TY - JOUR
KW - Adolescent
KW - Adolescent Health Services
KW - Boston
KW - Child
KW - Child Health Services
KW - Child, Preschool
KW - Female
KW - Humans
KW - Infant
KW - Male
KW - Mental Disorders/therapy
KW - Mental Health Services
KW - Patient Care Team
KW - Primary Health Care/methods
KW - Retrospective Studies
KW - care coordination
KW - Community health
KW - Mental Health
KW - primary care
KW - system of care
AU - Hobbs Knutson
AU - M. J. Meyer
AU - N. Thakrar
AU - B. D. Stein
A1 - 
AB - Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals </=18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care. The odds of SOC contact within primary care were lower compared to specialty care (OR = 0.43, 95% CI = 0.29-0.66), specifically for mental health (OR = 0.54, 95% CI = 0.25-1.2), education (OR = 0.12, 95% CI = 0.050-0.28), and child protective services (OR = 0.64, 95% CI = 0.22-1.9). As care coordination may improve health outcomes, increased support and education for care coordination specific to youth treated for mental health disorders in primary care settings may be warranted.
AD - 1 Kraft Center for Community Health, Partners Healthcare, Boston, MA, USA.; 2 Georgetown University, Washington, DC, USA.; 3 South Boston Community Health Center, Boston, MA, USA.; 4 RAND Corporation, Pittsburgh, PA, USA.; 5 University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
BT - Clinical pediatrics
C5 - General Literature
CP - 1
CY - United States
DO - 10.1177/0009922817733740
IS - 1
JF - Clinical pediatrics
M1 - Journal Article
N2 - Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals </=18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care. The odds of SOC contact within primary care were lower compared to specialty care (OR = 0.43, 95% CI = 0.29-0.66), specifically for mental health (OR = 0.54, 95% CI = 0.25-1.2), education (OR = 0.12, 95% CI = 0.050-0.28), and child protective services (OR = 0.64, 95% CI = 0.22-1.9). As care coordination may improve health outcomes, increased support and education for care coordination specific to youth treated for mental health disorders in primary care settings may be warranted.
PP - United States
PY - 2018
SN - 1938-2707; 0009-9228
SP - 5
EP - 10
EP - 
T1 - Care Coordination for Youth With Mental Health Disorders in Primary Care
T2 - Clinical pediatrics
TI - Care Coordination for Youth With Mental Health Disorders in Primary Care
U1 - General Literature
U2 - 29090598
U3 - 10.1177/0009922817733740
VL - 57
VO - 1938-2707; 0009-9228
Y1 - 2018
Y2 - Jan
ER -