The Economic Impact of Providing Evidence-Based Pediatric Mental Health Literacy Training to Primary Care Physicians

Eden McCaffrey; Samuel Chang; Geraldine Farrelly; Abdul Rahman; Blair Ritchie; Roxanne Goldade; David Cawthorpe

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자료유형: 학술저널

저자정보: Eden McCaffrey (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) Samuel Chang (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) Geraldine Farrelly (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) Abdul Rahman (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) Blair Ritchie (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) Roxanne Goldade (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program) David Cawthorpe (Alberta Health Services Child and Adolescent Addiction and Mental Health and Psychiatry Program)

저널정보: 대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제18권 제7호

발행연도: 2021.1

수록면: 695 - 700 (6page)

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Objective This paper presents a review of the current state of child and adolescent mental health literacy and provides current evidence of the economic impact of a pediatric mental health literacy (MHL) training program.Methods Employing a case-series-comparison design, physician referrals to urgent and specialized mental health services were linked with patient-specific information comparing referrals from MHL participants and non-participating physicians. The economic impact analysis was based on changes in the admitted referral frequency and lengths of stay for the MHL group, compared to themselves pretraining, and over the same time period compared to non-participating physicians.Results Average scheduled ambulatory admission rates per physician remained constant for trained and untrained pre-post groups. Average scheduled ambulatory admission wait time and length of stay reduced significantly post-training for MHL-trained physicians compared to pre-training and untrained physicians. In addition to reductions in length of stay, the total bed costs saving for emergency/ inpatients admission deferrals was $2,932,112 or about $20,000 per MHL-trained physician.Conclusion The estimated economic impact of the MHL training shows a substantial return on investment and supports wider implementation. The MHL training program should be a key feature of mental health reform strategies, as well as continuing and undergraduate medical education.

#Health economics #Pediatric #Mental health literacy #Primary care physicians.

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