POPULATION
No more wait lists. No more feeling helpless when a child has symptoms. Parents immediately partner with the family doctor through the Guided Self-Management Toolkits. Children and teens receive early diagnosis and treatment as well as preventive care. Pediatric physician, family practitioner, nurse practitioner, or physician's assistant receives self-paced training to manage all mild and moderate cases.
FOCUS
Increases the capacity for both preventive behavioral health care and early treatment to pediatric populations through self-paced training and psychiatric consult support for the pediatric provider.
OVERVIEW
Rotary members implement in their local community by introducing the:
1. printed content of the Guided Self Management Toolkits and Clinician Manual
2. self-paced 16-session video educational course totaling 5 hours introduces screening, assessment and first-line treatments for Anxiety, Depression, ADHD, and Disruptive Behavior Disorder
3. ‘curbside consult’ by phone for the pediatrician by a child and adolescent psychiatrist (USA examples may be found through this map https://www.nncpap.org/map)
This program overcomes the fact that there are not enough child psychiatrists nor psychologists to see all youth with symptoms. These peer reviewed articles confirm improved behavioral health knowledge and skills among primary care practitioners and increased access to behavioral health services for families:
• Arora BK, Klein MJ, Yousif C, Khacheryan A, Walter HJ. Virtual Collaborative Behavioral Health Model in a Community Pediatric Network: Two-Year Outcomes. Clinical Pediatrics. 2023;0(0). doi:10.1177/00099228231164478
• Walter HJ, Vernacchio L, Correa ET, et al. Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care, Pediatrics, 2021; 148 (2) e2020001073
• Walter HJ, Vernacchio L, Trudell EK, et al. Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care. Pediatrics. 2019;144(1):e20183243
• Walter HJ, Kackloudis G, Trudell EK, et al. Enhancing Pediatricians’ Behavioral Health Competencies Through Child Psychiatry Consultation and Education, Clinical Pediatrics. 2018, Vol. 57(8) 958–969
BENEFITS
• preventive toolkits provided as needed for child, teen, and parent
• increases capacity and access to timely assessment, diagnosis and treatment
• provides pediatricians the skills and support to directly manage mild and moderate cases
• allows child psychiatrists to focus on severe cases
COST
a) US $250 per provider for training and digital files of preventive toolkits and clinical manual (digital files updated annually without additional cost)
b) International regions might need to fund some time for a child psychiatrist to provide case consults by phone for the family health care providers
c) Optionally, US $100 for a bound set of the digital preventive toolkits and clinician’s manual
TOOLKIT CONTENTS
• Boston Children's Hospital training course registration BuildingBridgesofUnderstanding.org (please enter 'rotary' as the promotion code to help us track our impact)
• advice on how to support local providers with child and adolescent psychiatrist phone support
CONTACT FOR MORE INFORMATION
Visit the Boston Children's Hospital website or email the Mental Health Initiatives - Rotary Action Group Chair, Bob Anthony (rwa1645@gmail.com)