A Multidisciplinary, Team-Based Teleconsultation Approach to Enhance Child Mental Health Services in Rural Pediatrics

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dc.contributor.authorMargolis, K., Kelsay, K., Talmi, A., McMillan, H., Fraley, M. C., & Thomas, J. F. F.
dc.date.accessioned2020-03-18T18:24:03Z
dc.date.available2020-03-18T18:24:03Z
dc.date.issued2018
dc.description.abstractMental health services for rural youth are extremely limited, especially given the national shortage of child and adolescent psychiatrists (CAPs). Patient-centered primary care medical homes (PCMHs) are often their only available portal of care, yet high-quality PCMH integrated models of behavioral health that include a CAP are rare. This manuscript presents a unique multidisciplinary teleconsultation model wherein integrated behavioral systems consultation was employed to increase access to integrated behavioral health services. Common referrals included complex presentations outside of provider comfort range or medication and diagnostic clarification. Primary concerns were symptoms of ADHD, autism spectrum disorder, anxiety, and depression. Recommendations included referral to outpatient therapy, further coordination with the medical team, and follow-up with the CAP. Providers noted access to care, specialized quality of care, provider support, and enhancing principles of the PCMH as strengths of the teleconsultation. Challenges included patient engagement, scheduling/availability, challenges with the teleconsultation process, and provider-level barriers.en_US
dc.identifier.citationMargolis, K., Kelsay, K., Talmi, A., McMillan, H., Fraley, M. C., & Thomas, J. F. F. (2018). A multidisciplinary, team-based teleconsultation approach to enhance child mental health services in rural pediatrics. Journal of Educational and Psychological Consultation, 28(3), 342-367.en_US
dc.identifier.urihttps://calio.org/wp-content/uploads/2020/03/A-Multidisciplinary-Team-Based-Teleconsultation-Approach-to-Enhance-Child.pdf
dc.identifier.urihttp://hdl.handle.net/11212/4656
dc.language.isoenen_US
dc.publisherJournal of Educational and Psychological Consultationen_US
dc.subjectrural areasen_US
dc.subjecttreatmenten_US
dc.subjectconsultationsen_US
dc.subjectbehavioural healthen_US
dc.subjecttelehealthen_US
dc.titleA Multidisciplinary, Team-Based Teleconsultation Approach to Enhance Child Mental Health Services in Rural Pediatricsen_US
dc.typeArticleen_US

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