Research in the Integration of Behavioral Health for Adolescents and Young Adults in Primary Care Settings: A Systematic Review

Richardson, Laura P.; McCarty, Carolyn A.; Radovic, Ana; Suleiman, Ahna Ballonoff

doi:10.1016/j.jadohealth.2016.11.013

Cited by 71 publications

(49 citation statements)

References 71 publications

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“…approaching adulthood, a teenager faces many difficult tasks, and some of these can be overwhelming. in general, youth itself is considered a risk factor for mental problems [6,8]. additionally, studies revealed that the treatment rate among adolescents and young adults with mental health problems is especially low.…”

Section: Discussionmentioning

confidence: 99%

“…one of the problems related to mental disorders in adolescents that emerged from a review of literature is the low rate of youngsters receiving appropriate care. research has shown that only 50% of adolescents who suffer from severe impairment related to mental health problems is under specialist care [6].…”

Section: Introductionmentioning

confidence: 99%

“…it is emphasized that the first vital step in the treatment of mental disorders, as well as preventing suicide, is the identification of mental health problem, including subthreshold disorders, as well as risky behaviors [6,7]. Hence, improvement of identification of mental health problems at their early stage is of great importance [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

Nowicka-Sauer¹,

Karcz²,

Dymowska³

et al. 2018

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Background. an increase in the prevalence of mental disorders and suicidal attempts is being observed worldwide. this tendency is also being noted among adolescents. a consistent screening for mental disorders among adolescents can be helpful in early diagnosis. Objectives. the aim of the study was to assess the prevalence of selected mental disorders among graduation class adolescents by means of a screening assessment. Material and methods. the study sample consisted of 399 graduation class adolescents, including 221 (55.4%) women and 178 (44.6%) men. the median age was 18.0 years. the Primary care evaluation of mental disorders Patient Health Questionnaire (Prime-md PHQ) was used. Results. 'alcohol abuse' was preliminary diagnosed in 134 (33.6%) participants and was the most common disorder in the studied group. a preliminary diagnosis of 'major depression' was made in 21 (6.2%) adolescents. the same prevalence-60 (15%)-of 'other depressive' and 'other anxiety disorders' was noted. in 10 participants (2.5%), 'panic syndrome' was preliminary diagnosed. Bulimia nervosa was suspected in 5 (1.3%) of the participants, and 'other eating disorders' in 34 (8.5%). 'other depressive disorders' and 'other anxiety disorders' were more common in women than men (p = 0.002 and p = 0.029, respectively). 'alcohol abuse' was significantly more prevalent among men (p = 0.025). Conclusions. 1. Preliminary diagnosis of alcohol abuse was the most common in the studied adolescent group. this problem was especially frequent among men. 2. Psycho-educative intervention is of great importance among youngsters, especially among graduation adolescents. 3. Screening for mental disorders among graduation adolescents seems vital.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

Nowicka-Sauer¹,

Karcz²,

Dymowska³

et al. 2018

fmpcr

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“…Expansion of the medical home team to include a mental health provider is financially feasible in some payment environments and clinically beneficial to patients and families. [94][95][96][97] In addition, it offers PCCs the benefit of crossdisciplinary learning through experiences such as collaborative care planning, clinical problem solving, and comanagement of patients with mental health morbidities and comorbidities. [98][99][100] These integrated models of care in which a licensed mental health specialist is on-site in a primary care practice have shown promise in improving access to mental health care for patients, improving patient functioning and productivity, and improving patient and provider satisfaction.…”

Section: Education Of Experienced Cliniciansmentioning

confidence: 99%

Achieving the Pediatric Mental Health Competencies

2019

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“…5 Asarnow et al's 6 systematic review revealed that, compared with youth receiving usual care, youth receiving integrated care were 66% more likely to have better behavioral health outcomes. A systematic review examining the integration of behavioral health within clinical settings 7 found the number of studies on adolescents and young adults was low; accordingly, the authors recommend research on strategies to increase the likelihood of integrated care adoption and implementation.…”

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confidence: 99%

An Electronic Referral and Social Work Protocol to Improve Access to Mental Health Services

et al. 2018

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BACKGROUND AND OBJECTIVES: The prevalence of mental health problems among adolescents in the United States is a major public health concern. However, the uptake of mental health treatment is low. Integrating behavioral health into primary care is 1 research-informed strategy to increase engagement in treatment. Facilitators of and barriers to implementation of integrated behavioral health in a pediatric primary care setting are not well delineated. METHODS: We examined the effectiveness of 2 mental health quality improvement strategies: an electronic referral and a social work follow-up protocol. We analyzed the following measures: uptake rate of first mental health appointments, overall use of mental health appointments, and first and overall mental health appointment show rate. RESULTS: Overall use rate improved after implementation of electronic referral, with 13 consecutive points above the median. First appointment show rates improved with a special cause run occurring after adding social work students to the mental health quality improvement team. First appointment show rate improved from a monthly average of 51% (November 2014 to March 2016) to 78% (April 2016 to December 2016). Use rate improved initially with increased efforts in assisting patients with scheduling; show rate improved more slowly after an emphasis on scheduling patients exhibiting treatment readiness. CONCLUSIONS: Findings suggest that a number of facilitators can increase the effective use of mental health services in an integrated adolescent clinical setting. These include an electronic referral through a shared electronic health record, multidisciplinary collaboration, and care management by social workers equipped with a variety of clinical and care coordination skills.

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Research in the Integration of Behavioral Health for Adolescents and Young Adults in Primary Care Settings: A Systematic Review

Cited by 71 publications

References 71 publications

Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

Achieving the Pediatric Mental Health Competencies

An Electronic Referral and Social Work Protocol to Improve Access to Mental Health Services

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