%0 Journal Article %A Platt, Rheanna E. %A Spencer, Andrea E. %A Burkey, Matthew D. %A Vidal, Carol %A Polk, Sarah %A Bettencourt, Amie F. %A Jain, Sonal %A Stratton, Julia %A Wissow, Lawrence S. %D 2019 %T What’s known about implementing co-located paediatric integrated care: a scoping review %U https://tandf.figshare.com/articles/journal_contribution/What_s_known_about_implementing_co-located_paediatric_integrated_care_a_scoping_review/7893020 %R 10.6084/m9.figshare.7893020.v1 %2 https://tandf.figshare.com/ndownloader/files/14701442 %K Integrated care %K paediatric %K implementation %K co-location %K utilization %K primary care %X

Several studies have demonstrated clinical benefits of integrated care for a range of child and adolescent mental health outcomes. However, there is a significant gap between the evidence for efficacy of integrated care interventions vs their implementation in practice. While several studies have examined large-scale implementation of co-located integrated care for adults, much less is known for children. The goal of this scoping review was to understand how co-located mental health interventions targeting children and adolescents have been implemented and sustained. The literature was systematically searched for interventions targeting child and adolescent mental health that involved a mental health specialist co-located in a primary care setting. Studies reporting on the following implementation outcomes were included: acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability. This search identified 34 unique studies, including randomized controlled trials, observational studies, and survey/mixed method approaches. Components facilitating implementation of on-site integrated behavioural healthcare included interprofessional communication and collaboration at all stages of implementation; clear protocols to facilitate intervention delivery; and co-employment of integrated care providers by specialty clinics. Some studies found differences in service use by demographic factors, and others reported funding challenges affecting sustainability, warranting further study.

%I Taylor & Francis