Development and Evaluation of Two Integrated Care Models for Children Using a Partnered Formative Evaluation Approach

Zima, Bonnie T.; McCreary, Michael; Kenan, Kristen N.; Churchey-Mims, Michelle; Chi, Hannah; Brady, Madeline; Davies, Jewel; Rompala, Vikki; Leventhal, Bennett L.

doi:10.18865/ed.28.s2.445

Cited by 1 publication

(2 citation statements)

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“…Healthy Minds, Healthy Children, Healthy Chicago (H3) is a project funded by the Illinois Children’s Healthcare Foundation to improve access to and engagement in child mental health services at two federally qualified health care centers through implementation of community-based pediatric integrated care models [29]. The proposed mechanism was to integrate primary and mental health care services, improving access and engagement of these services for the prevention and early detection of children’s mental health problems [30]. Two clinic sites were selected to develop integration strategies tailored to the needs of their patient populations, staff, clinic organization, and available resources.…”

Section: Methodsmentioning

confidence: 99%

“…Biweekly meetings were convened over the course of 12 months led by the academic partners with participation from community clinic staff and the project funder [30]. The tool was developed using a participatory framework in consultation with the principal investigator, working from a detailed evaluation design plan and clinic workflow diagrams to structure the features of the tool.…”

Section: Methodsmentioning

confidence: 99%

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A Clinical Care Monitoring and Data Collection Tool (H3 Tracker) to Assess Uptake and Engagement in Mental Health Care Services in a Community-Based Pediatric Integrated Care Model: Longitudinal Cohort Study

McCreary¹,

Arevian²,

Brady³

et al. 2019

JMIR Ment Health

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Background National recommendations for pediatric integrated care models include improved capacity for care coordination and communication across primary care and specialty mental health providers using technology, yet few practical, short-term solutions are available for low-resource, community-based pediatric integrated care clinics. Objective The goal of the paper is to describe the development and features of a Web-based tool designed for program evaluation and clinician monitoring of embedded pediatric mental health care using a community-partnered approach. In addition, a longitudinal study design was used to assess the implementation of the tool in program evaluation, including clinical monitoring and data collection. Methods Biweekly meetings of the partnered evaluation team (clinic, academic, and funding partners) were convened over the course of 12 months to specify tool features using a participatory framework, followed by usability testing and further refinement during implementation. Results A data collection tool was developed to collect clinic population characteristics as well as collect and display patient mental health outcomes and clinical care services from 277 eligible caregiver/child participants. Despite outreach, there was little uptake of the tool by either the behavioral health team or primary care provider. Conclusions Development of the H3 Tracker (Healthy Minds, Healthy Children, Healthy Chicago Tracker) in two community-based pediatric clinics with embedded mental health teams serving predominantly minority children is feasible and promising for on-site program evaluation data collection. Future research is needed to understand ways to improve clinic integration and examine whether promotion of primary care/mental health communication drives sustained use. Trial Registration ClinicalTrials.gov NCT02699814; https://clinicaltrials.gov/ct2/show/NCT02699814 (Archived by WebCite at http://www.webcitation.org/772pV5rWW)

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%