Optimizing Utilization and Accessibility of Trauma Interventions for Adolescents in Primary Care

Problem: Exposure to trauma is common in urban areas and has been associated with the onset of mental health concerns, development issues and adverse outcomes, especially in adolescents, creating a need for post-exposure intervention services. Although local resources aimed at pre-emptive trauma interventions exist, these resources are currently underutilized.

Measurement: A multidisciplinary team convened to complete a driver diagram and impact effort matrix to prioritize interventions and monthly changes to metrics were displayed in a dashboard accessible by the entire team consisting of line and bar charts as well as metric overviews.

Analysis: Referral and enrollment data was tracked monthly in line and bar graphs and calculated percent changes over time versus baseline. Process metrics of providers referring and percent of referrals converting to enrollment were also trended over time. SPC charts haven’t yet been created due to program newness/lack of baseline data.

Implementation: QI interventions were implemented in three workstreams: training and communication with providers, optimization of clinical decision support for referral, and patient/family education on trauma impact. This project shows the benefit of engaging primary care providers in this work to foster referral and patient/family interest in mental health interventions.

Results/Discussion: Baseline utilization of post-exposure intervention services increased 32%  for an average of 10.3 patients enrolled per month. Baseline referral of target patients during well visits increased 13% for an average of 26 patients referred per month. Engagement with primary care providers was critical to this success and future sustainment.

Speakers
Program Associate, Office of Community Relations
Program Associate, Office of Community Relations – Children's Hospital of Philadelphia

Speaker Type: Poster Presentations On-Demand

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Senior Improvement Advisor
Senior Improvement Advisor – Children's Hospital of Philadelphia

Speaker Type: Poster Presentations On-Demand

  • Performance and Process Improvement IconPerformance and Process Improvement
  • Population Health and Care Transitions IconPopulation Health and Care Transitions