Incorporating Trainees' Development into a Multidisciplinary Training Model for Integrated Behavioral Health Within a Pediatric Continuity Clinic

Kelsay, Kimberly; Bunik, Maya; Buchholz, Melissa; Burnett, Bridget; Talmi, Ayelet

doi:10.1016/j.chc.2017.06.001

Cited by 14 publications

(7 citation statements)

References 11 publications

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“…13 Project CLIMB (Consultation-Liaison in Mental and Behavioral Health) is a fully integrated 14 behavioral health program that provides services to children aged 0 to 18 years and their families and is staffed by psychologists, psychiatrists, developmental pediatricians, master's-level clinicians, and trainees. 15…”

Section: Methodsmentioning

confidence: 99%

Addressing Adolescent Suicidality in Pediatric Primary Care

Kenny,

Kelsay,

Bunik

et al. 2023

J Dev Behav Pediatr

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Objective: This study examines prevalence rates of reported suicidal ideation (SI) in 2107 adolescents, characterizes recommendations and interventions given by primary care providers (PCPs) and behavioral health clinicians (BHCs) in response to SI on the Patient Health Questionnaire 9-Item Modified for Adolescents (PHQ-9A) for 140 adolescents, and identifies factors associated with a decrease in the frequency of SI at follow-up visits for 85 adolescents. Methods: A retrospective mixed-method approach was taken. Clinical informatics was used to extract visit data, demographics, and PHQ-9A scores for all visits between January 3, 2017, and August 31, 2018. Conventional content analysis of electronic medical records was used to examine qualitative results, and qualitative codes were then analyzed using point-biserial correlations. The setting includes a fully integrated behavioral health team within the primary care clinic. Results: Of the 2107 adolescents, 140 (7%) endorsed SI within the past 2 weeks. Content analysis yielded 40 actions (17 PCP codes and 23 BHC codes) used in response to SI. Significant correlations were found between decreased SI frequency and the PCP referring to integrated behavioral health (r = 0.24) and family navigators (r = 0.26) and BHCs conducting a risk assessment (r = 0.24), completing a safety plan (r = 0.21), involving caregivers (r = 0.29), sending the adolescent to the emergency department (r = 0.28), and referring to family navigators (r = 0.21; all p values < 0.05). Conclusion: The findings from this study support screening for SI and highlight specific multidisciplinary and family-centered interventions and recommendations to address adolescent endorsement of SI in pediatric primary care settings.

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Section: Methodsmentioning

confidence: 99%

Addressing Adolescent Suicidality in Pediatric Primary Care

Kenny,

Kelsay,

Bunik

et al. 2023

J Dev Behav Pediatr

Self Cite

View full text Add to dashboard Cite

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“…This continuously changing eld of mental health research demands a critical examination and investigation of different strategies and interventions. It is already known that a multidisciplinary approach (10)(11)(12) and an evidence-based modelling (13) of care are needed at the onset of mental health problems, in order to compare and understand the underlying mechanisms of the mental wellbeing. Therefore, in order to improve the quality and effectiveness of the provided mental health services, an assessment of the existing services' quality is necessary, as well as "measuring and quantifying it in such a way so that comparisons can be made feasible over time at local, state, and transnational levels" (14) .…”

Section: Existing Status Of Mental Health Servicesmentioning

confidence: 99%

Applying a General Systems Theory framework in Mental Health Treatment Pathways: the case of the Hellenic Center of Mental Health and Research

Katrakazas¹,

Grigoriadou

Koutrouris

2020

Preprint

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Language, socio-emotional and cognitive development in children and adolescents with mental health issues is getting increased attention over the last years. Establishing communication patterns and addressing behavioural diversities among this population should be of priority, along with a better understanding in a large variety of patient characteristics within the operational framework of mental healthcare centers. Therefore, the relationships between provided services and operational capability should become more evident. As integrated systems’ approaches are still missing to predict the efficiency of treatment services in a macroscopic scale, a General Systems Theory framework is hereby proposed. This framework is applied and tested against the operational framework of the Hellenic Center of Mental Health and Research, in order to identify the need of such an approach and the strong cooperation between medical and population interactions. Using such frameworks as a prerequisite to identify important factors affecting population states can lead to evaluating their impact on the treatment outcome and depict the complexity of pathways potentially related to the children’s development.

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“…This continuously changing field of mental health research demands a critical examination and investigation of different strategies and interventions. It is already known that a multidisciplinary approach [ 10 – 12 ] and an evidence-based modelling [ 13 ] of care are needed at the onset of mental health problems, in order to compare and understand the underlying mechanisms of the mental well-being. Therefore, in order to improve the quality and effectiveness of the provided mental health services, an assessment of the existing services’ quality is necessary, as well as “measuring and quantifying it in such a way so that comparisons can be made feasible over time at local, state, and transnational levels” [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Applying a general systems theory framework in mental health treatment pathways: the case of the Hellenic Center of Mental Health and Research

Katrakazas¹,

Grigoriadou

Koutsouris³

2020

Int J Ment Health Syst

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Language, socio-emotional and cognitive development in children and adolescents with mental health issues is getting increased attention over the last years. Establishing communication patterns and addressing behavioural diversities among this population should be of priority, along with a better understanding in a large variety of patient characteristics within the operational framework of mental healthcare centers. Therefore, the relationships between provided services and operational capability should become more evident. As integrated systems' approaches are still missing to predict the efficiency of treatment services in a macroscopic scale, a General Systems Theory framework is hereby proposed. This framework is applied and tested against the operational framework of the Hellenic Center of Mental Health and Research, in order to identify the need of such an approach and the strong cooperation between medical and population interactions. Using such frameworks as a prerequisite to identify important factors affecting population states can lead to evaluating their impact on the treatment outcome and depict the complexity of pathways potentially related to the children's development.

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Incorporating Trainees' Development into a Multidisciplinary Training Model for Integrated Behavioral Health Within a Pediatric Continuity Clinic

Cited by 14 publications

References 11 publications

Addressing Adolescent Suicidality in Pediatric Primary Care

Addressing Adolescent Suicidality in Pediatric Primary Care

Applying a General Systems Theory framework in Mental Health Treatment Pathways: the case of the Hellenic Center of Mental Health and Research

Applying a general systems theory framework in mental health treatment pathways: the case of the Hellenic Center of Mental Health and Research

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