The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression: The Influence of Project ECHO and Integrated Behavioral Health: MCCLURE ET AL.
Saved in:
| Title: | The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression: The Influence of Project ECHO and Integrated Behavioral Health: MCCLURE ET AL. |
|---|---|
| Authors: | McClure, Jessica M. (AUTHOR), Mara, Constance A. (AUTHOR), Stark, Lori J. (AUTHOR), Anderson, Jeffrey (AUTHOR), Young, Melissa (AUTHOR), Aggarwal, Avneesh (AUTHOR), Harris, Emily (AUTHOR), Modi, Avani C. (AUTHOR) |
| Source: | Journal of Behavioral Health Services & Research. Apr2025, Vol. 52 Issue 2, p357-366. 10p. |
| Subjects: | Mental health services, Emergency room visits, Medical sciences, Mental training, Public health |
| Abstract: | Rates of depression among youth and emergency department (ED) visits for un- or under-treated symptoms are on the rise. Early identification and treatment of depression is imperative at the patient, program, system, and population levels. This paper examines the individual and cumulative impact of Project ECHO and the inclusion of IBH services in pediatric primary care practices on mental health-related ED rates among youth diagnosed with depression for those practices. Twenty-eight practices participated and provided data on 5,388 patients diagnosed with depression who were seen between 2019 and 2022. A binominal mixed effect model was used to examine the impact of Project ECHO and IBH on mental health-related ED rates among youth diagnosed with depression per month within each practice. Compared to practices without an IBH program, those who implemented IBH had a significantly lower rate of mental health-related ED visits among this patient population (Incident Rate Ratio (IRR) = 0.80, p =.005, 95% Confidence Intervale (CI) = 0.68, 0.93). No significant differences were found between practices regardless of participation in Project ECHO, nor was there a significant interaction effect between practices that employed Project ECHO and IBH in combination. This study shows promising results with IBH having a positive impact on practice outcomes compared to treatment as usual, while Project ECHO in isolation or combined with IBH did not significantly affect rates of mental health-related ED visits. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature 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.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 184469950 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression: The Influence of Project ECHO and Integrated Behavioral Health: MCCLURE ET AL. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22McClure%2C+Jessica+M%2E%22">McClure, Jessica M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mara%2C+Constance+A%2E%22">Mara, Constance A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stark%2C+Lori+J%2E%22">Stark, Lori J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson%2C+Jeffrey%22">Anderson, Jeffrey</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Young%2C+Melissa%22">Young, Melissa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aggarwal%2C+Avneesh%22">Aggarwal, Avneesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harris%2C+Emily%22">Harris, Emily</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Modi%2C+Avani+C%2E%22">Modi, Avani C.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Apr2025, Vol. 52 Issue 2, p357-366. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+room+visits%22">Emergency room visits</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+sciences%22">Medical sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+training%22">Mental training</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Rates of depression among youth and emergency department (ED) visits for un- or under-treated symptoms are on the rise. Early identification and treatment of depression is imperative at the patient, program, system, and population levels. This paper examines the individual and cumulative impact of Project ECHO and the inclusion of IBH services in pediatric primary care practices on mental health-related ED rates among youth diagnosed with depression for those practices. Twenty-eight practices participated and provided data on 5,388 patients diagnosed with depression who were seen between 2019 and 2022. A binominal mixed effect model was used to examine the impact of Project ECHO and IBH on mental health-related ED rates among youth diagnosed with depression per month within each practice. Compared to practices without an IBH program, those who implemented IBH had a significantly lower rate of mental health-related ED visits among this patient population (Incident Rate Ratio (IRR) = 0.80, p =.005, 95% Confidence Intervale (CI) = 0.68, 0.93). No significant differences were found between practices regardless of participation in Project ECHO, nor was there a significant interaction effect between practices that employed Project ECHO and IBH in combination. This study shows promising results with IBH having a positive impact on practice outcomes compared to treatment as usual, while Project ECHO in isolation or combined with IBH did not significantly affect rates of mental health-related ED visits. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature 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.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=184469950 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11414-024-09928-w Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 357 Subjects: – SubjectFull: Mental health services Type: general – SubjectFull: Emergency room visits Type: general – SubjectFull: Medical sciences Type: general – SubjectFull: Mental training Type: general – SubjectFull: Public health Type: general Titles: – TitleFull: The Influence of Project ECHO and Integrated Behavioral Health in Primary Care on Emergency Department Visits Among Youth Diagnosed with Depression: The Influence of Project ECHO and Integrated Behavioral Health: MCCLURE ET AL. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: McClure, Jessica M. – PersonEntity: Name: NameFull: Mara, Constance A. – PersonEntity: Name: NameFull: Stark, Lori J. – PersonEntity: Name: NameFull: Anderson, Jeffrey – PersonEntity: Name: NameFull: Young, Melissa – PersonEntity: Name: NameFull: Aggarwal, Avneesh – PersonEntity: Name: NameFull: Harris, Emily – PersonEntity: Name: NameFull: Modi, Avani C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10943412 Numbering: – Type: volume Value: 52 – Type: issue Value: 2 Titles: – TitleFull: Journal of Behavioral Health Services & Research Type: main |
| ResultId | 1 |
