Behavioral Health Care For Children: The Massachusetts Child Psychiatry Access Project
Abstract
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.
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Studies have shown that most primary care practices have enrolled in MCPAP, increasing young individuals' access to psychiatric services and overall satisfaction.
“Studies have shown that most primary care practices have enrolled in the program, increasing young individuals’ access to psychiatric services and overall satisfaction [130].”
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 [130]
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Collaborative Treatment with Primary Care
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- Authors
- Straus, J. H., & Sarvet, B.
- Affiliations
- John H. Straus ( ) is a pediatrician and medical director for special projects, Massachusetts Behavioral Health Partnership, a ValueOptions company, in Boston.
- Baystate Health (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2014-12
- Volume
- 33
- Issue
- 12
- Pages
- 2153-2161
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W1980144416
- Cited by
- 99
- References
- 11
- Citations by year
- 2025: 7 · 2024: 14 · 2023: 6 · 2022: 10 · 2021: 10 · 2020: 8 · 2019: 10 · 2018: 10 · 2017: 12 · 2016: 8 · 2015: 3 · 2012: 1
- FWCI
- 13.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- child psychiatry, access to mental health care, pediatric primary care, telephone consultation, care coordination, child mental health, models of care, primary care provider training
- MeSH terms
- Child, Child Behavior Disorders, Child Health Services, Child Psychiatry, Health Services Accessibility, Humans, Massachusetts, Pediatrics, Models, Organizational
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