1. PediPRN Pediatric Psychiatry Resource Network
Rajvi Broker-Sen, MD
Clinical Director, PediPRN

2. PediPRN
- Innovative program designed to help pediatric primary care providers meet the needs of children with behavioral health struggles
- Lifespan
Funding
SIM grant
Rhode Island Foundation
vanBeuren Charitable Foundation
Modeled after MCPAP- Massachusetts Child Psychiatry Access Project
Service is available to all Pediatric Primary Care Providers (PPCP’s) in the state of RI at no cost
Offered by Bradley Hospital under a grant awarded by RI’s executive office of Health and Human Services through the SIM and RIF grant and Newport Van Beurent grant.
MCPAP – innovative model of consultation and collaboration between pediatric primary care and child psychiatry providers initially started in 2004 and the concept has then inspired 27 other states across the US. We will be the 28th state.

3. Need Increasing prevalence of behavioral health problems in children
National shortage of child psychiatrists
Pediatric feedback
Requested training in screening, diagnosing and treating behavioral health problems
Requested information about community behavioral health referrals and resources
Which can influence their desire to do early screenings.
A report of the surgeon general indicates that nearly 20% of youth have a diagnosable mental disorder, less than 20% receive treatment – shortage of CAPs, stigma,

4. Goals
Increase PPCP’s knowledge, skill and confidence to screen and manage children in primary care with mild to moderate mental health needs
Promote the rational utilization of scarce specialty resources for more complex and high risk children
Advance integration of children’s behavioral health and pediatric primary care
Supporting PCP makes sense –
Families feel more comfortable going to their PCPs first
Reduced stigma by care given in medical setting
Achieving familiarity with the most common psychiatric diagnoses, strategies for assessment, and treatment appropriate for the primary care setting
Gaining confidence in your expertise including recognizing the limits of your knowledge
Becoming familiar with the wide variety of community-based private and public behavioral health resources and how to make effective referrals
Helping parents become effective advocates for their children
Coordinating care for patients receiving behavioral health services in the community

5. Goals Less Complex More Complex PCP ChΨ PCP ChΨ Primary Care
Taking Lead
Child
Psychiatrist
Taking Lead
ChΨ
PCP

6. DESIGN Lifespan Hospital Sites - Bradley, RI, and Newport
Behavioral Health Team
1 FTE Psychiatrist/APRN
Rajvi Broker-Sen, MD
Richard Smith, MD
Leila Sadeghi, MD
Bev Rich, APRN
1 FTE Social worker
1 FTE Care coordinator
0.1 FTE Psychologist
David Barker, PhD

7. Orientation Start date – December 15th, 2016
Enrollment process – Enrollment form and Survey
Fax both forms to (401)
Scan and forms to
Forms will be available on the website
Forms available for completion at this meeting
Phone number (401) 432-1KID or ( )
Website – Lifespan.org – Bradley hospital - PEDIPRN
Once practices are enrolled, overtime the team will reach out to individual practices to provide more orientation of services provided if desired

8. Child Psychiatrists/APRN
Process
(401) 432-1KID
Assist with referring families for treatment in community
Care coordinator
Phone consultation
Face-to-Face (if necessary)
Child Psychiatrists/APRN
Face-to-Face consultation
Interim Therapy
Social worker
Care coordinator will receive your call – urgent (30 mins) or scheduled call
She will then page the prescriber on call and you should hear back from them within 30mins.

9. Services Telephone consultation – 8.30am-4.30pm on weekdays
Face-to-Face consultation
Care coordination
Transitional therapy services while youth are waiting placement in outpatient behavioral health services
Training and education through Bradley Conference, lectures, website, and e-blasts
Provision of real-time case-based continuing education services regarding evidence and consensus based practice guidelines, assessment strategies, and appropriate use of community mental health resources.
Building a collaborative relationship supporting the growth of the PCP’s expertise and confidence in the ability to provide clinical management and/or coordinate care for youth with mental health problems.
Provide a triage function to identity0 those patients who truly require the direct care of a CAP and to help PCP’s define the limits of their own involvement in the mental health care of specific patients.

10. Consultation questions
Diagnostic clarification
Treatment planning
Unable to access behavioral health resources
Second opinion
Screening support
Pharmacological – side effect, selection, dosage, etc.
Psychotherapy – selection, linkage, monitoring

11. References
Massachusetts Child Psychiatry Access Program –
National Network of Child Psychiatry Access Programs –
Partnership Access Line (PAL) Washington -
Integrating Behavioral Health and Primary Care for Children and Youth: Concepts and Strategies, care models
American Academy of Child & Adolescent Psychiatry Recommendation - When to Seek Referral or Consultation with a Child Adolescent Psychiatrist hen_to_Seek_Referral_or_Consultation_with_a_CAP.aspx