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PediPRN is an innovative program designed to help pediatric primary care providers meet the needs of children with behavioral health struggles. It offers training, consultation, and resources to increase knowledge and confidence in screening and managing mental health needs.
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PediPRNPediatric Psychiatry Resource Network Rajvi Broker-Sen, MD Clinical Director, PediPRN
PediPRN - 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 • vanBeuren 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
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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, PhD
Orientation • Start date – December 15th, 2016 • Enrollment process – Enrollment form and Survey • Fax both forms to (401) 432-1506 • Scan and email forms to PediPRN@Lifespan.org • Forms will be available on the website • Forms available for completion at this meeting • Phone number (401) 432-1KID or (432-1543) • Website – Lifespan.org – Bradley hospital - PEDIPRN
Services • Telephone consultation – 8.30am-4.30pm 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/integrated-care 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/When_to_Seek_Referral_or_Consultation_with_a_CAP.aspx