Resources
Dell Med CPAN Videos
Click to view videos.
Click to read the transcript of “CPAN at Dell Medical School”:
Mental health is a time-sensitive issue, and the longer that a child spends either in crisis or in a negative environment, the harder it is, uh, to recover. When a family reaches out, we need to be able to move quickly and get them what they need. CPAN is the Child Psychiatry Access Network, a program that essentially is a hotline for PCPs.
We are able to provide a resource for those primary care providers to advise them, support them in any way they need around the mental health of the kids that they’re seeing. The biggest benefit I have is being able to speak on the phone to a psychiatrist about my patients. The process for A PCP is they dial our number, a call agent from our team will take down their information, take down some of the information about the nature of the call, and then the PCP would just wait for about 30 minutes for a callback from us.
We are fully state funded, so it does not cost the PCPs anything. Um, it is completely free to engage in our program. As a professional, I feel like I benefit a great deal because I’m not only learning as the psychiatrist or are helping us with these complicated cases, but also able to help my patient.
That’s my job. They have a huge amount on their plates and I think having that person that they can use as support or that person that they can lean on as support, um, is really, really helpful.
Texas Child Mental Health Care Consortium Mental Health Education Videos
Click to view videos.
Click to read the transcript of “CPAN Mock Call”:
Good afternoon. Thank you for calling CPN. This is Krista. How may I help you? Hi, Krista. I’m calling for some information on starting a medication for a patient of mine. Great. May I get your last name? Sure. It’s DOH. Okay, let me pull up our treat system. I’ll just take one brief moment. Okay. Doctor told me I get your first name.
Sure. It’s Jane, and I see that you’re a YouTube provider. Is that correct? Yes. That’s correct. Let me just verify your email real quickly. It’s Jane Doe at UTM edu. Yes. That’s correct. Great. And the patient’s date of birth? Two seven, 2009. And this is a female or male patient. A female. Would you like to give us her MRN number?
Sure. It’s 245678. And and this is just to help. If you call about this patient again, will be able to see any of the calls that you’ve called about before. Great. Thank you. And then, her insurance, she has Medicaid. And you know which kind? Community health choice. United health care, United health care and the patient’s zip code.
77565.
Great. What can we help you with today? Well, I have a patient in my office, and mom has reported that she has seen cutting marks on the child. I’d like to start the child on medication, but I haven’t done that before. Okay, so it looks like you’re looking to get an assessment and some medication management from our psychiatrist.
Is that correct? Yes. That’s correct. Okay, doctor, do let me get a good callback number from you. Sure. It’s (555) 555-5555. Great. I’m going to get in touch with Doctor Chen. She’s our psychiatrist on today, and she’ll be giving you a call back here within the next 30 minutes. Fantastic. Thank you. Thank you. Have a wonderful day.
Hello. Hi, this is Doctor Chen from CPN. Hi. Doctor Chen, this is doctor Down. Thank you so much for getting back to me. Of course. How can I help? So I have a 12 year old female that came in for a well-child yesterday. Her mom mentioned that she caught the child with cutting marks. Mom said the child has mentioned wanting to die before.
When I talk to the child alone. She said she’s been feeling down for the past few years, even before Covid started. It’s gotten worse over the past two months. I’ve already put in a referral for psychiatry, but I wanted to start medications. I just haven’t done that before. I’m so glad you called. Do we know if she’s currently suicidal?
She wasn’t. She said she thought about it for a few days before. She said that she wanted to use a paper clip to cut herself. I already talked to mom to take away all sharps and medication bottles. That’s good. Do we know if her cutting is linked to any high anxiety triggers? I ask because sometimes kids can use self-harm to cope with anxiety, too.
I wasn’t able to ask that. Well. That’s okay. Good thing is, medication can help with both. So in terms of medications to start Prozac and Lexapro are the only FDA approved medications for adolescent depression. You can start either whichever you’re more comfortable with. I tend to start with Prozac ten milligrams daily, but if there’s any worry for bipolar symptoms or if there’s a family history of bipolar, I usually start Lexapro five milligrams daily just because Lexapro has a shorter half life.
Great. Is there anything I need to tell mom about the medication? I usually tell the family about the common side effects of GI symptoms, like nausea, diarrhea that can happen the first few weeks. I reassure them that it’s going to be better usually afterwards. I have to tell them about the black box warning of increased suicidal ideations.
I’ll let them know that the risk is low, but it’s still possible. And in the study, no one committed suicide. Thank you. So after they start this medication, when should I see them back? I usually try to see them back in 3 to 4 weeks. And that way we can see if to tolerate the medication. And they may start feeling some from it by then to.
Oh, and let the family know that this medication needs to be taken every day to build up in their body. And the full effect can be seen around 6 to 8 weeks. And then follow up if any issues arise. So you can call us back. Do you know if they’re seeing a therapist? So she tried once, but never went.
Okay, so we can send you some therapy resources for cognitive behavioral therapy. The resources have been validated, and we can send them to you within 24 hours. Oh, that would be great. I’m looking forward to that. Okay, so I can start Prozac ten milligrams or Lexapro five milligrams. I’ll tell them about the GI side effects and the black box warning.
Yes, exactly. Is there anything else I can help with? No. I think that was everything. Thank you so much for your time. You’re very welcome. Call back. Anything, anytime. If you need anything. Great. Thank you.
Click to read the transcript of “What Is the Child Psychiatry Access Network?”:
Hi, my name is Noone Tran. I’m a developmental behavioral patrician and co-chair of the Committee on Mental Health for the Texas Pediatric Society, which is the Texas chapter of the American Academy of Pediatrics. I’m excited to tell you about a new program available for all primary care providers in Texas. Just like you, I see many children adolescents with behavioral or mental health problems.
And probably like you, I’m not always sure how to help. Is what I’m hearing normal? Should I refer and to whom? I don’t always want to refer because I’ve known some of these patients for years. And even if I could, is it something I can manage on my own? It’s a sobering fact that 1 in 5 children have a mental health disorder and often cannot get timely access to care, for many reasons.
Fortunately, our state took action. It’s called the Child Psychiatry Access Network, or Cpan. This model, or off site collaboration between primary care and behavioral health is not a new idea. It’s been tested and proven to work in over 35 other states. So I’m confident this service will work for our patients and families. Now, you and I have behavioral health folks.
No matter where we are in Texas, to speak to, when we have a kiddo in our office who needs our help. Have a peak. Your curiosity. Well, let me turn it over to my colleague and good friend, Doctor Laura Williams, the medical director of Pan. Thanks to here at Sea Pan, you can expect a team of mental health professionals ready to take your call Monday to Friday, 8 to 5 p.m. across Texas, we have 12 regional hubs employed through the medical School Department of Psychiatry.
You can rest easy that the teams are well qualified and will provide you with the most up to date treatment recommendations. We like to say it’s one phone call for three services. It’s easy because we know how busy you are. You can expect a phone call back within five minutes for the first two services, and within 30 minutes for the third service.
Service one. Our team will help you side improve mental health referrals for the families in your care. Service to our team can help you learn to develop and implement behavioral plans for common emotional and mental health disorders such as sleep issues, school refusal, and other anxieties or worries. Service three. Our team includes child psychiatrist who are ready to help you in making a diagnosis.
Developing a treatment plan and implementing that plan from top to bottom. No question is too small. Give us a call. We’re here to help. Call 188 9 to 1 can. Together, we can help kids build resilience and improve their outcomes. See if it is here for you and for the families that you care for. Be well. Be.