MARC details
000 -LEADER |
fixed length control field |
03129nam a22003497a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
220221s20222022 xxu||||| |||| 00| 0 eng d |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.jaclp.2022.01.004 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S2667-2960(22)00004-0 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
35085823 |
245 ## - TITLE STATEMENT |
Title |
Characteristics of Primary Care Providers' Consultations with a Statewide Child Psychiatry Access Program Regarding Autism Spectrum Disorder. |
251 ## - Source |
Source |
Journal of the Academy of Consultation-Liaison Psychiatry. 2022 Jan 24 |
252 ## - Abbreviated Source |
Abbreviated source |
J Acad Consult Liaison Psychiatry. 2022 Jan 24 |
253 ## - Journal Name |
Journal name |
Journal of the Academy of Consultation-Liaison Psychiatry |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 Jan 24 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2022-02-21 |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: ASD patients for whom PCPs sought MD-CPAP consultation were more severe and complex than non-ASD patients in terms of comorbid diagnoses and medication regimen. Findings suggest that consultations with CPAPs provide medication management support to pediatric PCPs treating ASD patients. Copyright (c) 2022. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: We examined N= 3,641 MD-CPAP consultations from 2012 to 2019; n=311 were consultations for ASD. Demographics, treatment recommendations, diagnoses, and Clinical Global Impression-Severity (CGI-S) scores were collected. Patients who received psychotropic medication or psychotherapy by a MH provider were defined as co-managed. Descriptives and logistic regression were conducted. Sample for regression was N=1,854. |
520 ## - SUMMARY, ETC. |
Abstract |
OBJECTIVES: Child Psychiatry Access Programs (CPAPs) provide consultative support for pediatric primary care providers (PCPs) to treat co-morbid mental health (MH) symptoms among patients with Autism Spectrum Disorder (ASD). We examined differences in illness severity, co-morbidity, and psychotropic medication use between patients with and without ASD for whom PCPs sought consultation from Maryland's (MD)-CPAP. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Compared to non-ASD, consults regarding ASD patients were more often male (p<.001), aged 0-5 years (p<.001), severely ill (CGI-S> 4) (p<.001), and prescribed stimulants, non-stimulant ADHD medications, and antipsychotics (p<.001). Controlling for key covariates, consultations about youth: displaying aggression were 3.02 times (p<.001) more likely, with CGI-S>4 were 2.36 times (p<.001) more likely, and prescribed antipsychotics were 4.30 times more likely to concern an ASD patient (p<.001). A larger proportion of ASD patients (vs non-ASD) had co-morbid psychiatric diagnoses of ADHD, a Learning Disability, Disruptive Behavior Disorder vs. a smaller proportion with Major Depressive Disorder. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Montgomery Medical Center |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Cotton, Aronica M |
790 ## - Authors |
All authors |
Bettencourt AF, Coble K, Cotton AM, Reinblatt SP, Williams JL |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.jaclp.2022.01.004">https://dx.doi.org/10.1016/j.jaclp.2022.01.004</a> |
Public note |
https://dx.doi.org/10.1016/j.jaclp.2022.01.004 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |