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dc.contributor.authorHugunin, Julie
dc.contributor.authorKhan, Sara
dc.contributor.authorMcPhillips, Emily
dc.contributor.authorDavis, Maryann
dc.contributor.authorLarkin, Celine
dc.contributor.authorSkehan, Brian
dc.contributor.authorLapane, Kate L
dc.date.accessioned2023-05-20T21:55:49Z
dc.date.available2023-05-20T21:55:49Z
dc.date.issued2023-01-03
dc.identifier.citationHugunin J, Khan S, McPhillips E, Davis M, Larkin C, Skehan B, Lapane KL. Pediatrician and Child Adolescent Psychiatrist Perspectives of Coordinated Care for Emerging Adults. J Adolesc Health. 2023 May;72(5):770-778. doi: 10.1016/j.jadohealth.2022.12.002. Epub 2023 Jan 3. PMID: 36604207; PMCID: PMC10121759.en_US
dc.identifier.eissn1879-1972
dc.identifier.doi10.1016/j.jadohealth.2022.12.002en_US
dc.identifier.pmid36604207
dc.identifier.urihttp://hdl.handle.net/20.500.14038/52084
dc.description.abstractPurpose: To explore pediatrician and child/adolescent psychiatrists' perspectives of the role of coordinated care for emerging adults with serious mental health conditions, particularly as they transition to adult care. Methods: Semi-structured individual interviews of a purposive sample of 10 pediatricians and 11 child/adolescent psychiatrists in Massachusetts were used to explore coordinated care for emerging adults. Following verbatim transcription and double coding, we conducted a thematic analysis to identify key themes. Care coordination concepts explored included a case discussion, teamwork, communication methods, medication management, transition to adult care, the healthcare home, and youth and family role. Organizational and societal barriers were also discussed. Results: Providers described key barriers to continuous, coordinated care for youth with serious mental health conditions, including poor communication systems between providers, no organized process for the transition from pediatric to adult care, state licensing laws (particularly impacting college-age youth), inadequate connection to community supports, and poor reimbursement rates for psychiatric care. Termination of primary care in young adults and inadequate medication side effect monitoring were described as key gaps in care. Discussion: The current system of coordinated care for emerging adults with serious mental health conditions is a perfect storm of challenges that creates a vicious cycle of interconnected barriers which lead to fragmented, discontinuous, and sub-par care for this population.en_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Adolescent Healthen_US
dc.relation.urlhttps://doi.org/10.1016/j.jadohealth.2022.12.002en_US
dc.rightsCopyright © 2022 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.en_US
dc.subjectCoordinated careen_US
dc.subjectMental healthen_US
dc.subjectTransition to adult careen_US
dc.subjectUMCCTS fundingen_US
dc.titlePediatrician and Child Adolescent Psychiatrist Perspectives of Coordinated Care for Emerging Adultsen_US
dc.typeJournal Articleen_US
dc.source.journaltitleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine
dc.source.volume72
dc.source.issue5
dc.source.beginpage770
dc.source.endpage778
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.identifier.journalThe Journal of adolescent health : official publication of the Society for Adolescent Medicine
dc.contributor.departmentEmergency Medicineen_US
dc.contributor.departmentPediatricsen_US
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US
dc.contributor.departmentPsychiatryen_US


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