What's known about implementing co-located paediatric integrated care: a scoping review.
Int Rev Psychiatry
; 30(6): 242-271, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-30912463
ABSTRACT
Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Atenção Primária à Saúde
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Avaliação de Resultados em Cuidados de Saúde
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Prestação Integrada de Cuidados de Saúde
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Implementação de Plano de Saúde
Tipo de estudo:
Clinical_trials
/
Guideline
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Observational_studies
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Prognostic_studies
/
Sysrev_observational_studies
/
Systematic_reviews
Limite:
Child
/
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article