scholarly journals Care Utilization in a Pediatric Diabetes Clinic: Cancellations, Parental Attendance, and Mental Health Appointments

2014 ◽  
Vol 164 (6) ◽  
pp. 1384-1389 ◽  
Author(s):  
Jessica T. Markowitz ◽  
Lisa K. Volkening ◽  
Lori M.B. Laffel
Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 832-P
Author(s):  
SHILPA GURNURKAR ◽  
NEHA V. VYAS ◽  
UNNATI PATEL ◽  
JESSICA PIERCE

2020 ◽  
Author(s):  
Alissa J. Roberts ◽  
Dwight Barry ◽  
Joyce Yi-Frazier ◽  
Lori Rutman ◽  
Catherine Pihoker ◽  
...  

Seattle Children’s Hospital is a tertiary care, free-standing pediatric hospital in the U.S. Pacific Northwest that serves the largest geographic region of any children's hospital in the country. The pediatric diabetes program is staffed by 16 pediatric endocrinologists, 6 advanced practice providers, and medical trainees (i.e., endocrine fellows, pediatric residents, and medical students). The multidisciplinary team also includes 22 nurses (13 of whom are certified diabetes educators), 4 diabetes social workers, and 6 dietitians. All diabetes social workers on the team have master’s-level training and are qualified to carry out psychosocial assessments, including the evaluation of patients’ mental health, social status, and functional capacity within the community. In addition, all have completed required continuing education specific to suicide assessment to maintain their Washington state license and are aware of mental health resources available in the region at the community level.<i> </i>


2020 ◽  
pp. cd200037
Author(s):  
Alissa J. Roberts ◽  
Dwight Barry ◽  
Joyce Yi-Frazier ◽  
Lori Rutman ◽  
Catherine Pihoker ◽  
...  

2020 ◽  
Author(s):  
Alissa J. Roberts ◽  
Dwight Barry ◽  
Joyce Yi-Frazier ◽  
Lori Rutman ◽  
Catherine Pihoker ◽  
...  

Seattle Children’s Hospital is a tertiary care, free-standing pediatric hospital in the U.S. Pacific Northwest that serves the largest geographic region of any children's hospital in the country. The pediatric diabetes program is staffed by 16 pediatric endocrinologists, 6 advanced practice providers, and medical trainees (i.e., endocrine fellows, pediatric residents, and medical students). The multidisciplinary team also includes 22 nurses (13 of whom are certified diabetes educators), 4 diabetes social workers, and 6 dietitians. All diabetes social workers on the team have master’s-level training and are qualified to carry out psychosocial assessments, including the evaluation of patients’ mental health, social status, and functional capacity within the community. In addition, all have completed required continuing education specific to suicide assessment to maintain their Washington state license and are aware of mental health resources available in the region at the community level.<i> </i>


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1209-P
Author(s):  
KATHRYN OBRYNBA ◽  
JUSTIN A. INDYK ◽  
KAJAL GANDHI ◽  
DON A. BUCKINGHAM ◽  
TRAVIS WELLS ◽  
...  

2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.


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