Primary Care Solutions for Child and Youth Mental Health:

A Community-based Approach

Liza Kallstrom - Practice Support Program, Content Lead Christina Southey - ImpactBC, Quality Improvement Advisor

Why Child and Youth Mental Health?

What makes this module special?

What have we seen so far?

What’s next?

Today

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Have you heard about the Practice Support Program?

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Support full service physician practices

Sponsored by the General Practice Services Committee (GPSC): BC Medical Association and the Ministry of Health

Change management support to modernize medical practices in two areas:

› Clinical redesign

› Practice efficiency

Topic areas include: Group Medical Visits, Adult Mental Health, Patient Self-Management Shared Care, Child and Youth Mental Health

What is the Practice Support Program?

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Most mental health conditions onset before 25

80% are amenable to treatment

We can change trajectory with primary care interventions

Why Child and Youth Mental Health?

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Why Child and Youth Mental Health (CYMH)?

Prevalence %Estimated numbers

Any anxiety disorder 6.5% 60,900

ADHD 3.3% 30,900

Conduct Disorder 3.3% 30,900

Any depressive disorder 2.1% 19,700

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Within 6 - 8 months, we aim to improve child and

youth mental health in participating practices as evidenced by improved scores

on KADS, SCARED and SNAP.

Module AIM

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Identification, diagnosis and management

Appropriate use of evidence-based treatments

Appropriate application of standardized methods of measurement

Awareness of community mental health resources available

Family physician collaboration with community partners

By focusing on…

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What Makes this Module Special?

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School Counsellors

GPs and MOAs

Ministry of Children

and Family Development

- CYMH

Patients and their Families

Specialist Physicians

PSP Regional

Support Team

Integration in Action

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Where are we now?

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TTT1 TTT2

Action Period

Train the Trainer (TTT) Process

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Province-wide participation Opportunity to test and provide feedback on

content/processes Full day sessions

228 Children and youth screened

225 On a registry with anxiety, depression or ADHD

110 Treated with non-pharmacological interventions

42 Treated with protocol driven medications

What was achieved?

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10 Teams working on processes between GPs and schools

6 Teams working on processes between GPs and specialists

7 Teams working on involving patients and family in care

7 Teams working on leveraging community/provincial supports

What’s happening?

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Communication & Collaboration

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In Creston they’re testing Mental Health primary care visits in the local high school

In Vernon they’re testing phone consultation with the Specialist and GP around treatment and medication advice.

In Nanaimo they’re testing open call–in times for GPs during case review meetings at MCFD.

All Across BC GPs and School Counsellors testing ways to screen children and youth, and share information.

Innovative Examples…

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“…connectedness, reassurance that youth will have follow up by other team members

– I feel less like kids will fall through the cracks”

-School Counselor

How this has impacted team members…

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“... By bringing in the GP or the school, you bring in more comprehensive

support” -GP

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But best of all…

Piloting in small cohorts

Provincial roll-out starting in fall of 2012 (500 GPs funded)

Next Steps

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The potential impact of this work is BIG

Integration is at work

We are increasing capacity in primary care

Practitioners enjoy this work

Real results can be seen

Spread Ahead!

Summary

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For more informationPractice Support Program

115 - 1665 West BroadwayVancouver, BC V6J 5A4

Tel: 604 638-2873www.pspbc.ca

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