Quality of Publicly-Funded Outpatient Specialty Mental Health Care for Common Childhood Psychiatric Disorders in California

Zima, Bonnie T.; Hurlburt, Michael S.; Knapp, Penny; Ladd, Heather; Tang, Lingqi; Duan, Naihua; Wallace, Peggy; Rosenblatt, Abram; Landsverk, John; Wells, Kenneth B.

doi:10.1097/00004583-200502000-00005

Cited by 115 publications

(99 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Nevertheless, for children with mental health problems, continuity of care is a target area for quality improvement in primary care and specialty mental health clinics. 11,12 In primary care, the median number of follow-up visits for attentiondeficit/hyperactivity disorder (ADHD) was found to be 1 visit within 6 months in 2 large community-based populations. 13,14 Improving the continuity of care for ADHD is also of public health significance because it affects 3% to 9% of US children [15][16][17][18] and is chronic, [19][20][21][22][23][24][25][26] debilitating, 19,[27][28][29][30][31][32][33][34][35][36][37][38] and costly.…”

mentioning

confidence: 99%

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

et al. 2013

Self Cite

View full text Add to dashboard Cite

OBJECTIVE: To examine whether parent perceptions about care (barriers, disorder knowledge, treatment willingness) vary among children who drop out of or stay in publicly funded care for attention-deficit/ hyperactivity disorder (ADHD) and to explore whether parent perceptions are predictive of staying in care over time. METHODS:A longitudinal cohort study of 529 children ages 5 to 11 years receiving care for ADHD in primary care or specialty mental health clinics in a large, countywide, managed-care Medicaid program. Multiple logistic regression analyses were performed to identify parent perceptions associated with the likelihood of staying in care across three 6-month time intervals, controlling for child and parent demographic characteristics, parental distress, clinical need, and recent special education use. RESULTS:At least three-fourths of children had at least 1 contact for any mental health care during a 6-month time interval (75%, 85%, 76%). Parent-perceived barriers, ADHD knowledge, and counseling willingness did not predict staying in care, whereas willingness for medication treatment was predictive at baseline. Minority status, nonmarried parent, parental distress, clinical need, and special education use were predictive of staying in care, but mostly during only one 6-month time interval, and their influence varied over time.CONCLUSIONS: Parent willingness for medication treatment along with several demographic and need factors predicted staying in care but not consistently over time. Future research is needed to develop practical tools for clinicians to elicit parent priorities about ADHD treatment and to integrate them into quality-improvement interventions targeted to improving shared decision-making for longer term ADHD care.

show abstract

mentioning

confidence: 99%

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

et al. 2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…30 It has also been used to assess the quality of mental health care statewide among children receiving publicly funded outpatient specialty mental health care. 18 The process integrates a review of the evidence base for a proposed measure and 2 rounds of structured expert ratings. During this process, the SNAC assessed the validity, feasibility, and importance of 119 measures, of which 12 were specific to child mental health.…”

Section: Chipra: Development Of Initial Core Set Of Measuresmentioning

confidence: 99%

“…Delivery of mental health care may also be underreported because procedure codes for evidence-based mental health care are often missing in Medicaid claims data. 17,18 Nevertheless, this new direction has the potential to bring a kind of "parity" with physically based medical diagnoses in the identification of mental health problems. Secondly, an algorithm to identify children with "social complexity" by using Medicaid claims and enrollment data is under development.…”

Section: Identifying Eligible Populations For Mental Health Quality Mmentioning

confidence: 99%

“…3,4 This gap is of public health significance because improving the quality of child mental health care is a longstanding national priority, [5][6][7][8][9] and there is substantial room for improvement in mental health care for both private and publicly insured populations. [10][11][12][13][14][15][16][17][18] This article reviews the following: recent relevant health policy initiatives; the selection of national child health quality measures; existing national standards for child mental health care, including the strength of the evidence supporting them; an update on development of new quality measures related to child mental health care; and early lessons learned from these national efforts.…”

mentioning

confidence: 99%

See 1 more Smart Citation

National Quality Measures for Child Mental Health Care: Background, Progress, and Next Steps

et al. 2013

Self Cite

View full text Add to dashboard Cite

OBJECTIVE: To review recent health policies related to measuring child health care quality, the selection processes of national child health quality measures, the nationally recommended quality measures for child mental health care and their evidence strength, the progress made toward developing new measures, and early lessons learned from these national efforts.METHODS: Methods used included description of the selection process of child health care quality measures from 2 independent national initiatives, the recommended quality measures for child mental health care, and the strength of scientific evidence supporting them. RESULTS:Of the child health quality measures recommended or endorsed during these national initiatives, only 9 unique measures were related to child mental health. CONCLUSIONS:The development of new child mental health quality measures poses methodologic challenges that will require a paradigm shift to align research with its accelerated pace. Pediatrics 2013;131: S38-S49 AUTHORS:

show abstract

“…15 Timeliness of care has been largely unaddressed, but a recent national study noted long lag times between illness onset and treatment. 16 Equity has recently been addressed in some quality improvement programs but certainly does not receive the same prominence in quality debates that effectiveness does.…”

Section: Developing Quality Improvement Resourcesmentioning

confidence: 99%

What Is Necessary To Transform The Quality Of Mental Health Care

Patel

Butler²,

Wells

2006

Health Affairs

Self Cite

View full text Add to dashboard Cite

Improving the quality of care is a national priority in the United States; however, it is not clear how to accelerate progress for mental health care. We recommend advances in three capacities: (1) developing quality improvement resources applicable to a diverse set of mental health disorders, clients, and service settings; (2) improving the infrastructure for providing evidence-based psychotherapy and psychosocial interventions; and (3) promoting innovation in financial incentives for quality improvement in mental health care. We also discuss the need to develop leadership among health care stakeholders and community engagement to promote public commitment to high-quality care in mental health. [Health Affairs 25, no. 3 (2006) e c e n t p o l i c y an d r e s e a r c h i n i t i at i v e s have drawn widespread attention to gaps in the quality of care. Low or moderate rates of use for appropriate treatments and preventive services have been found across a wide range of health conditions, including common mental disorders.1 Improving the quality of mental health care is an important priority, because mental disorders are major contributors to the total global burden of illness and have been identified as priority conditions for tracking the overall performance of the U.S. health care system. 2 Despite this, major barriers to improving the quality of mental health care remain. In a recent report on the state of quality measurement in medical practice, only 4 of 179 quality indicators were related to mental health care.3 Efforts to include mental health in broader quality improvement initiatives face such barriers as condition-and treatment-related social stigma and regulations concerning privacy. These barriers are often exacerbated by system factors specific to mental health, such as the broad array of provider specialty types and agencies providing

show abstract

Quality of Publicly-Funded Outpatient Specialty Mental Health Care for Common Childhood Psychiatric Disorders in California

Cited by 115 publications

References 85 publications

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

National Quality Measures for Child Mental Health Care: Background, Progress, and Next Steps

What Is Necessary To Transform The Quality Of Mental Health Care

Contact Info

Product

Resources

About