TY - JOUR
AU - G. S. McIlmoyle
AU - L. Stavisky
AU - R. Ferro
AU - R. Platt
AU - S. P. Reinblatt
AU - M. Riddle
AU - D. Pruitt
AU - K. Coble
AU - M. C. Budinger
AU - A. F. Bettencourt
A1 - 
AB - OBJECTIVE: Child psychiatry access programs (CPAPs) address the mental health treatment access gap by providing training, consultation, and referral support to primary care providers (PCPs). Research has documented provider use of and satisfaction with CPAPs, but less work has examined how usage relates to provider practice change. This qualitative study examines PCPs' perceptions about the use of CPAP services (ie, consultations, referral support, training) and resulting changes in their practice behaviors. METHODS: The population of CPAP users was purposively sampled based on variation in geography and frequency of use: frequent (N=16), moderate (N=10), and infrequent (N=11) users. Semistructured interviews were conducted with 37 providers. PCPs were asked about their use of CPAP services, and if/how these services influenced patient care and practice change. Interviews were recorded, transcribed, and analyzed using content analysis. RESULTS: Regardless of frequency of CPAP use, all providers indicated medication management and need for patient referrals as primary reasons for calling the CPAP. All providers described practice change behaviors, with increased confidence/comfort in providing mental health care and medication management identified predominantly by frequent users. Providers consistently reported a positive attitude toward CPAP consultations. CONCLUSIONS: Providers perceive CPAP services as helpful and related to improvements in their ability to address patient mental health needs. Providers reported making changes to their practice behaviors, regardless of their level of CPAP use. This study provides preliminary support that participation in CPAP services contributes to improved PCP practice in addressing child mental health concerns.
AD - Johns Hopkins University School of Medicine (GS Mcllmoyle, L Stavisky, R Ferro, R Platt, M Riddle, and AF Bettencourt), Baltimore, Md. Electronic address: gmcilmo1@jhu.edu.; Johns Hopkins University School of Medicine (GS Mcllmoyle, L Stavisky, R Ferro, R Platt, M Riddle, and AF Bettencourt), Baltimore, Md.; University of Maryland School of Medicine (SP Reinblatt, D Pruitt, K Coble, and MC Budinger), Baltimore, Md.; Johns Hopkins University School of Medicine (GS Mcllmoyle, L Stavisky, R Ferro, R Platt, M Riddle, and AF Bettencourt), Baltimore, Md. Electronic address: abetten3@jhu.edu.
AN - 41005491
BT - Acad Pediatr
C5 - Healthcare Disparities; Education & Workforce
CP - 1
DA - Jan-Feb
DO - 10.1016/j.acap.2025.103152
DP - NLM
ET - 20250924
IS - 1
JF - Acad Pediatr
LA - eng
N2 - OBJECTIVE: Child psychiatry access programs (CPAPs) address the mental health treatment access gap by providing training, consultation, and referral support to primary care providers (PCPs). Research has documented provider use of and satisfaction with CPAPs, but less work has examined how usage relates to provider practice change. This qualitative study examines PCPs' perceptions about the use of CPAP services (ie, consultations, referral support, training) and resulting changes in their practice behaviors. METHODS: The population of CPAP users was purposively sampled based on variation in geography and frequency of use: frequent (N=16), moderate (N=10), and infrequent (N=11) users. Semistructured interviews were conducted with 37 providers. PCPs were asked about their use of CPAP services, and if/how these services influenced patient care and practice change. Interviews were recorded, transcribed, and analyzed using content analysis. RESULTS: Regardless of frequency of CPAP use, all providers indicated medication management and need for patient referrals as primary reasons for calling the CPAP. All providers described practice change behaviors, with increased confidence/comfort in providing mental health care and medication management identified predominantly by frequent users. Providers consistently reported a positive attitude toward CPAP consultations. CONCLUSIONS: Providers perceive CPAP services as helpful and related to improvements in their ability to address patient mental health needs. Providers reported making changes to their practice behaviors, regardless of their level of CPAP use. This study provides preliminary support that participation in CPAP services contributes to improved PCP practice in addressing child mental health concerns.
PY - 2026
SN - 1876-2859
SP - 103152
ST - Examining Practice Change Among Primary Care Providers Using a Child Psychiatry Access Program
T1 - Examining Practice Change Among Primary Care Providers Using a Child Psychiatry Access Program
T2 - Acad Pediatr
TI - Examining Practice Change Among Primary Care Providers Using a Child Psychiatry Access Program
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1016/j.acap.2025.103152
VL - 26
VO - 1876-2859
Y1 - 2026
ER -