Erratum to: Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers

Fallucco, Elise M.; Blackmore, Emma Robertson; Bejarano, Carolina M.; Kozikowski, Chelsea; Cuffe, Steven P.; Landy, Robin; Glowinski, Anne L.

doi:10.1007/s11414-016-9518-7

Cited by 2 publications

(6 citation statements)

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“…Transfer or discharge from pediatric services: Five intervention studies 28 - 30 , 38 , 39 reported rate of transfer to a PCP among AYAs discharged from pediatric services. Most of these studies examined transfer from a specialized pediatric mental health service (eg, early psychosis program 29 ; collaborative child psychiatric consultation model).…”

Section: Resultsmentioning

confidence: 99%

“…Most of these studies examined transfer from a specialized pediatric mental health service (eg, early psychosis program 29 ; collaborative child psychiatric consultation model). 28 , 39 The rate of transfer to a PCP in these studies varied based on diagnosis: 24% of those in an early psychosis program, 29 49% with ADHD, 28% with anxiety, and 6% with depression. 28 If AYAs were not discharged to a PCP, they either remained in pediatric services or were transferred to specialized adult mental health services.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies 25 - 28 , 32 , 35 , 39 , 52 , 57 , 69 , 72 , 74 , 77 , 78 evaluated a shared care model involving some form of collaboration between PCPs and specialists for certain conditions; model summaries are provided in Table 4 . Overall, there was a strong preference among PCPs for consultation or shared-care models.…”

Section: Resultsmentioning

confidence: 99%

“…For shared-care models specifically targeting AYAs with mental health issues, participating PCPs reported consultations with mental health specialists helped them to better meet the mental health needs of AYAs and improved their skills in mental health care. 39 …”

Section: Resultsmentioning

confidence: 99%

“…Finally, characteristics of AYAs more likely to be seen by a PCP during the transition period included: being female, 24 non-Black, 33 older, 24,79 and greater disease severity/complexity (eg, greater number of cancer relapses, 24 increased pain severity, 51 mental health comorbidity). 34 Transfer or discharge from pediatric services: Five intervention studies [28][29][30]38,39 reported rate of transfer to a PCP among AYAs discharged from pediatric services. Most of these studies examined transfer from a specialized pediatric mental health service (eg, early psychosis program 29 ; collaborative child psychiatric consultation model).…”

Section: Table 1 (Continued)mentioning

confidence: 99%

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Community based Primary Care for Adolescents and Young Adults Transitioning From Pediatric Specialty Care: Results from a Scoping Review

Schraeder

Allemang

Felske

et al. 2022

J Prim Care Community Health

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Background: Ongoing primary care during adolescence is recommended by best practice guidelines for adolescents and young adults (AYAs; ages 12-25) with chronic conditions. A synthesis of the evidence on the roles of Primary Care Physicians (PCPs) and benefits of primary care is needed to support existing guidelines. Methods: We used Arksey and O’Malley’s scoping review framework, and searched databases (MEDLINE, EMBASE, PsychINFO, CINAHL) for studies that (i) were published in English between 2004 and 2019, (ii) focused on AYAs with a chronic condition(s) who had received specialist pediatric services, and (iii) included relevant findings about PCPs. An extraction tool was developed to organize data items across studies (eg, study design, participant demographics, outcomes). Results: Findings from 58 studies were synthesized; 29 (50%) studies focused exclusively on AYAs with chronic health conditions (eg, diabetes, cancer), while 19 (33%) focused exclusively on AYAs with mental health conditions. Roles of PCPs included managing medications, “non-complex” mental health conditions, referrals, and care coordination, etc. Frequency of PCP involvement varied by AYAs; however, female, non-Black, and older AYAs, and those with severe/complex conditions appeared more likely to visit a PCP. Positive outcomes were reported for shared-care models targeting various conditions (eg, cancer, concussion, mental health). Conclusion: Our findings drew attention to the importance of effective collaboration among multi-disciplinary specialists, PCPs, and AYAs for overcoming multiple barriers to optimal transitional care. Highlighting the need for further study of the implementation of shared care models to design strategies for care delivery during transitions to adult care.

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