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Opportunities to Promote Children's Behavioral Health Health Care Reform and Beyond: Workshop Summary (2015) / Chapter Skim
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6 Implementing Innovations in Primary Care
Pages 49-54

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From page 49...
... One panel at the workshop looked specifically at the primary care setting. Models for care touched on by the panelists include preventive services obtained at regularly scheduled well-health supervision visits, connecting mental health practitioners with pediatricians remotely or in colocated practices, seeing parents as well as children in the same practices or health centers, and using information technology to help integrate care for children, adolescents, and their families.
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From page 50...
... Workforce development is a challenge, said Briggs, with her biggest challenge being to find qualified psychiatrists and psychologists, despite being in New York City. "If I hire a bunch of child psychologists, social workers, and child psychiatrists who are used to working in an outpatient mental health clinic and ask them to do short-term population-based health care for a clinic with 10,000 kids, it's not going to happen." Briggs noted that she has just 1 child psychiatrist for every 20,000 children in the system.
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From page 51...
... ACCESSING MENTAL HEALTH EXPERTISE IN MASSACHUSETTS The Massachusetts Child Psychiatry Access Project (MCPAP) is a program that connects pediatricians and child psychologists with primary care to improve children's access to mental health care, said Barry Sarvet, medical director for the project, chief of child and adolescent psychiatry at Baystate Medical Center, and clinical professor at Tufts University School of Medicine.
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From page 52...
... "Beyond training and consultation, there is enormous need for process improvement efforts to help practices incorporate attention to mental health within their primary care workflows." A large number of states are developing similar models, which is leading to a national network of child psychiatry access programs. However, each program is funded differently, Sarvet noted, and more standardized funding streams would help promote these kinds of efforts.
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From page 53...
... Their answers to those questions are added to the EMR system, another set of hundreds of rules is applied to the enriched data set, and six reminders are provided to the pediatrician. "It's not 12 reminders, and it's not 8 reminders, it's 6, because that's what they will tolerate getting in a busy primary care pediatric practice," said Downs.
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Key Terms

  • behavioral health
  • child psychiatrists
  • preventive services
  • child psychiatrist
  • clinical professor

  • integrated behavioral
  • medical informatics
  • futures guidelines
  • child psychologists
  • healthy steps

  • psychiatry access
  • child psychiatry
  • school failure
  • deficit hyperactivity
  • mcpap consultation

  • care pediatrics
  • seeing parents
  • care touched
  • getting legislation
  • insurance carriers

  • similar models
  • integrated colocated
  • practices incorporate
  • mandated visits
  • integrate care

  • increased emphasis
  • process improvement
  • outpatient mental
  • community based
  • using information


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