A5059279701- Child and Adolescent Health
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Adolescent and Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Technology
- Mental Health Treatment and Access
- Healthcare Policy and Management
- Advanced Statistical Methods and Models
- Interprofessional Education and Collaboration
- Statistical Methods and Inference
- Statistical Methods and Bayesian Inference
- Human Health and Disease
- Family Support in Illness
- Pharmaceutical Practices and Patient Outcomes
- Schizophrenia research and treatment
- Medical Malpractice and Liability Issues
- Healthcare Systems and Challenges
- Childhood Cancer Survivors' Quality of Life
- Medication Adherence and Compliance
- Psychiatric care and mental health services
- Health and Wellbeing Research
- Healthcare Systems and Public Health
- Nursing Roles and Practices
Duke University
2016-2023
Duke University Health System
2016-2021
Blue Cross and Blue Shield of North Carolina Foundation
2021
UnitedHealth Group (United States)
2021
Optum (United States)
2021
Mass General Brigham
2017
HealthPartners
2017
Massachusetts General Hospital
2012-2014
University of Pittsburgh
2014
RAND Corporation
2014
Objective The authors examined utilization of the Massachusetts Child Psychiatry Access Project, a mental health telephone consultation service for primary care, hypothesizing that greater use would be related to severe psychiatric diagnoses and polypharmacy. Methods association between utilization, defined as mean number contacts per patient during 180 days following initial contact (July 2008–June 2009), characteristics contact, including question, child's problem, psychotropic medication...
Many children are treated for mental health disorders in primary care settings. The system of (SOC) provides a framework collaboration among pediatric providers, but it is unclear if youth receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 74 individuals ≤18 years, odds contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared treatment versus specialty...
Multiple barriers exist to accessing behavioral health care, and several are related payment. The national shortage of providers is exacerbated by their not joining insurance networks, often shifting the cost treatment patients. In face high out-of-network expenses, deductibles, copays, many insured patients forgo altogether. However, even when access outcomes routinely measured, there reason suspect that quality care poor. To address these issues, value-based reimbursement for offers a...
SummaryThe behavioral health system in the United States is failing at a time when we need it most. Rates of mental and substance use disorders are rising wake Covid-19, increased suicide drug overdose deaths can be expected to follow. Effective treatments exist, but access limited by multiple barriers, including inadequate care delivery, workforce shortages, lack outcome measurement, payment methodologies that disincentivize value. To overcome these limitations meet growing demand,...