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Psychiatr Serv. 2014 Mar 1;65(3):391-4. doi: 10.1176/appi.ps.201200295.

Clinicians' utilization of child mental health telephone consultation in primary care: findings from Massachusetts.

Abstract

OBJECTIVE:

The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy.

METHODS:

The authors examined the association between utilization, defined as the mean number of contacts per patient during the 180 days following the initial contact (July 2008-June 2009), and characteristics of the initial contact, including consultation question, the child's primary mental health problem, psychotropic medication regimen, insurance status, and time of year.

RESULTS:

Utilization (N=4,436 initial contacts, mean=3.83 contacts) was associated with initial contacts about medication management, polypharmacy, public and private health insurance, and time of year. The child's primary mental health problem did not predict utilization.

CONCLUSIONS:

Telephone consultation services address treatment with psychotropic medications, particularly polypharmacy. Joint public-private funding should be considered for such public programs that serve privately insured children.

PMID:
24584527
DOI:
10.1176/appi.ps.201200295
[Indexed for MEDLINE]

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