J Pediatr Health Care. 2023 May-Jun;37(3):302-310. doi: 10.1016/j.pedhc.2022.11.009. Epub 2022 Dec 17.
Child psychiatry access programs (CPAPs) provide primary care providers (PCPs) with assistance in mental health diagnosis, management, and resource navigation.
Data collected from DC Mental Health Access in Pediatrics (MAP) included PCPs and patient demographics, clinical encounter information, and provider satisfaction.
DC MAP consult volume increased 349.3% over the first 5 years. Services requested included care coordination (85.8%), psychiatric consultation (21.4%), and psychology/social work consultation (9.9%). Of psychiatry-involved consultations, PCPs managed patient medication care with DC MAP support 50.5% of the time. Most (94.1%) PCPs said they would recommend colleagues use DC MAP, and 29.6% reported diverting patients from the emergency departments using DC MAP.
DC MAP grew quickly, highlighting program impact and need. Demand for care coordination required flexible staffing and highlighted the need for coordination in pediatrics. Child psychiatry access programs offer an innovative way to enhance PCP management of their patients' mental health needs.
儿童精神病学访问项目 (CPAP) 为初级保健提供者 (PCP) 提供精神健康诊断、管理和资源导航方面的帮助。
从儿科精神卫生获取 (MAP) 收集的数据包括 PCP 和患者人口统计学、临床就诊信息和提供者满意度。
在最初的 5 年内，DC MAP 的咨询量增加了 349.3%。请求的服务包括护理协调 (85.8%)、精神病学咨询 (21.4%) 和心理/社会工作咨询 (9.9%)。在涉及精神病学的咨询中，PCP 有 50.5%的时间在 DC MAP 的支持下管理患者的药物治疗。大多数 (94.1%) PCP 表示他们会推荐同事使用 DC MAP，29.6% 的人报告说通过 DC MAP 将患者从急诊部门转走。
DC MAP 发展迅速，突出了该项目的影响和需求。对护理协调的需求需要灵活的人员配置，并突出了儿科协调的必要性。儿童精神病学访问项目为增强 PCP 管理患者精神健康需求提供了一种创新方式。
