Woodbey, George Washington

Heath, Elizabeth

doi:10.1093/acref/9780195301731.013.43936

Cited by 2 publications

(5 citation statements)

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“…Abbreviations: ADHD, attention-deficit/hyperactivity disorder; CBT, cognitive behavioral therapy; CCM, collaborative care model; ODD, oppositional defiant disorder; PCP, primary care practitioner; RN, registered nurse; SSRI, selective serotonin reuptake inhibitor. a Corresponds to the standard framework for levels of integrated health care from the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration (eFigure 1 in the Supplement). Level 1 indicates minimal on-site collaboration; level 2, basic collaboration at a distance; level 3, basic on-site collaboration; level 4, close on-site collaboration with some system integration; and level 5, close on-site collaboration approaching an integrated practice. b A modified version of the CCM that does not include all requisite components, such as a psychiatric consultant.…”

Section: Resultsmentioning

confidence: 99%

“… a Corresponds to the standard framework for levels of integrated health care from the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration (eFigure 1 in the Supplement). Level 1 indicates minimal on-site collaboration; level 2, basic collaboration at a distance; level 3, basic on-site collaboration; level 4, close on-site collaboration with some system integration; and level 5, close on-site collaboration approaching an integrated practice.…”

Section: Resultsmentioning

confidence: 99%

“…We used the standard framework for levels of integrated care developed by the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration to code the level of integration (eFigure 1 in the Supplement). This framework conceptualizes integration as a continuum, ranging from separate mental health and primary care systems with minimal coordination to integrated systems, in which mental health clinicians and PCPs function as a team in a shared practice setting . When fully implemented, the CCM represents highly integrated care.…”

Section: Methodsmentioning

confidence: 99%

“…To provide integrated services, primary care and mental health professionals collaborate to systematically address patients’ physical and mental health needs . Models of integration vary in scope, from minimal communication and coordination between professionals working in separate systems or locations to highly coordinated team-based care provided within the same practice …”

Section: Introductionmentioning

confidence: 99%

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Key Components of Effective Pediatric Integrated Mental Health Care Models

et al. 2020

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IMPORTANCEEmerging evidence suggests that integrated care models are associated with improved mental health care access and outcomes for youths (children Յ12 years and adolescents 12-21 years) served in pediatric primary care settings. However, the key components of these complex models remain unexamined.OBJECTIVE To identify and describe the key components of effective pediatric integrated mental health care models. EVIDENCE REVIEWThe PubMed, Embase, PsycINFO, and Cochrane Controlled Register of Trials electronic databases were searched for relevant peer-reviewed articles published between January 1, 1985, and April 30, 2019. Articles were restricted to those published in the English language. Eligible articles reported original data on youths 17 years or younger, implemented an integrated mental health care model in a pediatric primary care setting, and assessed the model's association with primary outcomes (eg, mental health symptom severity) and secondary outcomes (eg, functional impairment and patient satisfaction). Articles that specified some degree of systematic coordination or collaboration between primary care and mental health professionals were included in the final review. Two independent reviewers extracted data on study design, model type, model components, level of integration, and outcomes. Study quality was assessed using the Jadad scale. Data were analyzed between January 1, 2018, and May 31, 2019.FINDINGS Eleven randomized clinical trials involving 2190 participants were included. Three studies focused on youths with depression, 3 on youths with attention-deficit/hyperactivity disorder, and 5 on youths with behavioral disorders. Most studies (9 of 11) implemented either the collaborative care model (n = 3), a slightly modified version of the collaborative care model (n = 2), or colocated care (n = 4). The most commonly reported components of effective pediatric integrated mental health care models were population-based care, measurement-based care, and delivery of evidence-based mental health services; all 3 components were present in studies reporting clinical improvement of mental health symptoms. Other model components, such as treatment-to-target or team-based care, were common in studies reporting specific outcomes, such as functional impairment. CONCLUSIONS AND RELEVANCEThis review is the first to date to systematically search and qualitatively synthesize information on the key components of effective pediatric integrated mental health care models. This knowledge may be especially useful for pediatric primary care administrators in the selection of an integrated care model for their setting.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Key Components of Effective Pediatric Integrated Mental Health Care Models

et al. 2020

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show abstract

“…As health systems and educational institutions continue to make strides toward the quadruple aim of health care – improving patient outcomes, increasing efficiency, lowering costs, and preventing provider burnout [ 25 ] – coordinated and innovative responses are imperative to addressing health needs [ 3 8 24 27 28 ]. However, holistically addressing patient and population health requires seismic shifts in how care is provided and how future healthcare professionals receive integrated health care training.…”

Section: Introductionmentioning

confidence: 99%