Association of Behavioral and Mental Health Professionals in Continuity Clinic with Resident-Reported Competence - 15/09/22
, JoAnna K. Leyenaar, MD, PhD, MPH 2, Brenda Nuncio, BS 3, Laurel K. Leslie, MD, MPH 3, 4Abstract |
Objective |
To assess whether residents who trained with a colocated or integrated behavioral/mental health professional (B/MHP) reported greater competence in the assessment and management of behavioral/mental health (B/MH) conditions than those who trained without an onsite B/MHP. We hypothesized that having an onsite B/MHP would be associated with greater self-reported competence, especially if integrated into clinic.
Study design |
Cross-sectional survey of applicants for the initial American Board of Pediatrics (ABP) certifying examination. The independent variable was training in a continuity clinic with no onsite B/MHP, a colocated B/MHP, or an integrated B/MHP. Outcome variables were self-reported competence in 7 B/MH assessment skills and 9 treatment skills, summarized as 2 composite measures. Competence was rated on a 5-point scale; high competence was defined as mean scores ≥4. Logistic regression assessed relationships between independent and outcome variables adjusting for covariates including individual and residency program characteristics.
Results |
Of 1503 eligible respondents, 645 (42.9%) reported no onsite B/MHP, 390 (26.0%) a colocated B/MHP, and 468 (31.1%) an integrated B/MHP. In multivariable models, respondents with a colocated B/MHP reported greater levels of B/MH assessment competence (aOR 1.40, 95% CI1.06-1.86) and treatment competence (aOR 1.45, 95% CI 1.03-2.05) compared with those with no B/MHP. Respondents with an integrated B/MHP similarly reported greater odds of assessment (aOR 1.33, 95%CI 1.02-1.74) and treatment competence (aOR 1.53, 95% CI 1.10-2.13) than the reference group.
Conclusions |
Although specific mechanisms were not tested, training with an onsite B/MHP within a continuity clinic may improve pediatric trainees' competence for addressing B/MH conditions.
Le texte complet de cet article est disponible en PDF.Key words : behavioral/mental health, integrated care, pediatrics, continuity clinic
Abbreviations : ABP, ADHD, B/MH, B/MHP, PD
Plan
| Supported in full by the ABP Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official view of the ABPs or the ABP Foundation. C.G. and J.L. were contracted by the ABP Foundation to conduct this research; L.L. and B.N. are staff at the ABP. The authors declare no conflicts of interest. |
Vol 248
P. 15 - septembre 2022 Retour au numéro
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