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Collaborative care and barriers to t...

Barlow, Meghan E. L.

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Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services./
Author:	Barlow, Meghan E. L.
Description:	117 p.
Notes:	Adviser: Beth Wildman.
Contained By:	Dissertation Abstracts International68-01B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3247628

Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services.
Barlow, Meghan E. L.

Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services. - 117 p.

Adviser: Beth Wildman.

Thesis (Ph.D.)--Kent State University, 2006.

A high percentage of children in need of mental health services are either not being identified by their primary care providers, are not being referred for mental health services, are not attending their first appointment, or are withdrawing from treatment prematurely. In order to serve these children's needs, it is important to understand potential reasons why primary care providers are not identifying or referring children with psychosocial problems to mental health care providers as well as the obstacles preventing children and their family from accessing and completing therapeutic interventions. The present study examined the effects of a direct consult collaborative care model on physician referral rates, barriers to treatment, and attendance and completion of Triple P, an empirically supported family based behavioral intervention for child behavior problems, within four pediatric practices. Two of the practices offered Triple P services on-site and two offered Triple P services off-site at nearby offices. It was hypothesized that physicians with on-site services available would be more likely to refer patients to mental health services than those physicians with off-site services available; that parents who were offered services within their child's pediatric practices would experience significantly less barriers to treatment participation than those parents who were offered services at other locations; that parents experiencing fewer barriers to treatment participation would have greater compliance with treatment than those parents experiencing greater barriers to treatment; and that as parental compliance with treatment increased, child behavior problems would decrease. Participants were 1179 parents of children who were seen in one of four pediatric practices affiliated with Children's Hospital Medical Center of Akron, and the 14 pediatricians who work at these practices. Despite limitations in the study, the current research supported the notion that moving towards an integrated or collaborative care model in clinical practice may increase children's access to mental health care and overall improvement in functioning. The presence of mental health professionals in pediatric practices was shown to be associated with an increase in referrals for services by pediatricians and decreased the therapist-perceived barriers to treatment experienced by parents. Additionally, parents who engaged in parent training in their child's pediatric office exhibited greater compliance with treatment than those who received services outside of their child's pediatric practice. As expected, greater compliance with treatment was associated with a decrease in reported child behavior problems.Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services.
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100 1 $a Barlow, Meghan E. L. $3 1298152
245 1 0 $a Collaborative care and barriers to treatment: Relationship to parental compliance and attendance for mental health care services.
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500 $a Adviser: Beth Wildman.
500 $a Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0616.
502 $a Thesis (Ph.D.)--Kent State University, 2006.
520 $a A high percentage of children in need of mental health services are either not being identified by their primary care providers, are not being referred for mental health services, are not attending their first appointment, or are withdrawing from treatment prematurely. In order to serve these children's needs, it is important to understand potential reasons why primary care providers are not identifying or referring children with psychosocial problems to mental health care providers as well as the obstacles preventing children and their family from accessing and completing therapeutic interventions. The present study examined the effects of a direct consult collaborative care model on physician referral rates, barriers to treatment, and attendance and completion of Triple P, an empirically supported family based behavioral intervention for child behavior problems, within four pediatric practices. Two of the practices offered Triple P services on-site and two offered Triple P services off-site at nearby offices. It was hypothesized that physicians with on-site services available would be more likely to refer patients to mental health services than those physicians with off-site services available; that parents who were offered services within their child's pediatric practices would experience significantly less barriers to treatment participation than those parents who were offered services at other locations; that parents experiencing fewer barriers to treatment participation would have greater compliance with treatment than those parents experiencing greater barriers to treatment; and that as parental compliance with treatment increased, child behavior problems would decrease. Participants were 1179 parents of children who were seen in one of four pediatric practices affiliated with Children's Hospital Medical Center of Akron, and the 14 pediatricians who work at these practices. Despite limitations in the study, the current research supported the notion that moving towards an integrated or collaborative care model in clinical practice may increase children's access to mental health care and overall improvement in functioning. The presence of mental health professionals in pediatric practices was shown to be associated with an increase in referrals for services by pediatricians and decreased the therapist-perceived barriers to treatment experienced by parents. Additionally, parents who engaged in parent training in their child's pediatric office exhibited greater compliance with treatment than those who received services outside of their child's pediatric practice. As expected, greater compliance with treatment was associated with a decrease in reported child behavior problems.
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