Evidence map›Paper›PMID 32205263›Full record

ArticleAcademic pediatrics

Pediatric Primary Care Perspectives on Integrated Mental Health Care for Autism.

Nicole A Stadnick, Kassandra Martinez, Gregory A Aarons, David A Lee, Jeanne Van Cleave, Lauren Brookman-Frazee

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04293627 completednot on this map

Adapting and implementing an integrated care model for youth with autism spectrum disorder and psychiatric comorbidity

TypeobservationalSponsorUniversity of California, San DiegoRan2019 to 2022Enrolled36ConditionsAutism Spectrum Disorder, Mental Health IssueArmsATTAIN
NCT05344378 nacompletednot on this map

Refining and Implementing Technology-Enhanced Family Navigation to Promote Early Access and Engagement With Mental Health Services for Youth With Autism

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2024Enrolled151ConditionsAutism Spectrum Disorder, Implementation Science, Mental Health, Behavioral HealthArmsATTAIN NAV Technology-Enhanced Family Navigation Model
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Comparative analysis of pediatric depression measures in clinical sample: evaluation of the PROMIS pediatric depression short form.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Mental health screening in pediatric primary care for children with autism.Autism : the international journal of research and practice · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Nicole A StadnickDepartment of Psychiatry, University of California (NA Stadnick, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, La Jolla, Calif; University of California San Diego Dissemination and Implementation Science Center (NA Stadnick, GA Aarons, and L Brookman-Frazee), La Jolla, Calif; Child and Adolescent Services Research Center (NA Stadnick, K Martinez, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, Calif. Electronic address: nstadnic@health.ucsd.edu.
Kassandra MartinezChild and Adolescent Services Research Center (NA Stadnick, K Martinez, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, Calif; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology (K Martinez), San Diego, Calif.
Gregory A AaronsDepartment of Psychiatry, University of California (NA Stadnick, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, La Jolla, Calif; University of California San Diego Dissemination and Implementation Science Center (NA Stadnick, GA Aarons, and L Brookman-Frazee), La Jolla, Calif; Child and Adolescent Services Research Center (NA Stadnick, K Martinez, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, Calif.
David A LeeDepartment of Psychiatry, University of California (NA Stadnick, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, La Jolla, Calif; Child and Adolescent Services Research Center (NA Stadnick, K Martinez, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, Calif.
Jeanne Van CleaveGeneral Pediatrics, Children's Hospital Colorado and University of Colorado Anschutz Medical Campus (J Van Cleave), Aurora, Colo.
Lauren Brookman-FrazeeDepartment of Psychiatry, University of California (NA Stadnick, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, La Jolla, Calif; University of California San Diego Dissemination and Implementation Science Center (NA Stadnick, GA Aarons, and L Brookman-Frazee), La Jolla, Calif; Child and Adolescent Services Research Center (NA Stadnick, K Martinez, GA Aarons, DA Lee, and L Brookman-Frazee), San Diego, Calif; Rady Children's Hospital-San Diego, Autism Discovery Institute (L Brookman-Frazee), San Diego, Calif.
University of California, San Diego · USDiscovery Institute · USFleet Science Center · USHealth Services Research & Development · USUniversity of Colorado Anschutz Medical Campus · US

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Adapting and Implementing an Integrated Care Model for Youth with Autism Spectrum Disorder and Psychiatric ComorbidityK23MH110602 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STADNICK, NICOLE A · 2017 to 2020
$813k
Refining and Implementing Technology-Enhanced Family Navigation to Promote Early Access and Engagement with Mental Health Services for Youth with AutismR34MH120190 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STADNICK, NICOLE A · 2020 to 2022
$710k
NIMH NIH HHS K23 MH110602NIMH NIH HHS R25 MH080916NIMH NIH HHS R34 MH120190
6 · The paper itself

Abstract

objectiveTimely identification of mental health needs and linkage to services is critical to provide comprehensive care for children with autism spectrum disorder (ASD). Pediatric primary care is well-positioned to facilitate this process through integrated care approaches. As a first step toward mental health integration, this study applied the Exploration, Preparation, Implementation, and Sustainment framework to characterize determinants of implementing integrated care practices for ASD.

methodsSixty pediatric primary care providers and leaders from 3 organizations completed focus groups and surveys about identification of mental health needs in children with ASD and access to mental health services. Findings were integrated to examine convergence (ie, do the 2 methods confirm or find similar results) and expansion (ie, do the 2 methods provide insights beyond either method alone).

resultsResults converged regarding 3 primary influences to integrated care practices for ASD: 1) limited specialized mental health referral options for ASD, 2) unique structural characteristics of the mental health system act as barriers to accessing care, and 3) caregivers differ in the degree to which they understand co-occurring mental health conditions and pursue recommended services. Qualitative results provided expansion by highlighting unique implementation considerations (eg, alignment with health care delivery priorities and values) based on primary care characteristics.

conclusionsFindings confirm need for a tailored approach for linking children with ASD to appropriate mental health treatment. Results yield insight into the needs for organizational capacity to support integrated care and provide direction toward adapting an integrated mental health care model for children with ASD.

Indexed as

Autism Spectrum DisorderAutistic DisorderMental Health ServicesChildHumansMental HealthPrimary Health Careautismimplementation scienceintegrated caremental healthpediatricsprimary care

Identifiers

PMID32205263
PMCPMC7502427
OpenAlexW3012234455

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.