Introduction
Child psychiatry access programs (CPAPs) provide primary care providers (PCPs) with
assistance in mental health diagnosis, management, and resource navigation.
Method
Data collected from DC Mental Health Access in Pediatrics (MAP) included PCPs and
patient demographics, clinical encounter information, and provider satisfaction.
Results
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.
Discussion
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.
KEY WORDS
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Biography
Leandra Godoy, Associate Professor of Pediatrics, School of Medicine and Health Sciences, the George Washington University, and Psychologist, Children's National Hospital, Washington, DC.
Biography
Samantha Hamburger, Program Coordinator, Child Health Advocacy Institute, Children's National Hospital, Washington, DC.
Biography
Lindsay R. Druskin, Clinical Child Psychology Doctoral Student, Department of Psychology, West Virginia University, Morgantown, WV.
Biography
Laura Willing, Assistant Professor of Psychiatry, School of Medicine and Health Sciences, the George Washington University, and Psychiatrist, Division of Psychiatry and Behavioral Health, Children's National Hospital, Washington, DC.
Biography
Jeffery Q. Bostic, Professor of Psychiatry, Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC.
Biography
Sean D. Pustilnik, Assistant Professor of Psychiatry, Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC.
Biography
Lee S. Beers, Professor of Pediatrics, School of Medicine and Health Sciences, the George Washington University, and Medical Director, Child Health Advocacy Institute, Children's National Hospital, Washington, DC.
Biography
Matthew G. Biel, Professor, Vice Chair, and Chief of Child and Adolescent Psychiatry, Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, DC.
Biography
Melissa Long, Assistant Professor of Pediatrics, School of Medicine and Health Sciences, the George Washington University, and Pediatrician, Children's National Hospital, Washington, DC.
Article info
Publication history
Published online: December 17, 2022
Publication stage
In Press Corrected ProofFootnotes
This work was supported by the District of Columbia Department of Behavioral Health (contract no. RM-14-RFP-270-BY4-DJW).
The study was approved by the Children's National Hospital Institutional Review Committee (no. Pro00015969), and individual consent for this study was waived.
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2022 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
