Journal article
Exploring Predictors of Treatment Engagement in Urban Integrated Primary Care
CLINICAL PRACTICE IN PEDIATRIC PSYCHOLOGY, v 8(3), pp 228-240
Sep 2020
PMID: 34336540
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Integrated primary care (IPC) is intended to address the gap in access to behavioral health care. This may be particularly true in urban settings; however, there is a paucity of research on treatment engagement in urban IPC. This study explored factors associated with treatment engagement. Method: Data were collected via retrospective chart review for 410 patients of diverse backgrounds who received an IPC referral in an urban primary care site. Patient-related factors included having multiple types of referral concerns, patient primary care show rate, and number of visits with referring clinician. Service-related factors included referral type (warm handoff/electronic), number of days between referral and intake, and average number of days between IPC treatment sessions. Engagement outcomes included attendance at IPC intake, total IPC sessions attended, overall IPC show rate, and IPC treatment attrition. Results: Of referred patients, 348 (84.9%) were encouraged to or scheduled an intake. Of those, 289 (83.1%) scheduled and 57.2% attended; the average number of sessions attended was 1.73. Patients who had more primary care office visits and higher primary care show rates were more likely to attend an IPC intake. Shorter average duration between follow-up sessions was associated with higher overall IPC show rates for those who initiated IPC follow-up care. Conclusions: Supporting engagement in primary care broadly and building scheduling capacity for IPC treatment may increase IPC service engagement in an urban primary care context.
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Details
- Title
- Exploring Predictors of Treatment Engagement in Urban Integrated Primary Care
- Publication Details
- CLINICAL PRACTICE IN PEDIATRIC PSYCHOLOGY, v 8(3), pp 228-240
- Publisher
- EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC; WASHINGTON
- Number of pages
- 0
- Grant note
- This work was completed with support from the Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children's Hospital of Philadelphia. In addition, we want to thank the network of primary care clinicians, their patients, and families for their contribution to this work and clinical research facilitated through the Pediatric Research Consortium at Children's Hospital of Philadelphia. Portions of this work were presented at the Developing and Researching Advanced Models of Integrated Primary Care meeting in September 2019. Molly Davis is supported by a National Institute of Mental Health Training Fellowship (T32 MH109433). Ariel A. Williamson is supported by career development awards from the Sleep Research Society Foundation and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD094905).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000648731000004
- Scopus ID
- 2-s2.0-85091568380
- Other Identifier
- 991021860681804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical
- Psychology, Developmental