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Facilitators of and Barriers to Mental Health Treatment among Adolescents in an Integrated HealthCare Setting

Peters, Kara (2016) Facilitators of and Barriers to Mental Health Treatment among Adolescents in an Integrated HealthCare Setting. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Background: The high incidence of mental health disorders among adolescents, accompanied by low treatment utilization, is a major public health problem. Including mental health treatment in primary care medical settings through an integrated health care model offers an opportunity for early intervention and easier treatment uptake for adolescents with mental health diagnoses. Methods: This thesis examined the barriers to and facilitators of implementing a mental health referral system with the support of a quality improvement project within a single clinic. Results: Qualitative analysis revealed key facilitators to be provider education; communication among team members; a shared EHR and electronic referral orderset; ongoing monitoring, evaluation, and improvement of the system; and social workers. Barriers included workflow challenges; lack of protocols; and fewer available services. Quantitative data analyses showed significant improvement in mental health utilization rates since the implementation of the project. Conclusion: The findings from this thesis can be used to inform future integrated models for adolescent mental health care in primary care settings. Expanding integrated models has public health implications for increasing treatment utilization among adolescents in need of mental health services, ultimately leading to improved quality of life throughout adulthood.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Peters, Karakjm116@pitt.eduKJM116
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairFriedman, Mark Smsf11@pitt.eduMSF11
Committee MemberElias, Thistleelias@pitt.eduELIAS
Committee MemberRosen, Danieldar15@pitt.eduDAR15
Committee MemberRadovic, Anaana.radovic@chp.edu
Date: 29 June 2016
Date Type: Publication
Defense Date: 12 April 2016
Approval Date: 29 June 2016
Submission Date: 20 April 2016
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 62
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: adolescents integrated healthcare mental health treatment social work
Date Deposited: 29 Jun 2016 20:13
Last Modified: 01 May 2018 05:15
URI: http://d-scholarship.pitt.edu/id/eprint/27765

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