System navigation models to facilitate engagement in pediatric behavioral health services: A systematic review.

Abstract

Introduction: Despite increased prevalence and identification of pediatric behavioral health concerns, families face many barriers when attempting to access behavioral health services. System navigators, or individuals experienced in navigating the health system, help to engage families in services by helping individuals overcome barriers for accessing care. However, limited research to date has systematically reviewed the implementation and effectiveness of navigation models in pediatric populations. Method: We systematically reviewed published studies examining navigation models for pediatric populations (up to age 18) referred to behavioral health services. We searched PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO for studies that evaluated a navigation model and included service use outcomes. We aggregated data pertaining to characteristics of the study and navigation model, service use outcomes, and implementation outcomes. Results: Eight studies met inclusion criteria. Families who participated in navigation services were more likely to complete diagnostic assessments and received an increased dosage (e.g., time spent, services completed) of behavioral health treatments. There was notable variability across studies in terms of processes involved in the navigation models. Discussion: Findings indicate that system navigation is a promising method for improving service use for pediatric populations referred to behavioral health services. Future research may continue to examine the effectiveness and implementation of the model, to best understand its benefits and what processes may contribute to improved service outcomes.

Identification of autism spectrum disorder and interprofessional collaboration between school and clinical settings

“…This model provided linkage and coordination of medical, educational, and legal support services. Family and System Navigation is another model that helps families of autistic children with linking across systems of care (Feinberg et al, 2021; Petts et al, 2021).…”

Patient delay and related influencing factors in Chinese women under 35 years diagnosed with cervical cancer: A cross-sectional study

“…These results provide support for early prevention and control of cervical cancer in the young population. 10 …”

“…The World Health Organization recently announced a global strategy toward the elimination of cervical cancer and set the goal of reducing the global annual age-standardized incidence to 4 per 100,000 women. 10 The concept of “delayed diagnosis” appears in the literature as an obstacle in cancer prevention and treatment. 11 Delayed diagnosis can lead to enlargement of the tumor, increased distant metastasis rate and TNM staging, a higher risk of relapse and death, and poor clinical outcomes.…”

Toward Antiracism Pediatric Practice: The Role of System Navigation in the Medical Home

“…Variations in models include some combination of providing families with emotional support, information about health and/or social needs supports and community resources, and motivational enhancement over 1 or more contacts with the family with periodic follow-up; models can also include support around navigating insurance factors, initiating scheduling on behalf of the family, and directing assistance, such as help with transportation and child care. 2 Navigation models have been shown to improve access to care, service use outcomes, and family satisfaction with care. 1,2,16 System navigation has the potential to be a part of an antiracist agenda in the medical home.…”

“…Navigation models occur in a variety of settings including primary care, specialty care, emergency departments, or community health. 2,15 Generally, system/patient navigators are housed within 1 setting (e.g., primary care) and work as a part of the health care team. Their role is to help with care coordination across the health system and/or community agencies, meaning that they are equipped to "navigate" within and outside of the system in which they work.…”