Pediatric Behavioral Health Access

Question Title

* 3. If you are in clinical practice, either as a generalist or subspecialist, is your practice:

Independent pediatric practice

Hospital-system owned practice

Independent multi-specialty practice

Part of an FQHC, public health or charitable organization/clinic

Other (please specify)

Question Title

* 4. What resources for mental health services are available to your patients? Check all that apply:

Integrated and collaborative behavioral health program at your clinic

Co-located mental health specialist at the clinic

Outside referral to mental health center or private therapists

In clinic psychiatrist; out of clinic psychiatric consultation services

No psychiatry access

Question Title

* 5. I feel like my practice has the appropriate resources and support to refer a patient to behavioral health care.

Strongly Disagree

Somewhat Disagree

Neutral

Somewhat Agree

Strongly Agree

Explain (optional)

Question Title

* 6. Prior to the COVID-19 pandemic, what do you think was the proportion of your primary care appointments that include behavioral health issues? (Approximate)

< 25%

Between 25% and 50%

> 50%

Question Title

* 7. During the COVID-19 pandemic, what do you think is the proportion of your primary care appointments that include behavioral health issues? (Approximate)

< 25%

Between 25% and 50%

> 50%

Question Title

* 8. Does your clinic utilize telehealth for behavioral health appointments for families/children with PCPs or BH professionals?

Yes, we used telehealth for behavioral health pre-COVID and currently

Yes, we implemented telehealth for behavioral health post-COVID

If yes, what would you like to share about how this service has been received by families and / or how it has benefitted children?

Some examples of scenarios can include:

- A patient with a behavioral health disorder who would have benefitted from earlier care.
- A patient you were able to help in primary care.
- A patient who really needs care from a behavioral health professional but is facing a long wait or other barriers to establish care.

Question Title

* 9. If you feel comfortable, please share a story about a patient’s experience accessing behavior health services? You may de-identify the patient/changing key information about the patient. For example, how has a patient benefited from such services? Where have there been shortcomings in behavioral health services? How has lack of access impacted a child or family?

Question Title

* 10. In your experience, how has the COVID-19 pandemic impacted patient’s behavioral health needs? (Examples: New or exacerbated anxiety/depression; sleep difficulties; altered school performance; behavior difficulties)

Question Title

* 11. If you have an integrated behavioral health provider on site, please skip to Question 15. If you do not have an integrated BH Provider available to you in your clinic, the wait period for an intake appointment with an outside behavioral health specialist is typically:

Same day

Less than a week

1-2 weeks

2-4 weeks

More than 1 month

2 months or longer

Question Title

* 12. The percentage of your BH referrals that result in an intake is:

less than 10%

10-25%

25-75%

more than 75%.

Question Title

* 13. What are the most common barriers to completing the intake appointment? Check all that apply

Limited community workforce availability

Complexity of referral process

Social Determinants of Health

The concern resolves

Other (please specify)

Question Title

* 14. When a patient is referred out of the clinic for BH care, what follow up communication do you typically receive? Check all that apply:

None

Acknowledgement that referral was received

Notice of failure to make/complete the intake appointment

Intake summary by mail/fax/email

Question Title

* 15. Answer questions 15 - 18 if your clinic has an integrated behavioral health provider on site.
For your patients who are referred to behavioral health services internally, the wait period for an intake appointment is typically:

Same day

less than a week

1-2 weeks

2-4 weeks

more than a month

2 months or longer

Question Title

* 16. The percentage of your BH referrals that result in an intake is:

less than 10%

10-25%

25-75%

more than 75%.

Question Title

* 17. What are the most common barriers to completing the intake appointment?

Limited workforce availability

Complexity of referral process

Social Determinants of Health

The concern resolves

Other (please specify)

Question Title

* 18. When your patient is seen by your integrated BH specialist what follow up communication do you typically receive?

None

Acknowledgement that referral was received

Notice of failure to make/complete the intake appointment

Clinic EMR notes

Curbside discussion

Other (please specify)

Question Title

* 19. Are you available for a brief (15 minute) phone interview to answer further questions?

Yes

Input email:

Pediatric Behavioral Health Access - UW MHA

Question Title

* 1. What is the name of your clinic?

Question Title

* 2. In what county do you currently provide pediatric services?

Question Title

* 3. If you are in clinical practice, either as a generalist or subspecialist, is your practice:

Question Title

* 4. What resources for mental health services are available to your patients? Check all that apply:

Question Title

* 5. I feel like my practice has the appropriate resources and support to refer a patient to behavioral health care.

Question Title

* 6. Prior to the COVID-19 pandemic, what do you think was the proportion of your primary care appointments that include behavioral health issues? (Approximate)

Question Title

* 7. During the COVID-19 pandemic, what do you think is the proportion of your primary care appointments that include behavioral health issues? (Approximate)

Question Title

* 8. Does your clinic utilize telehealth for behavioral health appointments for families/children with PCPs or BH professionals?

Question Title

Question Title

* 10. In your experience, how has the COVID-19 pandemic impacted patient’s behavioral health needs? (Examples: New or exacerbated anxiety/depression; sleep difficulties; altered school performance; behavior difficulties)

Question Title

* 11. If you have an integrated behavioral health provider on site, please skip to Question 15. If you do not have an integrated BH Provider available to you in your clinic, the wait period for an intake appointment with an outside behavioral health specialist is typically:

Question Title

* 12. The percentage of your BH referrals that result in an intake is:

Question Title

* 13. What are the most common barriers to completing the intake appointment? Check all that apply

Question Title

* 14. When a patient is referred out of the clinic for BH care, what follow up communication do you typically receive? Check all that apply:

Question Title

* 15. Answer questions 15 - 18 if your clinic has an integrated behavioral health provider on site.
For your patients who are referred to behavioral health services internally, the wait period for an intake appointment is typically:

Question Title

* 16. The percentage of your BH referrals that result in an intake is:

Question Title

* 17. What are the most common barriers to completing the intake appointment?

Question Title

* 18. When your patient is seen by your integrated BH specialist what follow up communication do you typically receive?

Question Title

* 19. Are you available for a brief (15 minute) phone interview to answer further questions?

Pediatric Behavioral Health Access - UW MHA

Question Title

* 1. What is the name of your clinic?

Question Title

* 2. In what county do you currently provide pediatric services?

Question Title

* 3. If you are in clinical practice, either as a generalist or subspecialist, is your practice:

Question Title

* 4. What resources for mental health services are available to your patients? Check all that apply:

Question Title

* 5. I feel like my practice has the appropriate resources and support to refer a patient to behavioral health care.

Question Title

* 6. Prior to the COVID-19 pandemic, what do you think was the proportion of your primary care appointments that include behavioral health issues? (Approximate)

Question Title

* 7. During the COVID-19 pandemic, what do you think is the proportion of your primary care appointments that include behavioral health issues? (Approximate)

Question Title

* 8. Does your clinic utilize telehealth for behavioral health appointments for families/children with PCPs or BH professionals?

Question Title

Question Title

* 10. In your experience, how has the COVID-19 pandemic impacted patient’s behavioral health needs? (Examples: New or exacerbated anxiety/depression; sleep difficulties; altered school performance; behavior difficulties)

Question Title

* 11. If you have an integrated behavioral health provider on site, please skip to Question 15. If you do not have an integrated BH Provider available to you in your clinic, the wait period for an intake appointment with an outside behavioral health specialist is typically:

Question Title

* 12. The percentage of your BH referrals that result in an intake is:

Question Title

* 13. What are the most common barriers to completing the intake appointment? Check all that apply

Question Title

* 14. When a patient is referred out of the clinic for BH care, what follow up communication do you typically receive? Check all that apply:

Question Title

* 15. Answer questions 15 - 18 if your clinic has an integrated behavioral health provider on site.For your patients who are referred to behavioral health services internally, the wait period for an intake appointment is typically:

Question Title

* 16. The percentage of your BH referrals that result in an intake is:

Question Title

* 17. What are the most common barriers to completing the intake appointment?

Question Title

* 18. When your patient is seen by your integrated BH specialist what follow up communication do you typically receive?

Question Title

* 19. Are you available for a brief (15 minute) phone interview to answer further questions?

* 15. Answer questions 15 - 18 if your clinic has an integrated behavioral health provider on site.
For your patients who are referred to behavioral health services internally, the wait period for an intake appointment is typically: