A Multidisciplinary, Team-Based Teleconsultation Approach to Enhance Child Mental Health Services in Rural Pediatrics

Autor/inn/en	Margolis, Kate; Kelsay, Kimberly; Talmi, Ayelet; McMillan, Heidi; Fraley, M. Cecile; Thomas, John F. Fred
Titel	A Multidisciplinary, Team-Based Teleconsultation Approach to Enhance Child Mental Health Services in Rural Pediatrics
Quelle	In: Journal of Educational and Psychological Consultation, 28 (2018) 3, S.342-367 (26 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Margolis, Kate)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1047-4412
DOI	10.1080/10474412.2018.1431549
Schlagwörter	Mental Health; Health Services; Access to Health Care; Telecommunications; Child Health; Rural Areas; Interdisciplinary Approach; Psychiatry; Consultation Programs; Clinics; Pediatrics; Surveys; Documentation; Mixed Methods Research; Mental Disorders; Program Effectiveness + Suchen Sie Ihr Suchwort? Psychohygiene; Health service; Gesundheitsdienst; Gesundheitswesen; Telekommunikationstechnik; Rural area; Ländlicher Raum; Fächerübergreifender Unterricht; Fächerverbindender Unterricht; Interdisziplinarität; Psychiatrie; Fachberatung; Klinische Sozialpädiatrie; Survey; Umfrage; Befragung; Dokumentation; Mental illness; Geisteskrankheit
Abstract	Mental health services for rural youth are extremely limited, especially given the national shortage of child and adolescent psychiatrists (CAPs). Patient-centered primary care medical homes (PCMHs) are often their only available portal of care, yet high-quality PCMH integrated models of behavioral health that include a CAP are rare. This manuscript presents a unique multidisciplinary teleconsultation model wherein integrated behavioral systems consultation was employed to increase access to integrated behavioral health services. Common referrals included complex presentations outside of provider comfort range or medication and diagnostic clarification. Primary concerns were symptoms of ADHD, autism spectrum disorder, anxiety, and depression. Recommendations included referral to outpatient therapy, further coordination with the medical team, and follow-up with the CAP. Providers noted access to care, specialized quality of care, provider support, and enhancing principles of the PCMH as strengths of the teleconsultation. Challenges included patient engagement, scheduling/availability, challenges with the teleconsultation process, and provider-level barriers. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01