TY - JOUR
KW - Adolescent
KW - Adult
KW - Child
KW - Child Health Services/methods
KW - Child Psychiatry/methods
KW - Child, Preschool
KW - Female
KW - Hotlines/statistics & numerical data/utilization
KW - Humans
KW - Insurance, Health
KW - Male
KW - Massachusetts
KW - Mental Health Services/statistics & numerical data/utilization
KW - Pediatrics/methods
KW - polypharmacy
KW - Primary Health Care/methods
KW - Psychotropic Drugs/therapeutic use
KW - Referral and Consultation/utilization
KW - Retrospective Studies
KW - Time Factors
KW - Young Adult
AU - Hobbs Knutson
AU - B. Masek
AU - J. Q. Bostic
AU - J. H. Straus
AU - B. D. Stein
A1 - 
AB - OBJECTIVE: The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy. METHODS: The authors examined the association between utilization, defined as the mean number of contacts per patient during the 180 days following the initial contact (July 2008-June 2009), and characteristics of the initial contact, including consultation question, the child's primary mental health problem, psychotropic medication regimen, insurance status, and time of year. RESULTS: Utilization (N=4,436 initial contacts, mean=3.83 contacts) was associated with initial contacts about medication management, polypharmacy, public and private health insurance, and time of year. The child's primary mental health problem did not predict utilization. CONCLUSIONS: Telephone consultation services address treatment with psychotropic medications, particularly polypharmacy. Joint public-private funding should be considered for such public programs that serve privately insured children.
BT - Psychiatric services (Washington, D.C.)
C5 - HIT & Telehealth; Healthcare Disparities
CP - 3
CY - United States
DO - 10.1176/appi.ps.201200295
IS - 3
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE: The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy. METHODS: The authors examined the association between utilization, defined as the mean number of contacts per patient during the 180 days following the initial contact (July 2008-June 2009), and characteristics of the initial contact, including consultation question, the child's primary mental health problem, psychotropic medication regimen, insurance status, and time of year. RESULTS: Utilization (N=4,436 initial contacts, mean=3.83 contacts) was associated with initial contacts about medication management, polypharmacy, public and private health insurance, and time of year. The child's primary mental health problem did not predict utilization. CONCLUSIONS: Telephone consultation services address treatment with psychotropic medications, particularly polypharmacy. Joint public-private funding should be considered for such public programs that serve privately insured children.
PP - United States
PY - 2014
SN - 1557-9700; 1075-2730
SP - 391
EP - 394
EP - 
T1 - Clinicians' utilization of child mental health telephone consultation in primary care: findings from Massachusetts
T2 - Psychiatric services (Washington, D.C.)
TI - Clinicians' utilization of child mental health telephone consultation in primary care: findings from Massachusetts
U1 - HIT & Telehealth; Healthcare Disparities
U2 - 24584527
U3 - 10.1176/appi.ps.201200295
VL - 65
VO - 1557-9700; 1075-2730
Y1 - 2014
ER -