34.2 INTEGRATED CARE STRATEGIES: MICHIGAN CHILD CARE COLLABORATIVE AND CHILDREN EXPERIENCING TRAUMA

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Objectives

In this session, the presenters will review the role of a partnership between the University of Michigan, Michigan State University, Genesee Community Mental Health, Children’s Health Access Program, and the State of Michigan Department of Health and Human Services in bringing the Michigan Child Collaborative Care Program (MC3) to the Flint and Genesee Counties. The presentation will highlight the role the lead crisis as an additional adverse childhood events for youth/families. We will

Methods

MC3 meets with state/regional leaders to establish relationships and appropriate clinical offices for enrollment. MC3 hires behavioral health specialists for the local areas who are available for researching/providing available resources and connecting PCP/CAPs for consultations. Telepsychiatry is available for more complex cases. Health Insurance Portability and Accountability Act regulations are followed, and all consultations are documented in appropriate areas within electronic medical

Results

Qualitative data from primary care providers demonstrate increased confidence among primary care providers and a 98 percent rate of satisfaction. To date, there have been 2,122 unique patients through MC3, including 74 perinatal patients, among whom 19 percent had a history of trauma. Patients (N = 2,048) consisted of children/young adults (ages 0–26 years), of whom 269 (13 percent) had a history of trauma; however, these types of trauma were often misdiagnosed by PCPs as attentional disorders.

Conclusions

MC3 provides a mechanism whereby child psychiatry access can be leveraged through PCPs in underserved areas. In regions with high rates of trauma/poverty, such programs are invaluable in getting children with PTSD and related disorders to gain access to appropriate services and reduce unnecessary use of neuroleptic drugs. MC3 is providing a valuable resource for primary care providers in the Flint area.

TREAT

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Supported by the State of Michigan

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