TABLE 4

Characteristics of Calls to MCPAP (n = 29 202) and Association With Adoption and Frequency of Use of Practice Making the Call

CharacteristicAll PracticesTime Until Adoption, dQuartile
<100100–365>365HighestMiddleLowest
Reason for calla
 Medication question/evaluation31333028d303333d
 Resources question27282230d282526d
 Diagnosis question27242732d252828d
 Parent guidance5643d556
Diagnosisb
 ADHD33343232d333326d
 Anxiety24252424c252526
 Depression23232421c232425c
 Deferred12121113c131010d
 Other11101212d11119
 Oppositional defiant disorder101189c11108c
Outcome
 Refer back to PCP54535257d535346d
 Refer to MCPAP care coordinator (e.g., for identifying resources)25282026d272221d
 MCPAP psychiatrist 1-time evaluation21222217d222221
 Community-based therapist appointment17161819d201412d
 Refer to community psychiatrist6676d5812d
 Emergency department/inpatient2212d123c
  • Values are expressed as proportion of all calls (%). Categories of call characteristics are not mutually exclusive.

  • a The following reasons, collectively, were <5% of all calls: patient in crisis, follow-up of previous patient, school issues, and second opinion.

  • b The following diagnoses, collectively, were <5% of all calls: Asperger syndrome, conduct disorder, developmental delay, pervasive developmental disorder, and posttraumatic stress disorder.

  • c P < .05 for group comparison.

  • d P < .001 for group comparison.