Geographic Variation in Acute Pediatric Mental Health Utilization

Winckler, Britanny; Nguyen, Margaret B.; Khare, Manaswitha; Patel, Aarti; Crandal, Brent R.; Jenkins, Willough; Fisher, Erin; Rhee, Kyung E.

doi:10.1016/j.acap.2022.07.026

Cited by 7 publications

(4 citation statements)

References 39 publications

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“…Beyond infectious outcomes and healthcare utilization, studies also assessed chronic disease control across conditions like diabetes (n = 11) [170][171][172][173][174][175][176][177][178][179][180], hypertension [173,181,182], kidney disease [183,184], and obesity (n = 7) [146,175,[185][186][187][188][189], along with risk factors like elevated blood pressure and cardiovascular events. Some studies focused on cancer (n = 11) screening, diagnoses, treatment disparities and survival outcomes [167,[190][191][192][193][194][195][196][197][198][199], while others addressed mental health (n = 6) indicators [146][147][148][149][150][151] ranging from dementia incidence [200] to suicide (n = 2) risk factors [201,202]. Additional outcomes evaluated included maternal morbidity (n = 2) …”

Section: Sdoh and Health Outcomesmentioning

confidence: 99%

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

Li,

Mowery,

et al. 2024

Preprint

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Background Social determinants of health (SDoH) like socioeconomics and neighborhoods strongly influence outcomes, yet standardized SDoH data is lacking in electronic health records (EHR), limiting research and care quality. Methods We searched PubMed using keywords "SDOH" and "EHR", underwent title/abstract and full-text screening. Included records were analyzed under five domains: 1) SDoH screening and assessment approaches, 2) SDoH data collection and documentation, 3) Use of natural language processing (NLP) for extracting SDoH, 4) SDoH data and health outcomes, and 5) SDoH-driven interventions. Results We identified 685 articles, of which 324 underwent full review. Key findings include tailored screening instruments implemented across settings, census and claims data linkage providing contextual SDoH profiles, rule-based and neural network systems extracting SDoH from notes using NLP, connections found between SDoH data and healthcare utilization/chronic disease control, and integrated care management programs executed. However, considerable variability persists across data sources, tools, and outcomes. Discussion Despite progress in identifying patient social needs, further development of standards, predictive models, and coordinated interventions is critical to fulfilling the potential of SDoH-EHR integration. Additional database searches could strengthen this scoping review. Ultimately widespread capture, analysis, and translation of multidimensional SDoH data into clinical care is essential for promoting health equity.

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Section: Sdoh and Health Outcomesmentioning

confidence: 99%

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

Li,

Mowery,

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…While our full study asked both YYAs and caregivers about their outcome preferences, findings for YYAs and how they differ from those of caregivers are reported elsewhere [17]. Finally, though geographic diversity was sought in the study design, no caregivers from the Midwestern region of the U.S. were included in the study, and the experiences and priorities of families differ significantly across state lines [49][50][51][52]. Variations in public and private mental health care systems, which are shaped considerably by state policy [53,54], may influence the outcome priorities caregivers report.…”

Section: Implications For System Of Care Practice and Researchmentioning

confidence: 99%

Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs

Graaf,

Kitchens,

Sweeney

et al. 2024

IJERPH

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This project documents the service outcomes that caregivers value most. A diverse group of caregivers, representing six regions of the United States, participated in two rounds of virtual one-hour focus groups. In round 1, participants identified what they hoped to gain from using behavioral health services for themselves, their families, and their child and discussed what made services a positive experience for them. They then reported their top-three most-hoped-for outcomes. In round 2, groups validated and refined summary findings from round 1. Caregivers prioritized service quality outcomes, primarily. They expressed a desire for an accessible, respectful, and supportive treatment environment, underpinned by well-trained and culturally responsive professionals. Caregivers also desire seamless cross-sector provider collaboration and care transitions, which integrate the insights and preferences of families and children themselves to craft a customized care plan. Priority outcomes not related to service quality included hoping to gain increased knowledge, resources, and tools and techniques to support the mental health needs of their children, to see their children improve their daily functioning and for their child develop more effective interpersonal communication skills. Caregivers also reported hoping to experience less stigma related to the mental health needs of their children and to achieve personal fulfillment for themselves and their children. Research, policies, and mental health services should prioritize and be designed to address the outcomes that matter to youth and families.

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“…Additionally, spatial analysis will be conducted using hotspot analysis techniques like Getis-Ord Gi* to identify clusters and patterns of needle incidence in the community 15 and proximately analysis (e.g., buffer analysis) to analyze relationships between needle incidence and access to care. 16 Through these analyses, we are able to gain valuable insights into areas with higher needle prevalence, aiding in the identification of potential hotspots and helping guide targeted intervention strategies.…”

Section: Iic Tool Implementationmentioning

confidence: 99%

ReportNeedles.ca: A real-time needle collection tool to foster community health partnerships

Eaton,

Pang,

Varghese

et al. 2023

Preprint

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Technology-mediated interactions between the public, healthcare agencies, and researchers can be a facilitator of community health partnerships. The use of such novel technologies can lead to innovations in public health research to address disparities and access issues. This article presents a web-based, real-time needle collection tool ReportNeedles.ca and describes its use in an ongoing community health partnership to deploy and evaluate pop-up interventions for blood-borne infection prevention and substance use harm reduction. Since April 2021, 34,350 needles have been collected from 466 public reports on the ReportNeedles.ca app in the city of Regina, Saskatchewan (population: ~215,000). This non-walkable city with pronounced needle prevalence may be representative of medium-sized cities in Canada, the United States, and elsewhere, where brick-and-mortar healthcare is predominantly accessible only to people of relative stability. This article discusses the tool’s development, implementation, and evaluation plan alongside its potential for blood-borne infection, substance use, and community-based participatory research.

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Geographic Variation in Acute Pediatric Mental Health Utilization

Cited by 7 publications

References 39 publications

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs

ReportNeedles.ca: A real-time needle collection tool to foster community health partnerships

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