yapd.2010.08.001

Cited by 11 publications

(3 citation statements)

References 55 publications

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“…Additionally, there are few programs based within the community setting that have demonstrated improvements in outcomes for youth populations with mild to moderate mental health concerns (Asarnow et al., ; Felker et al., ). There is growing evidence that an “integrative model of care” (National Institute for Health Care Management Foundation [NICHM], ), which actively encourages primary and mental healthcare providers to work together to identify the most appropriate screening and management in appropriate settings with ongoing bidirectional and communication, is likely to be more effective (Brito et al., ). There is also evidence to support school‐based healthcare‐ and community youth‐based organizations as an effective venue for providing care for youth with a range of mental health concerns (Denny, Balhorn, Lawrence, & Cosgriff, ; Rones & Hoagwood, ).…”

Section: Discussionmentioning

confidence: 99%

Facilitating Access to Effective and Appropriate Care for Youth With Mild to Moderate Mental Health Concerns in New Zealand

Clark

Johnson²,

Kekus³

et al. 2014

Child Adoles Psych Nursing

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This intervention appears to be an effective and acceptable strategy, particularly for Māori youth and those from lower socioeconomic groups, to reduce mild to moderate mental health symptoms and concerns. This approach could be replicated by other communities wishing to reduce mental health burden for youth by facilitating access to free, culturally appropriate, and accessible counseling via a multidisciplinary and collaborative triage approach.

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Section: Discussionmentioning

confidence: 99%

Facilitating Access to Effective and Appropriate Care for Youth With Mild to Moderate Mental Health Concerns in New Zealand

Clark

Johnson²,

Kekus³

et al. 2014

Child Adoles Psych Nursing

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“…Most communities are underserved by mental health providers. Colocation of services by integrating mental health providers into the primary care medical home 30 or homeless shelters 31 improves access to mental and behavioral health care for children. For particularly disadvantaged populations, broader models of care coordination also include support for nutrition, employment, housing, and child care 32 …”

Section: Benefits Of the Medical Home For Unselected Vulnerable Andmentioning

confidence: 99%

The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research

Kanter

Abramson

Redlener

et al. 2015

Disaster med. public health prep.

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In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community's predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in primary care for the underserved provide a favorable model for improving health in disrupted communities. Elements of medical home services can be offered by local or temporary providers from outside the region, working out of mobile clinics early in disaster recovery. As repairs and reconstruction proceed, local services are restored over weeks or years. Throughout recovery, major tasks include identifying high-risk patients relative to the disaster and underlying health conditions, assisting displaced families as they transition through housing locations, and tracking their evolving access to health care and community services as they are restored. Postdisaster sources of financial assistance for the disaster-exposed population are often temporary and evolving, requiring up-to-date information to cover costs of care until stable services and insurance coverage are restored. Evidence to support disaster recovery health care improvement will require research funding and metrics on structures, processes, and outcomes of the disaster recovery medical home and care coordination, based on adaptation of standard validated methods to crisis environments.

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“…The key for the integrated model relies on heavy investment of coordinated care provided by the on-site MHPs during the patient visit. 1 As Brito et al 4 describe, “Co-location does not necessarily translate into integrated care, and services may not be an improvement compared with the more traditional external consultation model. .…”

Section: Introductionmentioning

confidence: 99%

On-site Mental Health Professionals and Pediatric Residents in Continuity Clinic

Ragunanthan

Frosch

Solomon

2017

Clin Pediatr (Phila)

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The objective of the study was to examine differences in pediatric resident perceptions and practices related to child mental health conditions in continuity clinic settings with versus without on-site mental health professionals (MHPs). A 20-item questionnaire, based on the American Academy of Pediatrics Periodic Survey Number 59, was administered to pediatric residents in a medium-sized program from 2008 to 2011. Of 130 residents surveyed, compared with their peers, those practicing with the on-site MHPs were more likely to report mental health services as very available in their clinic (odds ratio [OR] = 39.7; P = .000). Residents with on-site MHPs inquired more frequently about attention-deficit/hyperactivity disorder (ADHD; OR = 2.96; P = .029) and referred more frequently for ADHD (OR = 3.68; P = .006), depression (OR = 2.82; P = .030), and behavioral problems (OR = 3.04; P = .012). On-site MHPs in continuity clinics offer great potential to improve resident education and patient care. Additional research is necessary to further understand their impact.

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Bridging Mental Health and Medical Care in Underserved Pediatric Populations: Three Integrative Models

Cited by 11 publications

References 55 publications

Facilitating Access to Effective and Appropriate Care for Youth With Mild to Moderate Mental Health Concerns in New Zealand

Facilitating Access to Effective and Appropriate Care for Youth With Mild to Moderate Mental Health Concerns in New Zealand

The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research

On-site Mental Health Professionals and Pediatric Residents in Continuity Clinic

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