About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Pitt Study Says Integrating Mental Health Services in Pediatric Practices Feasible and Effective

by Kathy Jones on March 24, 2014 at 4:12 PM
Font : A-A+

 Pitt Study Says Integrating Mental Health Services in Pediatric Practices Feasible and Effective

A new study has found that brief behavioral and mental health programs for children can be effectively provided within pediatric practices. The study was conducted by University of Pittsburgh Schools of the Health Sciences researchers and funded by the National Institutes of Health.

Behavioral health treatment provided in the pediatrician's office resulted in improved access to care, greater participation by both the child and their caregiver in treatment programs, and higher rates of treatment completion, without burdening the pediatric practice, researchers report in the April issue of the journal Pediatrics.

Advertisement

"Treating both physical and behavioral health in the office of the child's pediatrician is an achievable goal that provides many benefits to the child, caregiver and pediatrician" said lead author David Kolko, Ph.D., professor of psychiatry, psychology, pediatrics, and clinical and translational science in Pitt's School of Medicine. "When the behavioral health treatment was provided in the pediatrician's office, participants were more than six times as likely to complete the program, as they were when it was provided at a specialty care clinic outside the pediatrician's office." Dr. Kolko and his colleagues recruited more than 300 children and their caregivers at eight community pediatric practices affiliated with Children's Hospital of Pittsburgh of UPMC who had been referred for treatment of behavioral problems, though many also had attention-deficit/hyperactivity disorder (ADHD) or anxiety. This study is the third one completed by Services for Kids in Primary-Care (SKIP), a program that integrates behavioral health services into primary pediatric and family medicine practices (more information available at www.skipproject.org).

In this trial, half the children received "doctor office collaborative care," where a trained behavioral health clinician, known as a care manager, collaborated with the child's pediatrician to deliver mental health services in the pediatrician's office. The other half received "enhanced usual care," where the patients received educational materials and were referred to a local mental health specialist outside the pediatrician's office who accepted the child's health insurance. The participants averaged 8 years old and two-thirds were boys. Most had a primary diagnosis of ADHD, followed by disruptive behavior disorder and anxiety disorder. Only 10 percent previously had received ADHD medication. In the program at the pediatrician's office, the child and their caregiver participated in six to 12 individual or family sessions within six months where the mental health clinician worked on individualized goals to address the behavioral health issue and reviewed educational materials to help achieve those goals.
Advertisement

The clinician communicated with the pediatrician in regular meetings and through progress notes. In both the in-office and outside specialist programs, the pediatrician was updated on the patient's care and could prescribe medication for the child when necessary. Of the participants assigned to the care manager at the pediatrician's office, 99.4 percent began treatment programs and 76.6 percent completed them. Of those assigned to a specialist outside the office, 54.2 percent began treatment and 11.6 percent completed it. The program in the pediatrician's office also was associated with higher rates of improvement in behavioral and hyperactivity problems, lowered parental stress, better treatment response and consumer satisfaction. Beyond the child and their caregiver, pediatricians whose offices received the in-office program reported greater efficacy and more confidence in their skills to treat ADHD, compared with the outside specialist program. "In fact, the participating pediatric practices in this clinical trial later hired their own mental health clinicians to continue delivering on-site services, after the trial had ended," said Dr. Kolko. "Still more research is needed to understand how pediatric practices adapt clinical and financial strategies to make an in-office behavioral health provider a sustainable resource. Perhaps pediatricians who observe the program in operation may be willing to find a way to support these resources and make that service work."



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Health Benefits of Sea Buckthorn
Contraceptive Pills in Polycystic Ovary Syndrome (PCOS) Curtail Type 2 Diabetes Risk
Mushroom May Help Cut Down the Odds of Developing Depression
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Adolescence Depression Anxiety Disorder Reiki-A Holistic Healing Method Flowers And What They Mean To Us Pediatric Pyloric Stenosis Health Insurance - India Ways to Improve your Intelligence Quotient (IQ) Mental Health - Neurosis vs Psychosis Understanding the Role of Love in Mental Health Effect of Romantic Movies on a Child's Mental Health 

Recommended Reading
Adolescent Depression
Adolescent depression is an ailment that occurs during the teenage characterized by persistent ......
Can You Cope with Your Children’s Tantrums?
It is natural for children to throw tantrums, but how parents react to such situations makes all ......
Mantra to Prevent Childhood Obesity – Vigorous Physical Activity
Being physically very active is the mantra to prevent pediatric obesity rather than concentrating .....
Anxiety Disorder
Anxiety disorder involves excessive worry about actual circumstances, events or conflicts. Anyone ca...
Effect of Romantic Movies on a Child's Mental Health
Romantic movies can affect a child''s mental health both positively and negatively and therefore, cr...
Flowers And What They Mean To Us
Flowers can be used as infusion for treating digestive disorders or they can be used as poultice for...
Health Insurance - India
Health insurance has emerged as one of the fastest growing segments in the non-life insurance indust...
Mental Health - Neurosis vs Psychosis
Mental well-being is a concern and abnormal coping of emotions can lead to neurosis or psychosis. Me...
Pediatric Pyloric Stenosis
Pyloric stenosis in a child is narrowing of the pylorus due to which the milk cannot pass into the s...
Understanding the Role of Love in Mental Health
Love plays a crucial role in our mental health. Love that comes from a friend, a partner, a sibling,...
Ways to Improve your Intelligence Quotient (IQ)
Intelligence quotient (IQ) is a psychological measure of human intelligence. Regular physical and me...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use