The Integration of Clinical Decision Support Systems Into Pediatric Subspecialty Care

Abstract

Objective: This review aims to provide a brief introduction of clinical decision support systems (CDSSs) and discuss the role of psychology for the integration of CDSSs for child mental health into pediatric subspecialty care. Methods: A review of literature regarding CDSSs used for physical and mental health services was conducted to lay the foundation for our recommendations. Results: Children with chronic physical illness are twice as likely to suffer from mental illness as compared to healthy controls. These mental health problems are often discovered in pediatric subspecialty care. Yet their mental health needs are often unaddressed when the sections of pediatric subspecialty care and mental health are not well coordinated. CDSSs could help subspecialty providers with evidence-based decision-making regarding mental health screening and referrals. That is, CDSSs could enhance the access to most effective mental health treatment for children. However, the implementation of CDSSs in pediatric subspecialty care is very limited. Conclusions: Psychologists could assist subspecialty providers with advocating CDSSs to administrative and information technology staff, as well as build, customize, evaluate, and update CDSSs. Implications for Impact StatementThis review discusses a need for integrating clinical decision support systems (CDSSs) into pediatric subspecialty care to improve care coordination between pediatric subspecialty care and mental health sections. A role of pediatric psychology is proposed.