Grant Status: Active
Grant Title: Pediatric Mental Health Care Access Program
Cara Paoli, MSW, LCSW
Nevada Division of Child and Family Services
4126 Technology Way, 3rd floor
Carson City, NV 89706
Phone: (775) 684-4400
Significant mental health service gaps exist for children in Nevada; particularly children living in the rural regions of Nevada. Mental health service penetration rates or the percentage of the population receiving mental health services, is dramatically lower in Nevada than the U.S. national average. In 2013, the mental health penetration rate for children 0-12 years of age in Nevada was less than one fourth of the national rate, or 4.8 per 1,000 population, compared to the national rate of 21.4 per 1,000 (NV Comprehensive Gaps Analysis of Behavioral Health Services, 2013). For younger children, only 20% of those under age 6 receive developmental screenings in Nevada, much lower than the national average of 30%.
Goal 1: Promote behavioral health integration in pediatric primary care by supporting the development of statewide pediatric mental health telehealth and telephone access program: Objective 1.1: Establish statewide or regional network of pediatric mental health teams that provide consultative support to pediatric primary care sites such as an integrated team; Objective 1.2: Conduct an assessment of the critical behavioral consultation needs among pediatric providers and their preferred consultation mechanism; Objective 1.3: Provide rapid telephone and telehealth consultations between pediatric mental health teams and pediatric primary providers. Goal 2: Provide training and education on the use of evidence-based, culturally and linguistically appropriate telehealth protocols to support the treatment of children and adolescents with behavioral disorders: Objective 2.1: Training and technical assistance to pediatric primary providers to support early identification, diagnosis, treatment, and referral for children with behavioral health conditions. Goal 3: Serve as a resource for pediatric primary care providers serving children and adolescents including but not limited to pediatricians, family physicians, nurse practitioners, physician assistants, and case coordinators: Objective 3.1: Online database and communication mechanism including telehealth to facilitate consultation support to pediatrics; Objective 3.2: Referrals to specialty care providers and community or behavioral health resources; Objective 3.3: Monitor and measure increased access and communication between pediatric mental health teams and pediatric primary providers and monitor impact.
The structure of the current Mobile Crisis Response team and the MCPAP model will be utilized to expand programming using telehealth and telephone components into pediatric primary care and psychiatric consultation.
Regularly scheduled meetings and reports to the advisory committee, targeted focus groups with pediatric providers and service providers in the underserved areas to educate, coordinate services. This project will create a provider portal, and a website aimed for both parents and providers with resources that will be updated at regular intervals by the lead project care coordinator.
Project effectiveness can be measured by number of referrals, outcome of referrals, demographics of those served through the referrals, and consumer satisfaction. Pre- and post-services screenings, such as the Child and Adolescent Needs and Strengths (CANS), the Child and Adolescent Service Intensity Instrument (CASII), Early Childhood Service Intensity Instrument (ECSII), and other specific mental health screenings can provide specific outcome data. Our partners in the field of policy and research, Nevada Institute on Children's Research and Policy, can compile data and publish to those who refer to the project, those who provide services, families who use the services, practitioners who access project services, and policy makers and stakeholders, including state consortia and legislators.