Massachusetts Child Psychiatry Access Project John H. Straus,

Massachusetts Child Psychiatry Access Project John H. Straus, MD Massachusetts Behavioral Health Partnership Michael Yogman, M.D. Susan Betjemann, LICSW Yogman Pediatric Associates

MCPAP Vision 2003 - Address shortage of child psychiatrists by increasing ability of primary care providers to manage and prescribe for less complex youth with behavioral health issues while helping to find resources for more complex youth. 2014 – Support the integration of behavioral health into the patient centered medical home, especially when clinician co-located

6 MCPAP “HUBS” UMass Memorial Med Ctr Northshore Children’s Hospital Brianna Roy Kelly Chabot Tracey Terrazzano, LICSW Deanna Pedro, LICSW Jennifer McAdoo, LMHC Danette Mucaria, LICSW Jefferson Prince, MD Mary Jeffers-Terry, CNS Lisa D’Silva, MD Matthieu Bermingham, Michele Reardon, MD MD Joseph DiPietro, PsyD William O’Brien, MSW * * Baystate Med Ctr Arlyn Perez Jodi Devine, LICSW Barry Sarvet, MD Bruce Waslick, MD Shadi Zaghloul, MD Sara Brewer, MD John Fanton, MD Marjorie Williams-Kohl, CNS * * * * ** * Mass General Hospital Lauren Hart, MPH Leah Grant, MSW LICSW Jeff Bostic, MD EdD Betty Wang, MD Elizabeth Pinsky, MD Paul Hammerness, MD Tufts Med Ctr Children’s Hospital Boston Rachael Roy Gorton Alexis Hinchey Davis, LICSW Sigalit Hoffman, MD Neha Sharma, DO Eric Goepfert MD Mimi Thein, MD Lauren Mckenna McLean Hospital/Brockton * * Amanda Carveiro Carla Fink, MSSA LICSW Charles Moore, MD Tracy Mullare MD Mark Picciotto, PhD *

MCPAP Services Telephonic child psychiatry consultation to PCPs within 30 minutes, Monday thru Friday. Last quarter response time met target for 89% of consultations. Face to face consultations (18% of youth served) Care Coordination Transitional support when youth waiting for behavioral health services PCP education - newsletter, practice meetings, website, CME

MCPAP Program Overview Begun in 2005 Supported by state funds through the Department of Mental Health All youth covered regardless of insurance 438 practices with 2,991 individual clinicians Over 98% of Commonwealth’s youth covered 20,641 encounters, 10,553 youth served in FY2013 Prescriber level care remains with PCP 70% of time.

MCPAP Expanding Services Perinatal/postpartum depression screening and management. Improved screening and management of teen substance use. Creating the availability of the evidence based practice, Triple P, that supports parent training for disruptive behavior in children under 6 by training behavioral health clinicians, especially those co-located with PCPs.

Outcome 65% Medical Follow Up with PCPs

An idea that has caught on . Alaska Iowa Nebraska Arkansas Louisiana New Hampshire Vermont California Maine New Jersey Virginia Colorado Maryland New York Washington Connecticut North Carolina Washington DC Delaware Michigan Ohio Wyoming Florida Minnesota Oregon Wisconsin Illinois Missouri Pennsylvania Massachusetts Texas NNCPAP.org

MCPAP Supporting Integration Michael Yogman, Primary Care Pediatrician Susan Betjemann, Co-located social worker

Questions? More information: MCPAP.org. Improving Access to Mental Health Care for Children: The Massachusetts Child Psychiatry Access Project. Sarvet et al. Pediatrics, December 2010.