Writing in the journal Clinical Pediatrics, the researchers said, "With the increased need for identification, diagnosis and treatment of mental health disorders in primary health care settings, location of mental health providers in primary care practices is a concept whose time has come." The article is being published online today. Jane Williams, Ph.D., the lead author, and colleagues describe three practice models, all of which were financially sustainable.
"Across all three models, enhanced communication between medical and mental health providers was consistently perceived as improving quality of care for patients, increasing comfort in diagnosis and treatment of behavioral health disorders by physicians and providing educational opportunities between disciplines," Williams said. "Pediatricians perceived themselves to be more efficient in their practices."
In one model, a practitioner who was employed by a community Mental Health Center was stationed in a large pediatric practice, Aegis Winston East. Williams said the model "provided more convenience for patients, less stigma and better communications with primary care physicians."
In the second model, a master's degree-level, licensed psychological associate was directly employed by a private pediatric practice in Washington, N.C., that assumed all responsibility for expenses and reimbursement. The practice chose that type of practitioner because of a contract with the local school system to provide psychological testing services.
Other services included diagnostic interviews, individual and family therapy and informal consultation with the physicians in the practice, Washington Pediatrics.
In the third model, a self-employed psychologist practiced in the same suite of offices with a rural pediatric practice in Sylva. High demand for mental health services resulted in the addition of a second psychologist, a clinical social worker and a psychological associate.
Patients said that having the two offices together "contributed to a high level of satisfaction and trust," Williams said. "Pediatricians indicated increased confidence in prescribing psychotropic medications due to exposure to the mental health group as well as increased skills in caring for children who had been hospitalized for mental health disorders."
While some practices have had mental health professionals working directly with them for years, reimbursements came only from private insurers. Until recently, children with mental health diagnoses who 1qwere on Medicaid could be treated only in public clinics.
A number of changes in N.C. Medicaid policy allowed mental health providers to serve a mix of Medicaid and privately insured children. Up to 26 visits annually per child are now permitted, which can be billed to Medicaid either by a primary care provider or a mental health professional.
Robert Conn | EurekAlert!
Researchers release the brakes on the immune system
18.10.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
Norovirus evades immune system by hiding out in rare gut cells
12.10.2017 | University of Pennsylvania School of Medicine
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
17.10.2017 | Event News
10.10.2017 | Event News
10.10.2017 | Event News
20.10.2017 | Information Technology
20.10.2017 | Materials Sciences
20.10.2017 | Interdisciplinary Research