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Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers

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An Erratum to this article was published on 01 June 2016

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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.

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Change history

  • 01 June 2016

    An erratum to this article has been published.

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Acknowledgements

This study was funded by the Nemours Foundation and by a grant awarded to the principal investigator through Managed Access to Child Health, a grantee of the Substance Abuse and Mental Health Services Agency (SAMHSA) grant, no. 5U79SM059939-04.

Conflict of interest

The authors declare that they have no conflict of interest related to this work.

Author information

Authors and Affiliations

  1. Division of Psychiatry, Nemours Children’s Specialty Care, Jacksonville, Florida, USA

    Elise M. Fallucco MD

  2. Center for Health Care Delivery Science, Nemours Children’s Specialty Care, Jacksonville, Florida, USA

    Elise M. Fallucco MD, Carolina M. Bejarano BS, Chelsea B. Kozikowksi BA & Robin Landy

  3. Department of Psychiatry, University of Florida - College of Medicine, Jacksonville, Florida, USA

    Emma Robertson Blackmore PhD & Steven Cuffe MD

  4. Washington University Department of Psychiatry (Child), St. Louis, Missouri, USA

    Anne Glowinski MD

Authors
  1. Elise M. Fallucco MD
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  2. Emma Robertson Blackmore PhD
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  3. Carolina M. Bejarano BS
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  4. Chelsea B. Kozikowksi BA
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  5. Steven Cuffe MD
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  6. Robin Landy
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  7. Anne Glowinski MD
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Corresponding author

Correspondence to Elise M. Fallucco MD.

Additional information

An erratum to this article is available at https://doi.org/10.1007/s11414-016-9518-7.

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Fallucco, E.M., Blackmore, E.R., Bejarano, C.M. et al. Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers. J Behav Health Serv Res 44, 386–398 (2017). https://doi.org/10.1007/s11414-016-9513-z

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  • DOI: https://doi.org/10.1007/s11414-016-9513-z

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