Access to quality psychiatric care is a national challenge for a significant number of children and families, but this challenge is exacerbated in Mississippi, where we have some of the nation's most significant healthcare, geographic, workforce, and socioeconomic challenges. This problem is compounded by poor rates of integrated behavioral healthcare with primary care providers. Telehealth modalities and consultation, care coordination and referral services may overcome these barriers to provide improved accessibility to specialized psychiatric care.
Goals and Objectives:
To establish and implement a mental health and psychiatry access program via a regional network of primary care providers through the Child Access to Mental Health and Psychiatry (CHAMP), and to provide teleconsultation, care coordination and referral assistance to primary care providers. Other objectives are to conduct training and provide adult-learning educational opportunities for providers regarding telehealth identification/management of behavioral health conditions, and to determine the effectiveness of CHAMP to ensure its sustainability and expansion.
CHAMP will provide rapid consultation access and care coordination via an expert integrated behavioral health team of psychiatrists, psychologists, nurse practitioners, a mental health coordinator and family partner advocate. Pediatric primary care providers in 5 Department of Mental Health (DMH) regions representing particularly rural and underserved regions (the Mississippi Delta and Jackson metro area) will be approached to participate in the free service. Universal accessibility will be provided regardless children's insurance status. We aim to enroll 90% of all available providers in the catchment areas. The CHAMP team will also provide a suite of online, video, and in-face adult learning opportunities for providers.
Care coordination and referral will be provided by a dedicated mental healthcoordinator. A Family Partner advocate will conduct community- and family-level care coordination and training. An online repository of referral options will be collated and shared with providers. At the systems-level, coordination between DMH, the MCH Title V program, multiple state agencies and insurer stakeholders will occur. A CHAMP Advisory Council will be formed to help coordinate efforts for program evaluation, expansion, and sustainability.
Program evaluation and rapid cycle quality improvement processes will be embedded into CHAMP to inform its effectiveness, economic impact, and sustainability. Annual surveys to providers and families will help determine satisfaction with CHAMP's impact on access to psychiatric care and coordination of services. Follow-up interviews and assessments will be conducted for a subset of families who receive CHAMP and compared to non-CHAMP areas. Impact will also be determined through examination of administrative databases.