Behavioral Health Care For Children: The Massachusetts Child Psychiatry Access Project
Behavioral Health Care For Children: The Massachusetts Child Psychiatry Access Project
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DOI：
10.1377/hlthaff.2014.0896
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发表时间：
2014-12-01
期刊：
影响因子：
9.7
通讯作者：
Sarvet, Barry
中科院分区：
文献类型：
--
作者：
Straus, John H.;Sarvet, Barry
儿童获得行为保健对于实现良好的保健结果至关重要。儿科初级保健提供者在识别和治疗儿童行为健康问题方面发挥着至关重要的作用。然而，他们缺乏足够的培训和资源，因此通常无法满足儿童对行为保健的需求。马萨诸塞州儿童精神病学接入项目通过向马萨诸塞州95%以上的儿科初级保健提供者提供儿童精神病学电话咨询和专门护理协调支持，解决了这一问题。该项目成立于2004年，由六个区域中心组成，每个中心都有一名相当于全职的儿童精神病医生、执业治疗师和护理协调员。总体而言，马萨诸塞州150万儿童中超过95%可以使用这些中心。2013财年，马萨诸塞州儿童精神病学接入项目为10553名儿童提供了服务。参加该项目的儿科初级保健提供者报告说，他们满足患者精神需求的能力有了显著改善。为儿科初级保健提供者提供儿童精神病学咨询的电话项目已经遍布全美，其中许多项目都是以马萨诸塞州的项目为蓝本的。
Access to behavioral health care for children is essential to achieving good health care outcomes. Pediatric primary care providers have an essential role to play in identifying and treating behavioral health problems in children. However, they lack adequate training and resources and thus have generally been unable to meet children's need for behavioral health care. The Massachusetts Child Psychiatry Access Project has addressed this problem by delivering telephone child psychiatry consultations and specialized care coordination support to over 95 percent of the pediatric primary care providers in Massachusetts. Established in 2004, the project consists of six regional hubs, each of which has one full-time-equivalent child psychiatrist, licensed therapist, and care coordinator. Collectively, the hubs are available to over 95 percent of the 1.5 million children in Massachusetts. In fiscal year 2013 the Massachusetts Child Psychiatry Access Project served 10,553 children. Pediatric primary care providers enrolled in the project reported a dramatic improvement in their ability to meet the psychiatric needs of their patients. Telephone child psychiatry consultation programs for pediatric primary care providers, many modeled after the Massachusetts project, have spread across the United States.