To access our consultation line PCPs and other pediatric prescribers must fill out the Agreement to Participate form. Once this form is returned, PCPs can call the toll free number 1-855-227-7272 to access services.
In order to access the consultation line PCPs must fill out the Agreement to Participate form . Once this form is returned PCPs can call the toll free number 1-855-227-7272 to access services.
Although a physician in the practice must be a participant in the program, any professional staff in the office may call the toll free line. All callers must individually fill out the Agreement to Participate form and return to us. Eligible callers include nurses, nurse practitioners, physician assistants, and master’s level mental health professionals (e.g. MSW, LCSW, LMHC, LMFT). Starting in 2015 CAP PC services became available to all pediatric prescribers, including those working in child mental health or psychiatric settings (e.g. psychiatrists, PMHNPs, PAs). To check other staff eligibility please contact CAP PC on our toll free line 855-227-7272 or by email at firstname.lastname@example.org.
The phone consultation line is open Monday to Thursday 8 am-7 pm and Friday 8 am-5 pm, excluding holidays. The phone line is closed on the following holidays: New Years Day, Martin Luther King Day, Presidents Day , Memorial Day, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, and Christmas.
PCPs can call about any case involving children and adolescents up to age 21 with mental health needs. CAP PC does not provide crisis services or evaluations for emergencies but will refer urgent cases to appropriate emergency services. The primary intent of CAP PC is to assist PCPs in managing cases of mild-moderate intensity. CAP PC will encourage that cases of greater severity be referred to specialty mental health services. Examples of more severe cases, generally not appropriate for primary care, include children and adolescents with psychosis, substance abuse, Bipolar disorder, severe aggression, or significant suicidality. The Liaison Coordinator will assist in identifying appropriate specialty referral resources and linking families to these services. When mental health or psychiatric prescribers call about cases CAP PC will respond with educational consultation but cannot provide emergency services or assume management of the case.
When a PCP or other prescriber calls the toll free number the Liaison Coordinator (LC) covering that day will answer the call. The LC will ask for basic information about the case that should take about 5 minutes to gather. Much of this information can be conveyed by office staff. The LC will NOT ask for the child’s name as the phone service is thought of as primarily a “curbside consult” and is educational in nature, rather than a formal consultation. If the LC can address the PCP’s question (e.g. request for a referral resource) then the consultation will go no further. If the call involves a question more appropriate for the covering child psychiatrist (CAP) then the LC will relay the referral information on and the CAP will call back the PCP to discuss the situation.
The covering CAP will call back the PCP within 2 hours after the initial call with the LC. The LC will request the best phone number for the CAP to make the call back as efficient as possible. If there is a specific time the PCP would like a call back from the CAP that information can be given to the LC.
In the LC initial call the LC will request information about the child, school, medical history, and mental health history. A complete list of requested information can be found here.
While a formal written consent is not required to discuss a case with CAP PC it is strongly encouraged that PCPs discuss with the parent/guardian, and in many cases the child, their interest in making a call to the program. Our experience is that this discussion is of benefit to the PCP, family, and patient. In some circumstances it may be desirable to have a consent signed and CAP PC has a consent form that PCPs may utilize.
The first responder in the CAP PC program is the LC. The LC will gather fundamental information that will be required regardless of who responds to the call. The program finds it most efficient to have the LC gather this initial information and then hand over the case to the CAP when indicated. CAP PC requests that PCPs adhere to this and not try to “jump the queue”!
Registered PCPs are eligible to have selected cases seen by a program CAP for a face to face (or telepsychiatric for patients living more than 40 miles away from a CAP PC site) evaluation. Face to face evaluations are offered for cases in which it is reasonably anticipated that, with the additional support of a consultation, the PCP will be able to manage the case in the primary care setting. Face to face evaluations are not offered for urgent or emergency cases or those that prima facie are beyond the scope of primary care practice and clearly require specialty mental health treatment.
Unfortunately CAP PC CAPs are not able to provide ongoing treatment for patients discussed or evaluated through the project. LCs will assist PCP offices in identifying appropriate referral resources and linking families to these resources.
A primary function of the LC is to help find appropriate and accessible mental health referrals for your patients. The LC will work with your staff to assist with linking families to referrals. In some situations the LC may work directly with the family to identify referrals and assure linkage.
CAP PC does not provide written summaries following phone consultations. Following a face to face evaluation PCPs can expect a phone call to discuss the evaluation and a written report within 5 days.
CAP PC offers “core trainings” which are 5 hour CME programs that cover the “four horses” of child psychiatry: ADHD, anxiety, depression, and aggression. These programs are offered free of charge and take place in PCP offices. You can sign up for a core training for your practice HERE. CAP PC additionally offers the REACH Mini-Fellowship in Child and Adolescent Mental Health course. The schedule is determined on a yearly basis so check our website for this year’s dates. Space is limited so sign up early. Information about the course can be accessed here or on the REACH website.
To apply for a core training at your practice, fill out the application and your CAP PC site team will respond to you within 2 business days. To apply for the REACH training, fill out the application and return to CAP PC. Acknowledgement of applications will be sent to you immediately. Final acceptance for the training will be confirmed no later than six weeks prior to the training.
Questions about the program can be directed to your regional site child psychiatrist, the Project Director, David Kaye MD at email@example.com or the Project Administrator, Ira Bhatia at Bhatia@buffalo.edu