9.1 a Systematic Review of Child Psychiatry Access Program Outcomes: Preliminary Results

Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care

“…Despite the exponential growth in CPAP programs, recently fueled by large federal grants to 45 states and territories, 70 published rigorous evidence supporting their effectiveness is limited and primarily accrues from studies among adults. 71 Although one research letter suggested a favorable ecological association between the launch of CPAP programs and MH service use, 72 3 recent reviews of CPAPs 68,73,74 concluded that evaluations of CPAPs have been largely descriptive in nature, focusing primarily on program use and provider satisfaction, and that although these findings are encouraging, additional research is needed to demonstrate the impact of these programs on patients, families, and systems of care (eg, associations between implementation of the Washington State CPAP and a decrease in antipsychotic prescribing 75 and an increase in BH visits for children in foster care 76 ). A broad summary of published CPAP outcomes is presented in Table 4 [45][46][47][48][49] ; details of the programs can be found in the corresponding references and at AACAP and National Network of Child Psychiatry Access Programs websites.…”

Virtual Collaborative Behavioral Health Model in a Community Pediatric Network: Two-Year Outcomes

“…Although now operational in 46 states, evidence of the effectiveness of CPAPs in achieving PPCP BH confidence and practice change or improved patient outcomes remains sparse. 16,26,27 The American Academy of Pediatrics (AAP) recently has articulated core pediatric mental health competencies for PPCPs deemed essential for PPCPs to confidently extend their scope of practice to BH. 28 These competencies include communication, health promotion, BH assessment, brief psychosocial intervention, psychopharmacological management, team-based care, collaborative/consultative relationships, and systems to support mental health services.…”

“…Although now operational in 46 states, evidence of the effectiveness of CPAPs in achieving PPCP BH confidence and practice change or improved patient outcomes remains sparse. 16,26,27…”