56. PREPARING PEDIATRICIANS FOR PRACTICE THROUGH INTEGRATED CARE

Abstract

Background Less than half of children in need of mental health (MH) services receive them, leading to pediatricians filling the void despite self-reported lack of training or comfort. The AAP and AACAP recognize integrated care as one potential solution to the gap in access, but few studies have examined the effects of this model in a pediatric residency clinic. No studies to date have looked at practice habits of pediatricians who trained under this type of model. Objectives We present a model of an Integrated Mental Health Clinic (IMHC) implemented in a pediatric resident continuity clinic for the primary purpose of teaching. We examined practice habits of pediatricians with/without exposure to the model during residency, as well as effects on attitudes, perceived barriers, and confidence in providing MH care. Methods An anonymous survey was sent to program graduates over a 6-year period, spanning implementation. Respondents were classified based on participation in the IMHC: sustained exposure (full dose), indirect exposure (partial dose), and graduation prior to implementation (control). Results were analyzed for dose response, as well as comparing individual groups. Results Pediatricians who trained with an IMHC model address MH more frequently, including asking about depression (p Conclusion Including an Integrated Mental Health Clinic model in pediatric residency continuity clinic can significantly increase pediatricians practice habits, attitudes, and confidence in caring for patients with MH concerns once in practice, if the IMHC is designed intentionally for trainee education.