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Administrative and Financing Models

  • Claire De Souza
Chapter

Abstract

Advancements in medicine have led to increased survival rates of children with chronic and complex medical problems (Stern and Markel, Formative years: Children’s health in the United States, 1880–2000. University of Michigan Press, Ann Arbor 2002; Lorenz, Clin Perinatol 27(2):255–262, 2000; Srivastava R, Stone B, & Murphy N. Pediatr Clin N Am, 52:1165–1187, 2005). More than 20% of these children have co-occurring mental health conditions (Merikangas KR, Calkins ME, Burstein M, He JP, Chiavacci R, Lateef T, Ruparel K, Gur RC, Lehner T, Hakonarson H, Gur RE, Pediatrics 135(4):e927–e938, 2015). Providing the required level of care can be challenging (Dosa N, Boeing N, Ms N, Kanter R, Pediatrics 107(3):499–504, 2001; Matlow A, Wright J, Zimmerman B, Thomson K, Valente M, Quality & Safety in Health Care 15(2):85–88, 2006) because of problems with system navigation, stigma, and wait times. Psychiatric intervention can support necessary medical and surgical treatment which can lead to improved patient outcomes, for example, improved adherence, improved patient and family satisfaction, decreased morbidity, improved quality of life, and decreased length of stay (Bujoreanu S, White MT, Gerber B, Ibeziako P, Hospital Pediatrics 5(5):269-275, 2015). The chapter provides an overview of the ingredients required for developing and optimizing a consultation-liaison psychiatry program.

Keywords

Consultation-liaison psychiatry Administration Service delivery Interprofessional models of care Collaboration Database Business case  Funding 

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Additional Readings

  1. Kutcher, S., & McLuckie, A. for the Child and Youth Advisory Committee, Mental Health Commission of Canada. (2010). Evergreen: A child and youth mental health framework for Canada. Calgary: Mental Health Commission of Canada.Google Scholar
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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryHospital for Sick ChildrenTorontoCanada

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