Abstract

Inter professional teamwork: A case study examining the practice patterns and perceptions of pediatric psychologists

Highlights

  • One of the most transformative aspects of the Affordable Care Act (ACA) is the call for an increase in interprofessional collaboration, the process by which care providers from different disciplines collaboratively develop cohesive and comprehensive care plans [1,2]

  • A majority of those interprofessional team (IPT) which involved psychological services provided during clinic time and in clinic space included the psychologist consulting with physicians (66.67%), informally meeting families (61.11%), attending medical team meetings (55.56%) and screening patients (55.56%)

  • Patient identification for psychology services differed if completed in the medical clinic versus outside of clinic, with 44.44% of IPTs that included in-clinic service delivery having the psychologist meeting all patients versus 16.67% meeting all patients if service delivery was outside of the clinic

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Summary

Introduction

One of the most transformative aspects of the Affordable Care Act (ACA) is the call for an increase in interprofessional collaboration, the process by which care providers from different disciplines collaboratively develop cohesive and comprehensive care plans [1,2]. The American Academy of Pediatrics has endorsed a “medical home” model, highlighting the importance of comprehensive and coordinated care of the “whole child” as well as easy access to services that meet both children’s and families’ medical and psychosocial needs. This increased commitment to assessing the biopsychosocial needs of the child and family is demonstrated in half of the 26 new ACA-mandated prevention screenings and services related to behavioral health [3]. Research examining the effectiveness of interprofessional care including psychologists has demonstrated improved biopsychosocial outcomes for both primary [10] and subspecialty integrated care [11,12]. Providers of mental and behavioral health are infrequently included in studies of interprofessional collaborative practice [13]

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