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DC Mental Health Access in Pediatrics: Evaluating a Child Psychiatry Access Program in Washington, DC

Published:December 17, 2022DOI:https://doi.org/10.1016/j.pedhc.2022.11.009

      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.