TY - JOUR
KW - Child
KW - Child, Preschool
KW - Cognitive Therapy
KW - Cooperative Behavior
KW - Decision Support Techniques
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Leadership
KW - Male
KW - Mental Health Services/organization & administration
KW - Primary Health Care
AU - D. J. Kolko
AU - J. V. Campo
AU - A. M. Kilbourne
AU - K. Kelleher
A1 - 
AB - OBJECTIVES: To evaluate the feasibility and clinical benefits of an integrated mental health intervention (doctor-office collaborative care [DOCC]) vs enhanced usual care (EUC) for children with behavioral problems. DESIGN: Cases were assigned to DOCC and EUC using a 2:1 randomization schedule that resulted in 55 DOCC and 23 EUC cases. SETTING: Preassessment was conducted in 4 pediatric primary care practices. Postassessment was conducted in the pediatric or research office. Doctor-office collaborative care was provided in the practice; EUC was initiated in the office but involved a facilitated referral to a local mental health specialist. PARTICIPANTS: Of 125 referrals (age range, 5-12 years), 78 children participated. INTERVENTIONS: Children and their parents were assigned to receive DOCC or EUC. MAIN OUTCOME MEASURES: Preassessment diagnostic status was evaluated using the Schedule for Affective Disorders and Schizophrenia for School-aged Children. Preassessment and 6-month postassessment ratings of behavioral and emotional problems were collected from parents using the Vanderbilt Attention-Deficit/Hyperactivity Disorder Diagnostic Parent Rating Scale, as well as individualized goal achievement ratings forms. At discharge, care managers and a diagnostic evaluator completed the Clinical Global Impression Scale, and pediatricians and parents completed satisfaction and study feedback measures. RESULTS: Group comparisons found significant improvements for DOCC over EUC in service use and completion, behavioral and emotional problems, individualized behavioral goals, and overall clinical response. Pediatricians and parents were highly satisfied with DOCC. CONCLUSION: The feasibility and clinical benefits of DOCC for behavioral problems support the integration of collaborative mental health services for common mental disorders in primary care.
BT - Archives of Pediatrics & Adolescent Medicine
C5 - HIT & Telehealth
CP - 3
CY - United States
DO - 10.1001/archpediatrics.2011.201
IS - 3
JF - Archives of Pediatrics & Adolescent Medicine
N2 - OBJECTIVES: To evaluate the feasibility and clinical benefits of an integrated mental health intervention (doctor-office collaborative care [DOCC]) vs enhanced usual care (EUC) for children with behavioral problems. DESIGN: Cases were assigned to DOCC and EUC using a 2:1 randomization schedule that resulted in 55 DOCC and 23 EUC cases. SETTING: Preassessment was conducted in 4 pediatric primary care practices. Postassessment was conducted in the pediatric or research office. Doctor-office collaborative care was provided in the practice; EUC was initiated in the office but involved a facilitated referral to a local mental health specialist. PARTICIPANTS: Of 125 referrals (age range, 5-12 years), 78 children participated. INTERVENTIONS: Children and their parents were assigned to receive DOCC or EUC. MAIN OUTCOME MEASURES: Preassessment diagnostic status was evaluated using the Schedule for Affective Disorders and Schizophrenia for School-aged Children. Preassessment and 6-month postassessment ratings of behavioral and emotional problems were collected from parents using the Vanderbilt Attention-Deficit/Hyperactivity Disorder Diagnostic Parent Rating Scale, as well as individualized goal achievement ratings forms. At discharge, care managers and a diagnostic evaluator completed the Clinical Global Impression Scale, and pediatricians and parents completed satisfaction and study feedback measures. RESULTS: Group comparisons found significant improvements for DOCC over EUC in service use and completion, behavioral and emotional problems, individualized behavioral goals, and overall clinical response. Pediatricians and parents were highly satisfied with DOCC. CONCLUSION: The feasibility and clinical benefits of DOCC for behavioral problems support the integration of collaborative mental health services for common mental disorders in primary care.
PP - United States
PY - 2012
SN - 1538-3628; 1072-4710
SP - 224
EP - 231
EP - 
T1 - Doctor-office collaborative care for pediatric behavioral problems: a preliminary clinical trial
T2 - Archives of Pediatrics & Adolescent Medicine
TI - Doctor-office collaborative care for pediatric behavioral problems: a preliminary clinical trial
U1 - HIT & Telehealth
U2 - 22064876
U3 - 10.1001/archpediatrics.2011.201
VL - 166
VO - 1538-3628; 1072-4710
Y1 - 2012
ER -