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Pediatric Mental Health Care Access Program

Project Website

Grant Status: Active

Training Category: PMHCA

Project Director(s):

Richard Margolis, MD
Delaware Department of Services for Children, Youth, and their Families
1825 Faulkland Road
Wilmington, DE  19805
Phone: (302) 633-2739


Delaware Child Psychiatry Access Program (DCPAP) will adopt the Massachusetts Child Psychiatry Access Program (MCPAP) developed by Drs. John Straus, Director for Special Projects at Massachusetts Behavioral Health Partnership, and Barry Sarvet, Chief of Child Psychiatry in the Department of Psychiatry at Baystate Health. MCPAP develops consultative relationships between specialists in the field of behavioral health and pediatric prescribers. Enrollees will access supportive services including child psychiatric consultation and training opportunities.

Goals and Objectives:

DCPAP's goals are: (1) Increase access to well-informed behavioral health services; including the following objectives: (1a).Contract with mental health consultants (e.g. Child Psychiatrists) (1b). Engage pediatric prescribers to utilize consultation service. (2) Train 150 pediatric prescribers on early identification and treatment of child behavioral health disorders including the following objectives: (2a).Survey prescribers to assess for relevant topics; (2b).Develop online and in person curricula; (2c). Develop and provide trainings. (3) Test-run and implement various technologies (e.g., telehealth, phone, video-conferencing) to build network support for pediatric prescribers serving children with behavioral health problems; including the following objectives: (3a).Assess utility and cost of various technology options; (3b).Pretest and evaluate selected technology(ies); (3c).Implement technology(ies) and elicit annual feedback. (4) Dedicate disproportionate effort implementing in areas federally recognized to be under-sourced including the following objectives: (4a).Bring technology to bear in those regions where in-person consultation is not an option; (4b).Coordinate with local non-psychiatric resources (e.g., community providers, crisis, hospitals) when follow-up is indicated in remote or under-resourced areas.


Initially project administration will explore in-state and out-of-state resources for a psychiatric consultation team. Initial pretesting of said team and selected technologies will be conducted with a small sample of pediatric prescribers. Pending the success of initial testing the number of subscribing prescribers will be gradually increased while annual meetings will help to gauge and reinforce progress. This process will proceed until a minimum of 150 prescribers are enrolled.


As the success of the project will depend upon the interdependence of the psychiatric team and community prescribers, DCPAP will work with professional organizations such as the Medical Society of Delaware, the Delaware Chapter of the American Academy of Pediatrics, Delaware Academy of Family Physicians, etc.


Evaluation of this project will include the number of children served, number of participating professionals and number of consultations, referrals, and trainings provided.

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