ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2026
Enhancing Primary Care and Behavioral Health Teams' Confidence in Addressing Early Childhood Mental Health Using the Project ECHO Model.
Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe Project ECHO® (Extension for Community Healthcare Outcomes) model was used to deliver training and case consultation to primary care clinicians and behavioral health teams, aiming to enhance their knowledge and confidence in addressing the behavioral health needs of young children.
methodsTwo Project ECHO programs were developed by the Massachusetts Child Psychiatry Access Program team in partnership with the Massachusetts Department of Public Health, targeting (1) primary care clinicians and (2) integrated behavioral health providers. Both ECHOs emphasized early relational health principles, introducing frameworks and tools to support understanding young children and their caregivers in their contexts. Quantitative and qualitative data were collected to assess impact and inform future iterations.
resultsParticipants across the five ECHO runs provided both quantitative and qualitative feedback that knowledge gained through ECHO participation will impact their work with young children and families. Nearly 75% of primary care clinicians in one ECHO run were already implementing changes upon ECHO completion, with 100% anticipating doing so within 3 months. Participants reported increased self-rated confidence in evaluating early childhood mental health concerns and collaborating with early education providers and families, emphasizing the importance of considering relational, social, cultural, and systemic factors in their work.
conclusionsThese findings suggest that the Project ECHO model effectively enhances clinician self-rated confidence and knowledge of early childhood mental health concerns.
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