International perspective on integrated care models in child and adult mental health

Shaligram, Deepika; Skokauskas, Norbert; Aragonès, Enric; Azeem, Muhammad Waqar; Bala, Abishek; Bernstein, Bettina; Cama, Shireen; Canessa, Laura; Silva, Flávio Dias; Engelhard, Caitlin; Garrido, Gabriela; Guerrero, Anthony P. S.; Hunt, Jeffrey; Jadhav, Mandar; Martin, Sarah L.; Miliauskas, Claudia Reis; Nalugya, Joyce; Nazeer, Ahsan; Ong, Say How; Robertson, Paul; Sassi, Roberto; Seker, Asilay; Watkins, Michael J.; Leventhal, Bennett L.

doi:10.1080/09540261.2022.2059346

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…Fellows engage in-person and virtual consultations in the primary care clinic and perform electronic chart reviews to develop the skills of conducting a focused, time-limited evaluation that informs assessment, treatment plan documentation, teaching, and case review with PPCPs. The rotation emphasizes the unique skills of CAPs in integrated care models, such as measurement-based care, short-term and goal-oriented treatment, and partnering with PPCPs, which may not be the focus of training in other settings [ 48 ].…”

Section: Concrete Recommendations For Advances In Child and Adolescen...mentioning

confidence: 99%

Advances in Child Psychiatry Education and Training

Adiba¹,

Sidhu²,

Shaligram³

et al. 2023

Advances in Psychiatry and Behavioral Health

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Section: Concrete Recommendations For Advances In Child and Adolescen...mentioning

confidence: 99%

Advances in Child Psychiatry Education and Training

Adiba¹,

Sidhu²,

Shaligram³

et al. 2023

Advances in Psychiatry and Behavioral Health

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“…Without appropriate early interventions, children and adolescent mental health symptoms can evolve into potentially lifelong mental disorders, yet 70% of those experiencing mental health problems go without receiving appropriate care (1,(4)(5)(6). As part of routine health care, children and adolescents should, but rarely do, receive early assessments for risks associated with mental disorders (7,8). Detecting and managing these risks as early as possible can help to reduce costs of services as well as societal costs, and ultimately, help alleviate the high demand for more complex treatment services (8,9).…”

Section: Introductionmentioning

confidence: 99%

“…As part of routine health care, children and adolescents should, but rarely do, receive early assessments for risks associated with mental disorders (7,8). Detecting and managing these risks as early as possible can help to reduce costs of services as well as societal costs, and ultimately, help alleviate the high demand for more complex treatment services (8,9). CAMHS expansion requires not only redistributed health budgets to allocate a greater share of funding toward mental health, but also investment in additional technological resources and mental health informatics (1,4).…”

Section: Introductionmentioning

confidence: 99%

Usability of the IDDEAS prototype in child and adolescent mental health services: A qualitative study for clinical decision support system development

et al. 2023

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IntroductionChild and adolescent mental health services (CAMHS) clinical decision support system (CDSS) provides clinicians with real-time support as they assess and treat patients. CDSS can integrate diverse clinical data for identifying child and adolescent mental health needs earlier and more comprehensively. Individualized Digital Decision Assist System (IDDEAS) has the potential to improve quality of care with enhanced efficiency and effectiveness.MethodsWe examined IDDEAS usability and functionality in a prototype for attention deficit hyperactivity disorder (ADHD), using a user-centered design process and qualitative methods with child and adolescent psychiatrists and clinical psychologists. Participants were recruited from Norwegian CAMHS and were randomly assigned patient case vignettes for clinical evaluation, with and without IDDEAS. Semi-structured interviews were conducted as one part of testing the usability of the prototype following a five-question interview guide. All interviews were recorded, transcribed, and analyzed following qualitative content analysis.ResultsParticipants were the first 20 individuals from the larger IDDEAS prototype usability study. Seven participants explicitly stated a need for integration with the patient electronic health record system. Three participants commended the step-by-step guidance as potentially helpful for novice clinicians. One participant did not like the aesthetics of the IDDEAS at this stage. All participants were pleased about the display of the patient information along with guidelines and suggested that wider guideline coverage will make IDDEAS much more useful. Overall, participants emphasized the importance of maintaining the clinician as the decision-maker in the clinical process, and the overall potential utility of IDDEAS within Norwegian CAMHS.ConclusionChild and adolescent mental health services psychiatrists and psychologists expressed strong support for the IDDEAS clinical decision support system if better integrated in daily workflow. Further usability assessments and identification of additional IDDEAS requirements are necessary. A fully functioning, integrated version of IDDEAS has the potential to be an important support for clinicians in the early identification of risks for youth mental disorders and contribute to improved assessment and treatment of children and adolescents.

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