title: Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers.
abstract: A Child Psychiatry Consultation Model (CPCM) offering primary care providers (PCPs) expedited access to outpatient child psychiatric consultation regarding management in primary care would allow more children to access mental health services. Yet, little is known about outpatient CPCMs. This pilot study describes an outpatient CPCM for 22 PCPs in a large Northeast Florida county. PCPs referred 81 patients, of which 60 were appropriate for collaborative management and 49 were subsequently seen for outpatient psychiatric consultation. The most common psychiatric diagnoses following consultation were anxiety (57%), ADHD (53%), and depression (39%). Over half (57%) of the patients seen for consultation were discharged to their PCP with appropriate treatment recommendations, and only a small minority (10%) of patients required long-term care by a psychiatrist. This CPCM helped child psychiatrists collaborate with PCPs to deliver mental health services for youth. The CPCM should be considered for adaptation and dissemination.
authors.affiliation: Division of Psychiatry, Nemours Children's Specialty Care, Jacksonville, Florida, USA. efallucc@nemours.org.|Center for Health Care Delivery Science, Nemours Children's Specialty Care, Jacksonville, Florida, USA. efallucc@nemours.org.
authors.forename: Elise M
authors.initials: EM
authors.lastname: Fallucco
authors.affiliation: Department of Psychiatry, University of Florida - College of Medicine, Jacksonville, Florida, USA.
authors.forename: Emma Robertson
authors.initials: ER
authors.lastname: Blackmore
authors.affiliation: Center for Health Care Delivery Science, Nemours Children's Specialty Care, Jacksonville, Florida, USA.
authors.forename: Carolina M
authors.initials: CM
authors.lastname: Bejarano
authors.affiliation: Center for Health Care Delivery Science, Nemours Children's Specialty Care, Jacksonville, Florida, USA.
authors.forename: Chelsea B
authors.initials: CB
authors.lastname: Kozikowski
authors.affiliation: Department of Psychiatry, University of Florida - College of Medicine, Jacksonville, Florida, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Cuffe
authors.affiliation: Center for Health Care Delivery Science, Nemours Children's Specialty Care, Jacksonville, Florida, USA.
authors.forename: Robin
authors.initials: R
authors.lastname: Landy
authors.affiliation: Washington University Department of Psychiatry (Child), St. Louis, Missouri, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Glowinski
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D010045:Outpatients; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration; D012017:Referral and Consultation