Targeted Child Psychiatric Services: A New Model of Pediatric Primary Clinician—Child Psychiatry Collaborative Care
Abstract
Between 15% and 25% of children and adolescents seen in pediatric primary care have a behavioral health disorder with significant psychopathology, high functional impairment, and frequent psychiatric diagnostic comorbidity. Because child psychiatry services are frequently unavailable, primary care clinicians are frequently left managing these children without access to child psychiatry consultation. We describe Targeted Child Psychiatric Services (TCPS), a new model of pediatric primary clinician-child psychiatry collaborative care, and describe program utilization and characteristics of children referred over the first 18 months of the program using a retrospective chart review. The TCPS model can serve a large number of pediatric primary care practices and provide collaborative help with the evaluation and treatment of complex attention deficit hyperactivity disorder, depression, anxiety disorders, and pediatric psychopharmacology.
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The Massachusetts Child Psychiatry Access Project (MCPAP) promoted the creation of a statewide service favoring collaborations between primary care practices and specialized child and adolescent psychiatry services.
“In the USA, the Massachusetts Child Psychiatry Access Project (MCPAP) promoted the creation of a statewide service favoring collaborations between primary care practices and specialized child and adolescent psychiatry services.”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [129]
MCPAP has a wide area of intervention including attention deficit hyperactivity disorder, depression, anxiety as well as initial psychopharmacological treatment.
“MCPAP has a wide area of intervention including attention deficit hyperactivity disorder, depression, anxiety as well as initial psychopharmacological treatment [129].”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [129]
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3338 · Cited by 35,305 · see citing works
(1976) · Medical Entomology and Zoology · Cited by 8,899 · see citing works
Kupper, L. L., Hosmer, D. W., & Lemeshow, S. A. (1990) · Journal of the American Statistical Association · doi:10.2307/2290035 · Cited by 7,690 · see citing works
Prevalence and development of psychiatric disorders in childhood and adolescence
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.8.837 · Cited by 4,035 · see citing works
A Children's Global Assessment Scale (CGAS)
Shaffer, D. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790100074010 · Cited by 3,716 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Siegel, L. J., & Fletcher‐Janzen, E. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese0728 · Cited by 3,438 · see citing works
(1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.5.564 · Cited by 1,738 · see citing works
The Great Smoky Mountains Study of Youth
Costello, E. J. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830120067012 · Cited by 1,088 · see citing works
Committee on Quality Improvement, S. O. A.-D. D. (2000) · Pediatrics · doi:10.1542/peds.105.5.1158 · Cited by 1,076 · see citing works
Attention-Deficit Hyperactivity Disorder
Barkley, R. A. (1998) · Scientific American · doi:10.1038/scientificamerican0998-66 · Cited by 688 · see citing works
Attention-Deficit, S. O., & Disorder, H. (2001) · Pediatrics · doi:10.1542/peds.108.4.1033 · Cited by 636 · see citing works
Prevalence Rates and Correlates of Psychiatric Disorders among Preschool Children
Lavigne, J. V., Gibbons, R. D., Christoffel, K. K., Arend, R. A., Rosenbaum, D. L., Binns, H. J., DAWSON, N., SOBEL, H., & Isaacs, C. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199602000-00014 · Cited by 561 · see citing works
Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction
Jellinek, M. S., Murphy, J. M., Robinson, J., Feins, A., Lamb, S., & Fenton, T. (1988) · The Journal of Pediatrics · doi:10.1016/s0022-3476(88)80056-8 · Cited by 476 · see citing works
Cartwright‐Hatton, S., Roberts, C., Chitsabesan, P., Fothergill, C., & Harrington, R. (2004) · British Journal of Clinical Psychology · doi:10.1348/0144665042388928 · Cited by 449 · see citing works
Aggression and Antisocial Behavior in Children and Adolescents: Research and Treatment
Connor, D. F. (2002) · Cited by 405 · see citing works
Self-citationReinecke, M. A., Ryan, N. E., & DuBois, D. L. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199801000-00013 · Cited by 331 · see citing works
Mental health in pediatric settings: distribution of disorders and factors related to service use.
BRIGGS-GOWAN, M. J., HORWITZ, S. M., SCHWAB-STONE, M. E., LEVENTHAL, J. M., & LEAF, P. J. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200007000-00012 · Cited by 320 · see citing works
Increasing Identification of Psychosocial Problems: 1979–1996
Kelleher, K. J., McInerny, T. K., Gardner, W. P., Childs, G. E., & Wasserman, R. C. (2000) · PEDIATRICS · doi:10.1542/peds.105.6.1313 · Cited by 311 · see citing works
Psychopathology in Pediatric Primary Care: The New Hidden Morbidity
Costello, E. J., EDELBROCK, C. S., Costello, A. J., Dulcan, M. K., Burns, B. J., & Brent, D. A. (1988) · PEDIATRICS · doi:10.1542/peds.82.3.415 · Cited by 304 · see citing works
Patterns of Diagnostic Comorbidity in a Community Sample of Children Aged 9 through 16 Years
BIRD, H. R., Gould, M. S., & STAGHEZZA, B. M. (1993) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199303000-00018 · Cited by 302 · see citing works
Biederman, J., Faraone, S. V., & Monuteaux, M. C. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.9.1556 · Cited by 291 · see citing works
Brief psychosocial screening in outpatient pediatric practice
Jellinek, M. S., Murphy, J. M., & Burns, B. J. (1986) · The Journal of Pediatrics · doi:10.1016/s0022-3476(86)80408-5 · Cited by 274 · see citing works
Primary Care Referral of Children With Psychosocial Problems
Rushton, J., Bruckman, D., & Kelleher, K. (2002) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.156.6.592 · Cited by 246 · see citing works
Diagnosis and Treatment of Behavioral Health Disorders in Pediatric Practice
Williams, J., Klinepeter, K. L., Palmes, G. K., Pulley, A., & Foy, J. M. (2004) · PEDIATRICS · doi:10.1542/peds.2004-0090 · Cited by 230 · see citing works
Child Psychiatric Disorders and Their Correlates: A Primary Care Pediatric Sample
Costello, E. J. (1989) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198911000-00007 · Cited by 229 · see citing works
The New Morbidity Revisited: A Renewed Commitment to the Psychosocial Aspects of Pediatric Care
Committee on Psychosocial Aspects of Child and Family Health (2001) · PEDIATRICS · doi:10.1542/peds.108.5.1227 · Cited by 187 · see citing works
Steiner, H. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199710001-00008 · Cited by 185 · see citing works
Service Utilization and Psychiatric Diagnosis in Pediatric Primary Care: The Role of the Gatekeeper
Costello, E. J., Burns, B. J., Costello, A. J., EDELBROCK, C. S., Dulcan, M. K., & Brent, D. A. (1988) · PEDIATRICS · doi:10.1542/peds.82.3.435 · Cited by 178 · see citing works
Pediatric Stimulant and Selective Serotonin Reuptake Inhibitor Prescription Trends
Rushton, J. L., & Whitmire, J. T. (2001) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.155.5.560 · Cited by 154 · see citing works
Psychiatric Comorbidities in Children with Attention Deficit Hyperactivity Disorder
Pliszka, S. R. (2003) · Pediatric Drugs · doi:10.2165/00148581-200305110-00003 · Cited by 129 · see citing works
Inter‐Rater Reliability of Global Assessment of Functioning in a Clinical Setting
Rey, J. M., Starling, J., Wever, C., Dossetor, D. R., & Plapp, J. M. (1995) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1995.tb01329.x · Cited by 127 · see citing works
Cassidy, L. J., & Jellinek, M. S. (1998) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(05)70061-4 · Cited by 100 · see citing works
Pediatrician and Family Physician Prescription of Selective Serotonin Reuptake Inhibitors
Rushton, J. L., Clark, S. J., & Freed, G. L. (2000) · PEDIATRICS · doi:10.1542/peds.105.6.e82 · Cited by 96 · see citing works
Persistence of Psychiatric Disorders in Pediatric Settings
Briggs‐Gowan, M. J., Owens, P. L., Schwab‐Stone, M., Leventhal, J. M., Leaf, P. J., & Horwitz, S. M. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000084834.67701.8a · Cited by 83 · see citing works
The Pediatric Symptom Checklist
Jellinek, M. S. (1995) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1995.02170200030004 · Cited by 65 · see citing works
Aggression and Antisocial Behavior in Children and Adolescents: Research and Treatment
Steiner, H., & Karnik, N. S. (2002) · Psychiatric Services · doi:10.1176/appi.ps.54.1.119 · Cited by 57 · see citing works
Rushton, J. L., Clark, S. J., & Freed, G. L. (2000) · PEDIATRICS · doi:10.1542/peds.105.s3.957 · Cited by 52 · see citing works
Hidden morbidity in pediatric primary care
Bernal, P. (2003) · Pediatric Annals · doi:10.3928/0090-4481-20030601-10 · Cited by 49 · see citing works
Riddle, M. A., Kastelic, E. A., & Frosch, E. J. (2001) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00703 · Cited by 43 · see citing works
Screening for dysfunction in the children of outpatients at a psychopharmacology clinic
Jellinek, M. S., Bishop, S. J., Murphy, J. M., et al. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.8.1031 · Cited by 36 · see citing works
A review of the growing evidence base for pediatric psychopharmacology
Pappadopulos, E. A., Guelzow, B. T., Wong, C., Ortega, M., & Jensen, P. S. (2004) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2004.04.007 · Cited by 21 · see citing works
Evaluating the Effectiveness of Interventions in Child Psychiatry
Fonagy, P. (1997) · The Canadian Journal of Psychiatry · doi:10.1177/070674379704200604 · Cited by 16 · see citing works
Jellinek, M. S., Murphy, J. M., Little, M., Pagano, M. E., Comer, D. M., & Kelleher, K. J. (1999) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.153.3.254 · Cited by 12 · see citing works
Wiecha, J. (2001) · doi:10.1367/1539-4409(2001)001
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Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00356-9 · Cited by 727 · see citing works
Zuckerbrot, R. A., Cheung, A., Jensen, P. S., Stein, R. E. K., Laraque, D., GLAD-PC STEERING GROUP, Levitt, A., Birmaher, B., Campo, J., Clarke, G., et al. (2018) · Pediatrics · doi:10.1542/peds.2017-4081 · Cited by 446 · see citing works
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): II. Treatment and ongoing management
Cheung, A. H., Zuckerbrot, R. A., Jensen, P. S., Ghalib, K., Laraque, D., Stein, R. E. K., & and the GLAD-PC Steering Group (2007) · Pediatrics · doi:10.1542/peds.2006-1395 · Cited by 336 · see citing works
Cheung, A. H., Zuckerbrot, R. A., Jensen, P. S., Laraque, D., Stein, R. E. K., GLAD-PC STEERING GROUP, Levitt, A., Birmaher, B., Campo, J., Clarke, G., et al. (2018) · Pediatrics · doi:10.1542/peds.2017-4082 · Cited by 299 · see citing works
Sarvet, B., Gold, J., Bostic, J. Q., Masek, B. J., Prince, J. B., Jeffers-Terry, M., Moore, C. F., Molbert, B., & Straus, J. H. (2010) · Pediatrics · doi:10.1542/peds.2009-1340 · Cited by 202 · see citing works
Self-citationTelemental health for children and adolescents
Gloff, N. E., LeNoue, S. R., Novins, D. K., & Myers, K. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1086322 · Cited by 128 · see citing works
Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions
Brown, N. M., Green, J. C., Desai, M. M., Weitzman, C. C., & Rosenthal, M. S. (2014) · Pediatrics · doi:10.1542/peds.2013-2590 · Cited by 69 · see citing works
Catania, L. S., Hetrick, S. E., Newman, L. K., & Purcell, R. (2011) · Advances in Mental Health · doi:10.5172/jamh.2011.10.1.6 · Cited by 41 · see citing works
Moser, N. L., Plante, W. A., LeLeiko, N. S., & Lobato, D. J. (2014) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000046 · Cited by 22 · see citing works
- Authors
- Connor, D. F., McLaughlin, T. J., Jeffers-Terry, M., O’Brien, W. H., Stille, C. J., Young, L. M., & Antonelli, R. C.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- ORCID
- Venue
- Clinical Pediatrics
- Publisher
- SAGE Publications
- Published
- 2006-06
- Volume
- 45
- Issue
- 5
- Pages
- 423-434
- ISSN
- 0009-9228 (ISSN-L)
- 1938-2707
- OpenAlex
- W1982892680
- Cited by
- 90
- References
- 46
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 1 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 11
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- collaborative care, child psychiatry, pediatric primary care, attention deficit hyperactivity disorder, childhood depression, childhood anxiety disorders, pediatric psychopharmacology, psychiatric referral, program utilization
- MeSH terms
- Adolescent, Mental Disorders, Child, Child Psychiatry, Humans, Interprofessional Relations, Mental Health Services, Primary Health Care, Regression Analysis, Research Design, Program Evaluation
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