The Partnership Access Line: Evaluating a Child Psychiatry Consult Program in Washington State

Details

• Personal Author:
  Hilt RJ ; Krupski A ; McDonell MG ; Myers J ; Romaire MA ; Sears JM ; Thompson JN ; Trupin EW
• Description:
  Objective: To evaluate a telephone-based child mental health consult service for primary care providers (PCPs). Design: Record review, provider surveys, and Medicaid database analysis. Setting: Washington State Partnership Access Line (PAL) program. Participants: A total of 2285 PAL consultations by 592 PCPs between April 1, 2008, and April 30, 2011. Interventions: Primary care provider-initiated consultations with PAL service. Main Outcome Measures: The PAL call characteristics, PCP feedback surveys, and Medicaid claims between April 2007 and December 2009 for fee-for-service Medicaid children before and after a PAL call. Results: Sixty-nine percent of calls were about children with serious emotional disturbances, and 66% of calls were about children taking psychiatric medications. Primary care providers nearly always received new psychosocial treatment advice (87% of calls) and were more likely to receive advice to start rather than stop a medication (46% vs 24% of calls). Primary care provider feedback surveys reported uniformly positive satisfaction with the program. Among Medicaid children, there was significant increases in attention-deficit/hyperactivity disorder and antidepressant medication use after the PAL call but no significant change in reimbursements for mental health medications (P < .05). Children with a history of foster care experienced a 132% increase in outpatient mental health visits after the PAL call (P < .05). Conclusions: Primary care providers used PAL for psychosocial and medication treatment assistance for particularly high-needs children and were satisfied with the service. Furthermore, PAL was associated with increased use of outpatient mental health care for some children. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Mental Health Nervous System Occupational Health Safety
• Keywords:
  Children Medical Care Mental Health Psychological Disorders Psychosocial Factors
• ISSN:
  2168-6203
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 10 ; OSHA Region 4 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  162-168
• Volume:
  167
• Issue:
  2
• NIOSHTIC Number:
  nn:20056644
• Citation:
  JAMA Pediatr 2013 Feb; 167(2):162-168
• Contact Point Address:
  Robert J. Hilt, MD, University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle Children's Hospital, 4575 Sand Point Way NE, Suite 105, Seattle, WA 98105
• Email:
  robert.hilt@seattlechildrens.org
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  JAMA Pediatrics
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5f4a3e84edee41b41d76dcf8e015cef00db4e8e52073a3739479f564f12f794e643fc2a06505dede3cf0f68a11a1bae22f3a7e272a7bfd1005d3ef04f5c1956a
• Download URL:
  https://stacks.cdc.gov/view/cdc/214206/cdc_214206_DS1.pdf
• File Type:
  [PDF - 208.16 KB ]