Evidence map›Paper›PMID 36988794›Full record

ArticleMaternal and child health journal2023

The Medical Home and Mental Health Services in Children and Youth with Special Health Care Needs.

Jessica E Rast, Anne M Roux, Gabrielle Connor, Tobechukwu H Ezeh, Lindsay Shea, Renee M Turchi, Paul T Shattuck

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Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Jessica E RastA.J. Drexel Autism Institute, Drexel University, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA. jer336@drexel.edu.ORCID http://orcid.org/0000-0002-1381-130X
Anne M RouxA.J. Drexel Autism Institute, Drexel University, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Gabrielle ConnorA.J. Drexel Autism Institute, Drexel University, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Tobechukwu H EzehA.J. Drexel Autism Institute, Drexel University, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Lindsay SheaA.J. Drexel Autism Institute, Drexel University, 3020 Market St. Suite 560, Philadelphia, PA, 19104, USA.
Renee M TurchiDornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Paul T ShattuckMathematica, Princeton, NJ, USA.
Drexel University · USMathematica Policy Research · USSt. Christopher's Hospital for Children · US

Funding

Maternal and Child Health Bureau R40MC37542
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChildren and youth with special health care needs (CYSHCN) commonly experience mental health concerns, but conditions are often not identified or treated within primary care. Mental health care is often not a primary focus of pediatric primary care, but the medical home model has potential to address these concerns more adequately. The purpose of this study is to examine the relationship between the medical home and use of mental health services in CYSHCN.

methodsData came from the Medical Expenditure Panel Survey years 2015-2017, a nationally representative survey of health and healthcare in US families. The study included CYSHCN ages 6-17. We compared the use of mental health services, expenditures, and psychotropic medications across CYSHCN with and without a medical home using multivariable regression.

results45% of CYSHCN received care within a medical home. CYSHCN with and without a medical home reported similar frequency of office-based mental health visits (21.2% versus 25.2%), average expenditures for visits ($147 versus $128), and psychotropic medications (11.9% versus 15.1%). Medical home status was not associated with office-based mental health visits, use of psychotropic medications, or cost for either.

conclusionsCYSHCN with mental health care needs face barriers to satisfactory care. Creating better connections between primary and mental health care could help to ameliorate this problem. Findings suggest the medical home, a more comprehensive primary care model, may not address mental health care needs of CYSHCN.

Indexed as

Children with DisabilitiesMental Health ServicesAdolescentChildComprehensive Health CareHealth ExpendituresHealth Services Needs and DemandHumansPatient-Centered CareIntegrated delivery of health careMedical homeMental health servicesPediatricsPrimary health care

Identifiers

PMID36988794
OpenAlexW4361199114

What OpenQuestion holds

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Registered trials

None linked

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.