TY - JOUR
KW - Behavior
KW - collaborative care
KW - development
KW - developmental delay
KW - developmental-behavioral pediatrics
KW - interdisciplinary teams
KW - Practice Guidelines
KW - prevention
KW - Psychiatry
KW - Psychology
AU - S. L. Levy
AU - E. Hill
AU - K. Mattern
AU - K. McKay
AU - R. C. Sheldrick
AU - E. C. Perrin
A1 - 
AB - The inadequacy of mental health and developmental services for children is a widely recognized and growing problem. Although a variety of solutions have been proposed, none has been generally successful or feasible. This research describes models of colocation that have evolved in primary care settings in Massachusetts and reports on pediatricians' and their colocated colleagues' impressions of their benefits and challenges. Pediatricians in 18 practices that included a colocated mental health/developmental specialist (MH/DS) were identified through a survey administered through the state American Academy of Pediatrics Chapter, and interviewed. Practices varied widely in the professional expertise/training and roles of the MH/DSs, communication among providers, and financial arrangements. The majority of pediatricians and MH/DSs reported being pleased with their colocated arrangements, despite the costs rarely being supported by billing revenues. This study suggests that further development of such systems hold promise to meet the growing need for accessible pediatric mental and developmental health care.
BT - Clinical pediatrics
C5 - Healthcare Disparities
CY - United States
DO - 10.1177/0009922817701172
JF - Clinical pediatrics
N2 - The inadequacy of mental health and developmental services for children is a widely recognized and growing problem. Although a variety of solutions have been proposed, none has been generally successful or feasible. This research describes models of colocation that have evolved in primary care settings in Massachusetts and reports on pediatricians' and their colocated colleagues' impressions of their benefits and challenges. Pediatricians in 18 practices that included a colocated mental health/developmental specialist (MH/DS) were identified through a survey administered through the state American Academy of Pediatrics Chapter, and interviewed. Practices varied widely in the professional expertise/training and roles of the MH/DSs, communication among providers, and financial arrangements. The majority of pediatricians and MH/DSs reported being pleased with their colocated arrangements, despite the costs rarely being supported by billing revenues. This study suggests that further development of such systems hold promise to meet the growing need for accessible pediatric mental and developmental health care.
PP - United States
PY - 2017
SN - 1938-2707; 0009-9228
SP - 9922817701172
T1 - Colocated Mental Health/Developmental Care
T2 - Clinical pediatrics
TI - Colocated Mental Health/Developmental Care
U1 - Healthcare Disparities
U2 - 28449589
U3 - 10.1177/0009922817701172
VO - 1938-2707; 0009-9228
Y1 - 2017
ER -