Massachusetts Child Psychiatry Access Project
John H. Straus, MD
Massachusetts Behavioral Health Partnership
Michael Yogman, M.D.
Susan Betjemann, LICSW
Yogman Pediatric Associates
MCPAP Vision
• 2003 - Address shortage of child psychiatrists by increasing ability of
primary care providers to manage and prescribe for less complex
youth with behavioral health issues while helping to find resources for
more complex youth.
• 2014 – Support the integration of behavioral health into the patient
centered medical home, especially when clinician co-located
6 MCPAP “HUBS”
UMass Memorial Med Ctr
Kelly Chabot
Deanna Pedro, LICSW
Danette Mucaria, LICSW
Mary Jeffers-Terry, CNS
Matthieu Bermingham, MD
William O’Brien, MSW
*
Baystate Med Ctr
Arlyn Perez
Jodi Devine, LICSW
Barry Sarvet, MD
Bruce Waslick, MD
Shadi Zaghloul, MD
Sara Brewer, MD
John Fanton, MD
Marjorie Williams-Kohl, CNS
*
*
Northshore Children’s Hospital
Brianna Roy
Tracey Terrazzano, LICSW
Jennifer McAdoo, LMHC
Jefferson Prince, MD
Lisa D’Silva, MD
Michele Reardon, MD
Joseph DiPietro, PsyD
*
*
*
**
*
Mass General Hospital
Lauren Hart, MPH
Leah Grant, MSW LICSW
Jeff Bostic, MD EdD
Betty Wang, MD
Elizabeth Pinsky, MD
Paul Hammerness, MD
*
Tufts Med Ctr
Children’s Hospital Boston
Rachael Roy Gorton
Alexis Hinchey Davis, LICSW
Sigalit Hoffman, MD
Neha Sharma, DO
Eric Goepfert MD
Mimi Thein, MD
Lauren Mckenna
*
McLean Hospital/Brockton
Amanda Carveiro
Carla Fink, MSSA LICSW
Charles Moore, MD
Tracy Mullare MD
Mark Picciotto, PhD
*
MCPAP Services
• Telephonic child psychiatry consultation to PCPs within 30 minutes,
Monday thru Friday. Last quarter response time met target for 89% of
consultations.
• Face to face consultations (18% of youth served)
• Care Coordination
• Transitional support when youth waiting for behavioral health services
• PCP education - newsletter, practice meetings, website, CME
MCPAP Program Overview
• Begun in 2005
• Supported by state funds through the Department of Mental Health
• All youth covered regardless of insurance
• 438 practices with 2,991 individual clinicians
• Over 98% of Commonwealth’s youth covered
• 20,641 encounters, 10,553 youth served in FY2013
• Prescriber level care remains with PCP 70% of time.
MCPAP Expanding Services
• Perinatal/postpartum depression screening and management.
• Improved screening and management of teen substance use.
• Creating the availability of the evidence based practice, Triple P, that
supports parent training for disruptive behavior in children under 6 by
training behavioral health clinicians, especially those co-located with
PCPs.
Outcome
65% Medical Follow Up with PCPs
An idea that has caught on….
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Alaska
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Iowa
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Nebraska
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Texas
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Arkansas
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Louisiana
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New Hampshire
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Vermont
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California
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Maine
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New Jersey
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Virginia
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Colorado
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Maryland
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New York
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Washington
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Connecticut
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Massachusetts
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North Carolina
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Washington DC
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Delaware
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Michigan
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Ohio
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Wyoming
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Florida
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Minnesota
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Oregon
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Wisconsin
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Illinois
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Missouri
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Pennsylvania
NNCPAP.org
MCPAP Supporting Integration
• Michael Yogman, Primary Care Pediatrician
• Susan Betjemann, Co-located social worker
Questions?
More information:
MCPAP.org.
Improving Access to Mental Health Care for Children: The Massachusetts Child
Psychiatry Access Project. Sarvet et al. Pediatrics, December 2010.