POPULATION

Pediatric  primary care practitioners - physician, physician assistant, and nurse – and youth ages 6-18. Provides receive web based training and related resources. If a youth screens positive, the provider prescribes the Guided Self-Management Toolkits for Families© (GSM) created by Boston Children's Hospital. The toolkit empowers the parent to partner in managing behavioral health problems. In turn, the parent can elect to share compliance and progress so everyone is 'on the same page', from doctor, patient, and parent to optionally include psychologist / therapist, school nurse, and school counselor. 

FOCUS

No more wait lists.  A LEVER provides evidence-based parent and patient education materials to practice emotional coping skills at home, in collaboration with the pediatric practitioner. Rotary members can introduce this new resource for rapid adoption in the local community to overcome the fact that, “New interventions ‘languish’ for 15–20 years before they are incorporated into usual medical care” (Boren and Balas 1999). 

OVERVIEW  

This Boston Children's Hospital program overcomes the fact that there are not enough child and adolescent psychiatrists nor therapists to see all youth with symptoms. Register  at Boston Children's Hospital for:
1. digital Guided Self Management Toolkits for Families©
2. self-paced 16-session video educational course totaling 5 hours Continuing Medical Education
3. digital Clinician Manual on screening, assessment, and first-line treatments for Anxiety, Depression, ADHD, and Disruptive Behavior Disorder

BENEFITS

• parent and patient education materials in English and Spanish to enhance resiliency at home, in collaboration with the pediatric practitioner
• no more wait list - the parent immediately partners in behavioral health problem management and, optionally, can bring school or other supports into sync w/ toolkit
• self-paced training and manual for the pediatric practitioner to directly manage mild and moderate cases of behavioral health problems

•allows child psychiatrists to focus on severe cases

COST

a) US $250 per provider for training and digital files of GSM toolkits and Clinician Manual© (digital files updated annually without additional cost)
b) International regions might need to fund time for a child psychiatrist to provide case consults by phone for the pediatric providers (already in place in USA and territories)

PUBLISHED RESEARCH

• Enhancing Pediatricians' Behavioral Health Competencies Through Child Psychiatry Consultation and Education
• Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care
• Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care
• Virtual Collaborative Behavioral Health Model in a Community Pediatric Network: Two-Year Outcomes
• Impact of the Coronavirus Disease 2019 Pandemic on Mental Health Visits in Pediatric Primary Care
• Pediatric Primary-Care Integrated Behavioral Health: A Framework for Reducing Inequities in Behavioral Health Care and Outcomes for Children
• Considerations for Behavioral Health Integration Program Implementation in Pediatric Primary Care Settings: A Qualitative Study.
• Selective Serotonin Reuptake Inhibitor Prescribing in a Primary Care Behavioral Health Program
• Trends in Burnout and Professional Fulfillment in Primary Care Pediatrics During and Immediately After the Covid-19 Pandemic

 

A LEVER CONTENTS

• Boston Children's Hospital training course registration
• advice on how to engage pediatric providers with case consults by phone (ex. NNCPAP.org/Map)
• assistance introducing the new resources into your community

CONTACT FOR MORE INFORMATION

The core of A LEVER is the evidence-based training for pediatricians titled, Building Bridges of Understanding, which was developed by Boston Children’s Hospital with partial funding by the Sidney A. Swensrud Foundation. Visit the Boston Children's Hospital website or email Bob Anthony (rwa1645@gmail.com).