eprintid: 27765
rev_number: 14
userid: 5664
dir: disk0/00/02/77/65
datestamp: 2016-06-29 20:13:13
lastmod: 2018-05-01 05:15:27
status_changed: 2016-06-29 20:13:13
type: thesis_degree
metadata_visibility: show
contact_email: karamackinsonpeters@gmail.com
item_issues_count: 0
eprint_status: archive
creators_name: Peters, Kara
creators_email: kjm116@pitt.edu
creators_id: KJM116
title: Facilitators of and Barriers to Mental Health Treatment among Adolescents in an Integrated HealthCare Setting
ispublished: unpub
divisions: sch_gsph_behavioralcommhealthsci
full_text_status: public
keywords: adolescents
integrated healthcare
mental health treatment
social work
abstract: Background: The high incidence of mental health disorders among adolescents, accompanied by low treatment utilization, is a major public health problem.  Including mental health treatment in primary care medical settings through an integrated health care model offers an opportunity for early intervention and easier treatment uptake for adolescents with mental health diagnoses.  Methods:  This thesis examined the barriers to and facilitators of implementing a mental health referral system with the support of a quality improvement project within a single clinic.  Results: Qualitative analysis revealed key facilitators to be provider education; communication among team members; a shared EHR and electronic referral orderset; ongoing monitoring, evaluation, and improvement of the system; and social workers.  Barriers included workflow challenges; lack of protocols; and fewer available services. Quantitative data analyses showed significant improvement in mental health utilization rates since the implementation of the project. Conclusion: The findings from this thesis can be used to inform future integrated models for adolescent mental health care in primary care settings.  Expanding integrated models has public health implications for increasing treatment utilization among adolescents in need of mental health services, ultimately leading to improved quality of life throughout adulthood.
date: 2016-06-29
date_type: published
pages: 62
institution: University of Pittsburgh
refereed: TRUE
etdcommittee_type: committee_chair
etdcommittee_type: committee_member
etdcommittee_type: committee_member
etdcommittee_type: committee_member
etdcommittee_name: Friedman, Mark S
etdcommittee_name: Elias, Thistle
etdcommittee_name: Rosen, Daniel
etdcommittee_name: Radovic, Ana
etdcommittee_email: msf11@pitt.edu
etdcommittee_email: elias@pitt.edu
etdcommittee_email: dar15@pitt.edu
etdcommittee_email: ana.radovic@chp.edu
etdcommittee_id: MSF11
etdcommittee_id: ELIAS
etdcommittee_id: DAR15
etd_defense_date: 2016-04-12
etd_approval_date: 2016-06-29
etd_submission_date: 2016-04-20
etd_release_date: 2016-06-29
etd_access_restriction: 2_year
etd_patent_pending: FALSE
thesis_type: thesis
degree: MPH
citation:   Peters, Kara  (2016) Facilitators of and Barriers to Mental Health Treatment among Adolescents in an Integrated HealthCare Setting.  Master's Thesis, University of Pittsburgh.    (Unpublished)  
document_url: http://d-scholarship-dev.library.pitt.edu/27765/1/Peters_K_MPH_Thesis_4_2016.pdf