Understanding Pediatric Mental Health in Primary Care: Needs in a Rural State

The need for mental health care for pediatric patients outstrips the supply, especially in states, like Kansas, that experience shortages of mental health professionals. Pediatric mental health care access programs, like KSKidsMAP (Kansas Kids Mental health Access Program), increase access to care by building competence and confidence in primary care physicians and clinicians (PCPs) through a statewide integrated system that includes a consultation line. This study is a secondary analysis of KSKidsMAP consultation Line inquiries regarding patients aged 0 to 21 years with mental and behavioral health concerns. The study employs a mixed-method approach with descriptive statistics and thematic analysis of inquiries. Five themes were identified: (1) pharmacotherapy, (2) diagnostic evaluation, (3) community resources, (4) psychotherapy, and (5) other. This study sheds light on PCPs needs and illustrates the importance of Pediatric Mental Health Care Access programs offering interprofessional expertise to consulting PCPs, allowing for expansion of pediatric mental illness care into the primary care setting.

[1]  U. Ramtekkar,et al.  Academic-Community Partnership to Improve Pediatric Mental Health Access: Missouri Child Psychiatry Access Project. , 2021, Psychiatric services.

[2]  R. Platt,et al.  Pediatric Primary Care Provider Comfort with Mental Health Practices: A Needs Assessment of Regions with Shortages of Treatment Access , 2021, Academic Psychiatry.

[3]  Cori M. Green,et al.  Achieving the Pediatric Mental Health Competencies , 2019, Pediatrics.

[4]  Cori M. Green,et al.  Mental Health Competencies for Pediatric Practice , 2019, Pediatrics.

[5]  Paul A. Harris,et al.  The REDCap consortium: Building an international community of software platform partners , 2019, J. Biomed. Informatics.

[6]  R. Platt,et al.  Severity of mental health concerns in pediatric primary care and the role of child psychiatry access programs. , 2018, General hospital psychiatry.

[7]  D. Kolko,et al.  Integration of Pediatric Behavioral Health Services in Primary Care: Improving Access and Outcomes with Collaborative Care , 2018, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[8]  P. Jensen,et al.  Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management , 2018, Pediatrics.

[9]  P. Jensen,et al.  Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management , 2018, Pediatrics.

[10]  D. Marschall,et al.  Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System , 2017, Journal of Clinical Psychology in Medical Settings.

[11]  J. Fortney,et al.  The Use of Telemedicine and Mobile Technology to Promote Population Health and Population Management for Psychiatric Disorders , 2017, Current Psychiatry Reports.

[12]  S. Hodgkinson,et al.  Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting , 2017, Pediatrics.

[13]  Paresh Patel The Michigan Child Collaborative Care Program , 2015 .

[14]  B. Sarvet,et al.  Improving Access to Mental Health Care for Children: The Massachusetts Child Psychiatry Access Project , 2010, Pediatrics.

[15]  Kathleen R. Merikangas,et al.  Prevalence and Treatment of Mental Disorders Among US Children in the 2001–2004 NHANES , 2010, Pediatrics.

[16]  P. Harris,et al.  Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support , 2009, J. Biomed. Informatics.

[17]  S. Horwitz,et al.  Pediatricians' Role in Providing Mental Health Care for Children and Adolescents: Do Pediatricians and Child and Adolescent Psychiatrists Agree? , 2008, Journal of developmental and behavioral pediatrics : JDBP.