Emerging Issues: Psychology’s Place in the Primary Care Pediatric Medical Home

Tynan, W. Douglas; Woods, Kathryn

doi:10.1037/cpp0000042

Cited by 14 publications

(7 citation statements)

References 24 publications

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“…Secondary care (Tier 2) involves treatment of more complex illnesses and conditions, and tertiary care (Tier 3) is highly specialised care 32 . Accessing mental health services through the less stigmatised and more visible and familiar primary health care services 33 ‐ 36 — such as through general practice in Australia and primary paediatric services in the US — where the focus has traditionally been on physical health concerns, has typically been the approach taken by decision makers keen to improve access to mental health care for young people 24 . However, it has been acknowledged that young people may be reluctant to access traditional primary health care for mental health difficulties, 37 highlighting the importance of a youth‐friendly approach that is matched to the needs of the young person.…”

Section: Integrated Youth Health Carementioning

confidence: 99%

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Hetrick

Bailey

Smith³

et al. 2017

Medical Journal of Australia

198

280

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Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.

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Section: Integrated Youth Health Carementioning

confidence: 99%

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Hetrick

Bailey

Smith³

et al. 2017

Medical Journal of Australia

198

280

View full text Add to dashboard Cite

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“…The current health care reform initiative highlights the provision of integrated psychosocial and medical care of patients. 72 Many skin conditions present a considerable psychosocial challenge, and psychosocial stress can potentially worsen psoriasis. 66 A coordinated treatment approach can promote successful and comprehensive care by addressing the biological, psychological, and social aspects of psoriasis, thereby facilitating optimal adherence and patient quality-of-life outcomes.…”

Section: Innovation In Pediatric Psoriasis Carementioning

confidence: 99%

Psoriasis in childhood: effective strategies to improve treatment adherence

Shah¹,

Cortina²,

Ernst³

et al. 2015

PTT

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Psoriasis is a relatively common chronic inflammatory skin disease in children for which there is no cure. Most children have mild disease that can be managed with topical therapy as opposed to phototherapy or systemic therapy. Despite the mild presentation of psoriasis in most children, the disease can have a significant impact on quality of life due to the need for ongoing treatment, the frequently visible nature of the cutaneous manifestations, and the social stigma that is associated with psoriasis. Adherence to treatment, in particular topical therapy, is often poor in adults and compromises response to therapy and medical provider management strategies. Multiple factors that may contribute to nonadherence in adults with psoriasis have been identified, including lack of education on the disease and expectations for management, issues related to ease of use and acceptability of topical medications, and anxiety regarding possible medication side effects. There is currently no published data on adherence in the pediatric psoriasis population; however, poor adherence is often suspected when patients fail to respond to appropriate therapy. General strategies used to assess adherence in other pediatric disease populations can be applied to children with psoriasis, and interventions that reflect experience in other chronic dermatologic disorders such as atopic dermatitis may also be helpful for medical providers caring for children with psoriasis.

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“…Relatedly, the American Academy of Pediatrics has endorsed a "medical home" model, highlighting the importance of comprehensive and coordinated care of the "whole child" as well as easy access to services that meet both children's and families' medical and psychosocial needs. This increased commitment to assessing the biopsychosocial needs of the child and family is demonstrated in half of the 26 new ACA-mandated prevention screenings and services related to behavioral health [3]. There is considerable evidence for the value of psychologists in improving pediatric chronic care across a range of populations, service settings, referral concerns and behavioral, functional and biomedical outcomes [4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Inter professional teamwork: A case study examining the practice patterns and perceptions of pediatric psychologists

Ernst¹,

Filigno²,

Byars³

et al. 2017

Contemp Behav Health Care

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Interprofessional care including psychologists has been shown to be effective for both primary and subspecialty integrated care. However, providers of behavioral health are infrequently included in studies of interprofessional collaborative practice. The current study explores the activities and perceptions related to interprofessional care of 13 psychologists involved in 19 different interprofessional teams within one institution. To fully explore relevant issues and examine barriers and facilitators to interprofessional teamwork in a systematic and comprehensive fashion, a mixed-method analytic design was used. Quantitative data were collected via survey. Qualitative data obtained by structured interviews were coded for critical themes using grounded theory. Pediatric psychologists working on interprofessional teams were generally satisfied with their experiences. Key facilitators included being valued on the team and using standardized assessments. Barriers centered on financial issues such as scheduling issues impeding billable activity. Based on these findings, we provide a number of recommendations on maximizing clinical care, optimizing the role within the interprofessional team and meeting professional responsibilities.

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Emerging Issues: Psychology’s Place in the Primary Care Pediatric Medical Home

Cited by 14 publications

References 24 publications

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Psoriasis in childhood: effective strategies to improve treatment adherence

Inter professional teamwork: A case study examining the practice patterns and perceptions of pediatric psychologists

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