title: Detection and treatment of mental health issues by pediatric PCPs in New York State: an evaluation of Project TEACH.
abstract: OBJECTIVE
  The authors evaluated Project TEACH (PT), a statewide training and consultation program for pediatric primary care providers (PCPs) on identification and treatment of mental health conditions.
  
  
  METHODS
  An intervention group of 176 PCPs who volunteered for PT training was compared with a stratified random sample of 200 PCPs who did not receive PT training. Data on prescription practices, diagnoses, and follow-up care were from New York State Medicaid files (2009-2013) for youths seen by the trained (N=21,784) and untrained (N=46,607) PCPs.
  
  
  RESULTS
  The percentage of children prescribed psychotropic medication increased after PT training (9% to 12%, p<.001), a larger increase than in the untrained group (4% to 5%, p<.001) (comparison, p<.001). Fewer differences were noted in diagnoses and in medication use and follow-up care among children with depression.
  
  
  CONCLUSIONS
  This intervention may have an impact on providers' behaviors, but further research is needed to clarify its effectiveness.
authors.affiliation: Dr. Kerker, Dr. Hoagwood, Dr. Olin, and Dr. Horwitz are with the Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York City (e-mail: bonnie.kerker@nyumc.org ). Dr. Kerker is also with the Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York. Dr. Chor is with the Health and Social Development Program, American Institutes of Research, Chicago. Dr. Hoagwood is also with the New York State Office of Mental Health, Albany, where Dr. Radigan, Mr. Setias, and Ms. Wang are with the Office of Performance Measurement and Evaluation and Dr. Perkins is with the Division of Children and Family Services. The data in this report were presented at the National Institute of Mental Health's Mental Health Services Research meeting, Bethesda, Maryland, April 25, 2014.
authors.forename: Bonnie D
authors.initials: BD
authors.lastname: Kerker
authors.forename: Ka Ho Brian
authors.initials: KH
authors.lastname: Chor
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
authors.forename: Marleen
authors.initials: M
authors.lastname: Radigan
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Perkins
authors.forename: Jade
authors.initials: J
authors.lastname: Setias
authors.forename: Rui
authors.initials: R
authors.lastname: Wang
authors.forename: S Serene
authors.initials: SS
authors.lastname: Olin
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy*; D009518:New York; D010372:Pediatrics / Q000193:education* / Q000379:methods / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data*; D015397:Program Evaluation / Q000379:methods*
references.citation: J Am Acad Child Adolesc Psychiatry. 2003 Apr;42(4):386-405
references.pmid: 12649626
references.citation: Pediatrics. 2011 Nov;128(5):970-9
references.pmid: 22025589
references.citation: Arch Gen Psychiatry. 1996 Apr;53(4):339-48
references.pmid: 8634012
references.citation: Pediatrics. 2004 Sep;114(3):601-6
references.pmid: 15342827
references.citation: Am J Psychiatry. 2002 Sep;159(9):1548-55
references.pmid: 12202276
references.citation: Arch Gen Psychiatry. 2003 Aug;60(8):837-44
references.pmid: 12912767
references.citation: World Psychiatry. 2013 Jun;12(2):118-23
references.pmid: 23737413
references.citation: Curr Opin Psychiatry. 2008 Nov;21(6):598-605
references.pmid: 18852568
references.citation: Acad Pediatr. 2010 Jul-Aug;10(4):252-9
references.pmid: 20554260
references.citation: Pediatrics. 2007 Jan;119(1):e208-18
references.pmid: 17200245
references.citation: J Am Acad Child Adolesc Psychiatry. 1993 May;32(3):521-9
references.pmid: 8496115
references.citation: J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9
references.pmid: 20855043
references.citation: Depress Anxiety. 1998;7(1):3-14
references.pmid: 9592628
references.citation: J Am Acad Child Adolesc Psychiatry. 2000 Jul;39(7):841-9
references.pmid: 10892225