A Systematic Review of the Methods Used to Evaluate Child Psychiatry Access Programs.

Academic Pediatrics
Amie F Bettencourt, Corinne M Plesko

Abstract

There is a well-documented gap between the need for and availability of mental health services for children nationwide. To address this gap, over 30 regional Child Psychiatry Access Programs (CPAPs) provide psychiatric consultation and other services to primary care providers. Summarize the methods used to evaluate CPAPs in the United States. PubMed, PsychInfo, CINAHL, and reference checking. A systematic literature review was conducted searching 3 databases. The search produced 307 unique articles, 278 were excluded for irrelevance, leaving 29 for data extraction. Data extracted included author(s), publication year, provider types, CPAP formats, study sample, design, outcomes examined, results, and limitations. Articles were also appraised for quality using the Johns Hopkins Nursing Evidence-Based Practice Evidence Level and Quality Guide. The 29 articles evaluated 13 unique CPAPs. Most evaluations used nonexperimental observational designs (68.9%), 6.9% used quasi-experimental designs, and none used true experimental designs. Evaluations examined the following outcomes: usage of program services (82.8%), provider satisfaction (48.3%), provider comfort/confidence with managing mental health concerns (31.0%), provider practice ...Continue Reading

Citations

Sep 3, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Ujjwal RamtekkarLaine Young-Walker

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