Partnerships with Primary Care for the Treatment of Preschoolers

Child Adolesc Psychiatr Clin N Am. 2017 Jul;26(3):597-609. doi: 10.1016/j.chc.2017.03.002.

Abstract

This article reviews mental health access issues relevant to preschool children and data on this population obtained through the Michigan Child Collaborative Care Program (MC3). The MC3 program provides telephonic consultation to primary care physicians (PCPs) in 40 counties in Michigan and video telepsychiatric consultation to patients and families. Attention-deficit/hyperactivity disorder and disruptive behavioral disorders are frequent initial presenting diagnoses, but autism spectrum disorders, parent-child relational issues, trauma, and posttraumatic stress disorder should also be considered. Collaborative care programs provide promising ways to promote access to child psychiatric services when these services are distant to local PCP offices.

Keywords: Collaborative care; Integrated care; Preschool mental health; Telepsychiatry.

Publication types

  • Review
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child Health Services / organization & administration*
  • Child, Preschool
  • Humans
  • Intersectoral Collaboration*
  • Mental Disorders / diagnosis*
  • Mental Disorders / drug therapy
  • Mental Disorders / therapy*
  • Mental Health Services / organization & administration*
  • Primary Health Care / organization & administration*
  • Telemedicine / organization & administration*