The validation of the Western Canada Waiting List Children’s Mental Health-Priority Criteria Score Instrument: 2002 – 2015 results

Novick, Jason; Cawthorpe, David; McLuckie, Alan

doi:10.5430/jha.v5n4p1

Cited by 8 publications

(11 citation statements)

References 18 publications

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“…The measurement system employed in the CanREACH evaluation has been shown to integrate well into clinical practice and, in and of itself, to be valid, reliable, and economical. [8][9][10] This method of clinical practice measurement has been shown to inform guidelines in respect to clinical screening, assessment, and illustrated the need for a practice paradigm shift in respect to trauma-informed care assessment, diagnosis and treatment planning. 11,12 In addition to mapping onto the recent provincial SMART goals (Specific, Measurable, Attainable, Rewarding, and Timely), a the method underpinning the clinical measurement in this paper has been generalized into a model applicable to any division of medical practice and education, 13 a model recently reviewed in Family Medicine.…”

Section: Discussionmentioning

confidence: 99%

The Economic Impact of Providing Evidence-Based Pediatric Mental Health Literacy Training to Primary Care Physicians

McCaffrey

Chang

Farrelly

et al. 2021

Psychiatry Investig

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Objective This paper presents a review of the current state of child and adolescent mental health literacy and provides current evidence of the economic impact of a pediatric mental health literacy (MHL) training program.Methods Employing a case-series-comparison design, physician referrals to urgent and specialized mental health services were linked with patient-specific information comparing referrals from MHL participants and non-participating physicians. The economic impact analysis was based on changes in the admitted referral frequency and lengths of stay for the MHL group, compared to themselves pretraining, and over the same time period compared to non-participating physicians.Results Average scheduled ambulatory admission rates per physician remained constant for trained and untrained pre-post groups. Average scheduled ambulatory admission wait time and length of stay reduced significantly post-training for MHL-trained physicians compared to pre-training and untrained physicians. In addition to reductions in length of stay, the total bed costs saving for emergency/ inpatients admission deferrals was $2,932,112 or about $20,000 per MHL-trained physician.Conclusion The estimated economic impact of the MHL training shows a substantial return on investment and supports wider implementation. The MHL training program should be a key feature of mental health reform strategies, as well as continuing and undergraduate medical education.

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Section: Discussionmentioning

confidence: 99%

The Economic Impact of Providing Evidence-Based Pediatric Mental Health Literacy Training to Primary Care Physicians

McCaffrey

Chang

Farrelly

et al. 2021

Psychiatry Investig

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“…Clinical referral data included demographics (age and sex) and system indicators (eg, emergent, scheduled, and repeat admissions, the length of stay, wait times, etc). In addition to demographic and system variables, clinical variables related to urgency captured on referral were based on the WCWL-CMH-PCS 13 and the admission and discharge variables captured in the measurable treatment plan, function and problem severity. 12 14 15 …”

Section: Methodsmentioning

confidence: 99%

Mental health literacy in primary care: Canadian Research and Education for the Advancement of Child Health (CanREACH)

et al. 2017

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The effectiveness of a continuing education programme in paediatric psychopharmacology designed for primary healthcare providers was objectively measured based on the assumption that training would lead to measurable changes in referral patterns and established clinical measures of referred patients. Using established, valid and reliable measures of clinical urgency embedded in to a regional healthcare system since 2002, the referrals to child and adolescent psychiatric services of physicians who participated in the training (n=99) were compared pretraining and post-training, and to non-participating/ untrained referring physicians (n=7753) making referrals over the same time period. Referrals were analysed for evidence of change based on frequencies and measures of clinical urgency. Participants of the training programme also completed standardised baseline and outcome selfevaluations. Congruent with participants self-reported evaluative reports of improved knowledge and practice, analysis of referral frequency and the clinical urgency of referrals to paediatric psychiatric services over the study period indicated that trained physicians made more appropriate referrals (clinically more severe) and reduced referrals to emergency services. Quantitative clinical differences as completed by intake clinicians blind to referrals from the study group designations were observed within the trained physician group pretraining and posttraining, and between the trained physician group and the unexposed physician group. The results illustrate a novel model for objectively measuring change among physicians based on training in paediatric mental health management. IntroductionContinuing medical education (CME) is grounded in the belief that with increased physician knowledge comes better physician practice which leads to improved patient outcomes. A measurable change in patients' health as a function of CME is rare. Most measures of CME effect focus on physician self-reported CME content uptake.1-6 Yet, it is well documented that self-report, as a consequence of CME participation, invariably suffers from the Hawthorne effect, 7 wherein self-reported effects are systematically biased simply through participation. There is little, if any, research employing independent, objective measures of CME programme change effect on physicians' practice. 8The gaps between perceived, actual and ideal performance in healthcare are real. For example, a recent meta-analysis found that most studies fail to show a significant correlation between CME and health outcomes.5 While research has focused on improving physician practice through an examination of various styles of CME, demonstrating that smaller interactive workshops show greater improvements than didactic sessions, 5 it has, to a lesser degree, examined CME effects on physician practice in relation to patient outcomes. When quantifiable, outcomes that are the result of an action or activity 1 are more objective, rendering them adequate and unbiased assessments of CME. 6 In fact...

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“…One advantage of the CAAMPP regional system of care is its embedded system of clinical measurement. [12][13][14][15] On this basis, it is possible to compare innovations in service delivery at a system level to established standards of care in terms of patients' clinical profiles and outcomes. In this paper we examined the impact of the AAH service on admission and readmission rates in comparison to emergency and inpatient admissions not enrolled to AAH under the main hypothesis that the admission and readmission rates and lengths of stay for those exposed to AAH will improve (reduce and shorten).…”

Section: Setting and Aah Modelmentioning

confidence: 99%

“…Additionally, the clinical profiles of those admitted to AAH are at least equivalent to the comparison groups representing the current standards of care. 14,15…”

Section: Setting and Aah Modelmentioning

confidence: 99%

“…In this paper we examined the impact of the AAH service on admission and readmission rates in comparison to emergency and inpatient admissions not enrolled to AAH under the main hypothesis that the admission and readmission rates and lengths of stay for those exposed to AAH will improve (reduce and shorten). Additionally, the clinical profiles of those admitted to AAH are at least equivalent to the comparison groups representing the current standards of care [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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A New Acute-At-Home Child and Adolescent Clinical Service: Evaluation of Impact

Khalfan

Coventry

Cawthorpe

2022

Psychiatry Investig

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Objective An Acute at Home (AAH) clinical service was implemented to reduce emergency and inpatient admissions to the regional tertiary child and adolescent mental health system. This paper examines describes the served the population and impact on emergency and inpatient admissions.Methods Analysis of re-admission rates for those enrolled before and after the May 2019 implementation of the AAH service in comparison over the same time period to an unexposed comparison group. In addition the groups were compared on clinical and demographic variables comparing those exposed and those not exposed to the AAH service.Results The results indicated that the AAH group experienced reduced rates of readmission and lengths of stay post-exposure. Family composition, sex, seven Adverse Childhood Experience survey items, and nine Western Canada Waitlist Child Mental Health Priority Criteria Score items distinguished those exposed to AAH compared to those who were not. Thirteen of 19 independent variables indicated greater pathology in the AAH group with less likelihood of potential of danger to self.Conclusion The present results indicate a substantial benefit of the AAH service via reducing readmissions and lengths of stay. The quantitative measures warrant a careful qualitative examination of the AAH processes along with ongoing monitoring of the program’s effect.

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The validation of the Western Canada Waiting List Children’s Mental Health-Priority Criteria Score Instrument: 2002 – 2015 results

Cited by 8 publications

References 18 publications

The Economic Impact of Providing Evidence-Based Pediatric Mental Health Literacy Training to Primary Care Physicians

The Economic Impact of Providing Evidence-Based Pediatric Mental Health Literacy Training to Primary Care Physicians

Mental health literacy in primary care: Canadian Research and Education for the Advancement of Child Health (CanREACH)

A New Acute-At-Home Child and Adolescent Clinical Service: Evaluation of Impact

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