Targeted Child Psychiatric Services: A New Model of Pediatric Primary Clinician—Child Psychiatry Collaborative Care

Between 15% and 25% of children and adolescents seen in pediatric primary care have a behavioral health disorder with significant psychopathology, high functional impairment, and frequent psychiatric diagnostic comorbidity. Because child psychiatry services are frequently unavailable, primary care c...

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Bibliographic Details
Published in:Clinical pediatrics 2006-06, Vol.45 (5), p.423-434
Main Authors: Connor, Daniel F., McLaughlin, Thomas J., Jeffers-Terry, Mary, O’Brien, William H., Stille, Christopher J., Young, Lynda M., Antonelli, Richard C.
Format: Article
Language:English
Subjects:
Adolescent
Anxiety
Attention deficit hyperactivity disorder
Child
Child Psychiatry - organization & administration
Child Psychiatry - statistics & numerical data
Child psychology
Humans
Hyperactivity
Interprofessional Relations
Mental depression
Mental Disorders - therapy
Mental Health Services - utilization
Pediatrics
Pharmacology
Physicians
Primary Health Care - organization & administration
Primary Health Care - utilization
Program Evaluation
Psychiatry
Regression Analysis
Research Design
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Summary:Between 15% and 25% of children and adolescents seen in pediatric primary care have a behavioral health disorder with significant psychopathology, high functional impairment, and frequent psychiatric diagnostic comorbidity. Because child psychiatry services are frequently unavailable, primary care clinicians are frequently left managing these children without access to child psychiatry consultation. We describe Targeted Child Psychiatric Services (TCPS), a new model of pediatric primary clinician-child psychiatry collaborative care, and describe program utilization and characteristics of children referred over the first 18 months of the program using a retrospective chart review. The TCPS model can serve a large number of pediatric primary care practices and provide collaborative help with the evaluation and treatment of complex attention deficit hyperactivity disorder, depression, anxiety disorders, and pediatric psychopharmacology.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922806289617