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Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care.

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Title: Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care.
Authors: Stiles-Shields, Colleen1,2 (AUTHOR), Gustafson, Erika L1 (AUTHOR), Lim, Paulina S3 (AUTHOR), Bobadilla, Gabriella1 (AUTHOR), Thorpe, Dillon1 (AUTHOR), Williams, Faith C Summersett4 (AUTHOR), Donenberg, Geri R5 (AUTHOR), Julion, Wrenetha A6 (AUTHOR), Karnik, Niranjan S1,2 (AUTHOR)
Source: Journal of Pediatric Psychology. Jan2025, Vol. 50 Issue 1, p86-95. 10p.
Subject Terms: *Mental health services, Mental health screening, Primary care, Pediatric therapy, Hospitals
Abstract: Objective Pediatric primary care (PPC) is a common treatment site for pediatric mental health, but it is currently unable to meet the needs of all teen patients, particularly those with minoritized identities and/or marginalized experiences. Digital mental health (DMH) low-intensity treatments (LITs) can increase mental health screening and care capacity in PPC, but how this is done successfully without burdening providers, patients, or families is unclear. This paper presents a pre-implementation study aimed at understanding the implementation context (PPCs in Chicago, IL) for a specific DMH LIT. Method Using a mixed-methods design, quantitative data from an online survey of providers assessed current DMH practices in PPC, and qualitative interviews with Pediatricians and Pediatric Psychologists examined implementation determinants for a specific DMH LIT. Quantitative data were analyzed using descriptive statistics, and interviews were analyzed using rapid qualitative assessment. Results Survey reports (n  =   105) and interviews (n  =   6) indicated low current use of DMH. Providers in PPC clinics voiced multiple reasons for low usage and low perceived feasibility, including: Consolidated Framework for Implementation Research (CFIR) Inner Setting Domain (PPC clinic workflow, responsibility and ethical considerations, patient privacy and confidentiality), CFIR Outer Setting Domain (hospital and healthcare system factors), CFIR Innovation Domain (DMH design), and a cross-cutting theme of safety. Conclusions Provider-reported low feasibility for integrating DMH in PPC is a call to action to partner with interdisciplinary colleagues and identify how such settings can ethically and seamlessly deliver digital evidence-based and accessible screening and care prior to implementation. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care.
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  Data: <searchLink fieldCode="AR" term="%22Stiles-Shields%2C+Colleen%22">Stiles-Shields, Colleen</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gustafson%2C+Erika+L%22">Gustafson, Erika L</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lim%2C+Paulina+S%22">Lim, Paulina S</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bobadilla%2C+Gabriella%22">Bobadilla, Gabriella</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thorpe%2C+Dillon%22">Thorpe, Dillon</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+Faith+C+Summersett%22">Williams, Faith C Summersett</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Donenberg%2C+Geri+R%22">Donenberg, Geri R</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Julion%2C+Wrenetha+A%22">Julion, Wrenetha A</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Karnik%2C+Niranjan+S%22">Karnik, Niranjan S</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Jan2025, Vol. 50 Issue 1, p86-95. 10p.
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  Data: *<searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+screening%22">Mental health screening</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatric+therapy%22">Pediatric therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective Pediatric primary care (PPC) is a common treatment site for pediatric mental health, but it is currently unable to meet the needs of all teen patients, particularly those with minoritized identities and/or marginalized experiences. Digital mental health (DMH) low-intensity treatments (LITs) can increase mental health screening and care capacity in PPC, but how this is done successfully without burdening providers, patients, or families is unclear. This paper presents a pre-implementation study aimed at understanding the implementation context (PPCs in Chicago, IL) for a specific DMH LIT. Method Using a mixed-methods design, quantitative data from an online survey of providers assessed current DMH practices in PPC, and qualitative interviews with Pediatricians and Pediatric Psychologists examined implementation determinants for a specific DMH LIT. Quantitative data were analyzed using descriptive statistics, and interviews were analyzed using rapid qualitative assessment. Results Survey reports (n  =   105) and interviews (n  =   6) indicated low current use of DMH. Providers in PPC clinics voiced multiple reasons for low usage and low perceived feasibility, including: Consolidated Framework for Implementation Research (CFIR) Inner Setting Domain (PPC clinic workflow, responsibility and ethical considerations, patient privacy and confidentiality), CFIR Outer Setting Domain (hospital and healthcare system factors), CFIR Innovation Domain (DMH design), and a cross-cutting theme of safety. Conclusions Provider-reported low feasibility for integrating DMH in PPC is a call to action to partner with interdisciplinary colleagues and identify how such settings can ethically and seamlessly deliver digital evidence-based and accessible screening and care prior to implementation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1093/jpepsy/jsae058
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        Text: English
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      – SubjectFull: Primary care
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      – SubjectFull: Pediatric therapy
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      – SubjectFull: Hospitals
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            – D: 01
              M: 01
              Text: Jan2025
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