Characteristics of Primary Care Providers' Consultations with a Statewide Child Psychiatry Access Program Regarding Autism Spectrum Disorder. (Record no. 813)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/21/2022   35085823 35085823 02/21/2022 02/21/2022 Journal Article

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