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!
The genes are not to blame
20.07.2018 | Technische Universität München
Targeting headaches and tumors with nano-submarines
20.07.2018 | Universitätsmedizin der Johannes Gutenberg-Universität Mainz
A new manufacturing technique uses a process similar to newspaper printing to form smoother and more flexible metals for making ultrafast electronic devices.
The low-cost process, developed by Purdue University researchers, combines tools already used in industry for manufacturing metals on a large scale, but uses...
For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.
To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...
For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.
Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...
Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.
A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...
Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.
"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....
13.07.2018 | Event News
12.07.2018 | Event News
03.07.2018 | Event News
20.07.2018 | Power and Electrical Engineering
20.07.2018 | Information Technology
20.07.2018 | Materials Sciences