Introduction

This project aimed to enhance access to pediatric mental primary health care.

Method

The Keep Your Children/Yourself Safe and Secure (KySS) training was offered to a multidisciplinary team at a Federally Qualified Health Clinic in the Midwest United States. Confidence was measured using the Healthcare Provider Confidence Scale (HPCS). Frequencies of visits and mental health referrals were compared preintervention/postintervention. HPCS scores were compared using Wilcoxon rank-sum and Cohen's d.

Results

Referrals in 2022 were greater than in 2020 but less than in 2021 (p = .25). The total number of visits declined from 431 in 2021 to 385 in 2022. HPCS (n = 9) scores trended higher following the KySS Program in prescribing and general positive beliefs.

Discussion

Referrals to mental health providers increased, although not significantly. The number of mental health visits varied between 2020–2022. Provider confidence was not significantly affected, whereas beliefs in prescribing did increase significantly. More work is necessary to understand the impact of delivery to a multidisciplinary team.

中文翻译：

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使用“确保您的孩子/您自己的安全”(KySS) 计划加强门诊初级保健环境中的儿科心理保健：多学科质量改进项目

 介绍

该项目旨在提高儿科精神初级卫生保健的可及性。

 方法

确保您的孩子/您自己的安全 (KySS) 培训是为美国中西部一家联邦合格健康诊所的多学科团队提供的。使用医疗保健提供者信心量表（HPCS）来衡量信心。比较干预前/干预后的就诊频率和心理健康转诊频率。使用 Wilcoxon 秩和和 Cohen d 比较 HPCS 分数。

 结果

2022 年的推荐量高于 2020 年，但低于 2021 年 (p = .25)。就诊总数从 2021 年的 431 人次下降到 2022 年的 385 人次。在 KySS 计划之后，HPCS (n = 9) 分数在处方和一般积极信念方面呈上升趋势。

 讨论

转诊至心理健康服务提供者的情况有所增加，但幅度不大。 2020 年至 2022 年期间心理健康就诊次数有所不同。提供者的信心没有受到显着影响，而对处方的信心却显着增加。需要做更多的工作来了解交付给多学科团队的影响。