Mia Roberts, Rachel Johnson-Koenke, Scott Harpin, Amy J Barton
{"title":"Optimizing Adolescent Mental Health Treatment: A Study of the Warm Handoff.","authors":"Mia Roberts, Rachel Johnson-Koenke, Scott Harpin, Amy J Barton","doi":"10.1016/j.pedhc.2024.11.010","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.</p><p><strong>Methods: </strong>A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.</p><p><strong>Results: </strong>A relationship was found between referral type and frequency of attendance (X<sup>2</sup> = 6.06, df = 2, N = 145, p = .049). Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (OR = 0.340, 95% CI [0.132, 0.880], p = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents' needs.</p><p><strong>Discussion: </strong>Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2024.11.010","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.
Methods: A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.
Results: A relationship was found between referral type and frequency of attendance (X2 = 6.06, df = 2, N = 145, p = .049). Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (OR = 0.340, 95% CI [0.132, 0.880], p = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents' needs.
Discussion: Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.
期刊介绍:
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.