Pedi PRN Pediatric Psychiatry Resource Network Rajvi BrokerSen

Pedi. PRN Pediatric Psychiatry Resource Network Rajvi Broker-Sen, MD Clinical Director, Pedi. PRN

Pedi. PRN - Innovative program designed to help pediatric primary care providers meet the needs of children with behavioral health struggles - Lifespan - Funding - SIM grant - Rhode Island Foundation - van. Beuren Charitable Foundation - Modeled after MCPAP- Massachusetts Child Psychiatry Access Project - Service is available to all Pediatric Primary Care Providers (PPCP’s) in the state of RI at no cost

Need - Increasing prevalence of behavioral health problems in children - National shortage of child psychiatrists - Pediatric feedback - Requested training in screening, diagnosing and treating behavioral health problems - Requested information about community behavioral health referrals and resources

Goals Increase PPCP’s knowledge, skill and confidence to screen and manage children in primary care with mild to moderate mental health needs Promote the rational utilization of scarce specialty resources for more complex and high risk children Advance integration of children’s behavioral health and pediatric primary care

Goals Less Complex PCP ChΨ Primary Care Taking Lead More Complex ChΨ PCP ChΨ Child Psychiatrist Taking Lead PCP

DESIGN Lifespan Hospital Sites - Bradley, RI, and Newport Behavioral Health Team 1 FTE Psychiatrist/APRN Rajvi Broker-Sen, MD Richard Smith, MD Leila Sadeghi, MD Bev Rich, APRN 1 FTE Social worker 1 FTE Care coordinator 0. 1 FTE Psychologist David Barker, Ph. D

Orientation Start date – December 15 th, 2016 Enrollment process – Enrollment form and Survey - Fax both forms to (401) 432 -1506 Scan and email forms to Pedi. PRN@Lifespan. org Forms will be available on the website Forms available for completion at this meeting Phone number (401) 432 -1 KID or (432 -1543) Website – Lifespan. org – Bradley hospital - PEDIPRN

Process • (401) 432 -1 KID • Assist with referring families for treatment in community Care coordinator Child Psychiatrists/APRN • Phone consultation • Face-to-Face (if necessary) • Phone consultation • Face-to-Face consultation • Interim Therapy Social worker

Services Telephone consultation – 8. 30 am-4. 30 pm on weekdays Face-to-Face consultation Care coordination Transitional therapy services while youth are waiting placement in outpatient behavioral health services Training and education through Bradley Conference, lectures, website, and e-blasts

Consultation questions Diagnostic clarification Treatment planning Unable to access behavioral health resources Second opinion Screening support Pharmacological – side effect, selection, dosage, etc. Psychotherapy – selection, linkage, monitoring

References Massachusetts Child Psychiatry Access Program – www. mcpap. com National Network of Child Psychiatry Access Programs – www. nncpap. org Partnership Access Line (PAL) Washington -www. palforkids. org Integrating Behavioral Health and Primary Care for Children and Youth: Concepts and Strategies, http: //www. integration. samhsa. gov/integratedcare models American Academy of Child & Adolescent Psychiatry Recommendation When to Seek Referral or Consultation with a Child Adolescent Psychiatrist https: //www. aacap. org/aacap/Member_Resources/Practice_Information/W hen_to_Seek_Referral_or_Consultation_with_a_CAP. aspx