TY - JOUR
KW - children and adolescents
KW - Continuity clinic
KW - Curriculum
KW - Mental Health
KW - primary care
AU - S. McLaurin-Jiang
AU - G. M. Cohen
AU - C. L. Brown
AU - P. Edwards
AU - L. W. Albertini
A1 - 
AB - OBJECTIVE: The primary aim of this study was to determine the association of an integrated mental health training model on pediatric residents' use of (1) secondary screens, (2) mental health referrals, (3) psychotropic medications, and (4) follow-up appointments for mental health concerns. The secondary aim was to determine resident confidence managing mental health conditions. METHODS: Visits of children ages 6-18 years old with either a positive primary mental health screen or a mental health diagnosis in pre- and post-intervention years (N = 113 and N = 251, respectively) at a single-site continuity clinic were included. Authors also surveyed alumni from pre- and post- intervention years (N = 46) about their confidence with managing mental health disorders. The authors used chi-squared and t-tests to compare visit characteristics between years and multivariable logistic regression to determine correlates of mental health management. RESULTS: Post-intervention residents more often used secondary screening tools (adjusted odds ratio 5.61, 95% confidence interval 2.08-15.17). There were no differences in referrals, prescribing psychotropic medications, or follow-up visits. Post-intervention graduates reported higher confidence with diagnosis, screening, medication management, and follow-up for mental health disorders. CONCLUSIONS: After transitioning to an integrated mental health model, residents were more likely to use secondary screens and post-intervention graduates reported higher confidence with managing mental health disorders.
AD - The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. Skye_McLaurin@med.unc.edu.; Wake Forest School of Medicine, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Winston-Salem, NC, USA.; Wake Forest School of Medicine, Winston-Salem, NC, USA.
BT - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
C5 - General Literature
CY - United States
DO - 10.1007/s40596-020-01182-4
JF - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
M1 - Journal Article
N2 - OBJECTIVE: The primary aim of this study was to determine the association of an integrated mental health training model on pediatric residents' use of (1) secondary screens, (2) mental health referrals, (3) psychotropic medications, and (4) follow-up appointments for mental health concerns. The secondary aim was to determine resident confidence managing mental health conditions. METHODS: Visits of children ages 6-18 years old with either a positive primary mental health screen or a mental health diagnosis in pre- and post-intervention years (N = 113 and N = 251, respectively) at a single-site continuity clinic were included. Authors also surveyed alumni from pre- and post- intervention years (N = 46) about their confidence with managing mental health disorders. The authors used chi-squared and t-tests to compare visit characteristics between years and multivariable logistic regression to determine correlates of mental health management. RESULTS: Post-intervention residents more often used secondary screening tools (adjusted odds ratio 5.61, 95% confidence interval 2.08-15.17). There were no differences in referrals, prescribing psychotropic medications, or follow-up visits. Post-intervention graduates reported higher confidence with diagnosis, screening, medication management, and follow-up for mental health disorders. CONCLUSIONS: After transitioning to an integrated mental health model, residents were more likely to use secondary screens and post-intervention graduates reported higher confidence with managing mental health disorders.
PP - United States
PY - 2020
SN - 1545-7230; 1042-9670
T1 - Integrated Mental Health Training Relates to Pediatric Residents' Confidence with Child Mental Health Disorders
T2 - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
TI - Integrated Mental Health Training Relates to Pediatric Residents' Confidence with Child Mental Health Disorders
U1 - General Literature
U2 - 31965516
U3 - 10.1007/s40596-020-01182-4
VO - 1545-7230; 1042-9670
Y1 - 2020
Y2 - Jan 21
ER -