naa a22 4500 510781705 CHVBK 20180411083249.0 cr unu---uuuuu 180411e20130101xx s 000 0 eng 10.1007/s11414-012-9292-0 doi (NATIONALLICENCE)springer-10.1007/s11414-012-9292-0 Mental Health Communications Skills Training for Medical Assistants in Pediatric Primary Care [Elektronische Daten] [Jonathan Brown, Lawrence Wissow, Benjamin Cook, Shaina Longway, Emily Caffery, Chris Pefaure] Paraprofessional medical assistants (MAs) could help to promote pediatric primary care as a source of mental health services, particularly among patient populations who receive disparate mental health care. This project piloted a brief training to enhance the ability of MAs to have therapeutic encounters with Latino families who have mental health concerns in pediatric primary care. The evaluation of the pilot found that MAs were able to master most of the skills taught during the training, which improved their ability to have patient-centered encounters with families during standardized patient visits coded with the Roter Interaction Analysis System. Parents interviewed 1 and 6months following the training were more than twice as willing as parents interviewed 1month before the training to discuss mental health concerns with MAs, and they had better perceptions of their interactions with MAs (all p < 0.01) even after controlling for a range of patient and visit characteristics. Before training, 10.2% of parents discussed a mental health concern with the MA but not the physician; this never happened 6months after training. This pilot provides preliminary evidence that training MAs holds potential to supplement other educational and organizational interventions aimed at improving mental health services in pediatric primary care, but further research is necessary to test this type of training in other settings and among different patient populations. National Council for Community Behavioral Healthcare, 2012 Brown Jonathan Mathematica Policy Research, Inc, 1100 First Street, 12th floor, 20002, Washington, DC, USA aut Wissow Lawrence Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway Room 703, 21205, Baltimore, MD, USA aut Cook Benjamin Cambridge Health Alliance, Center for Multicultural Mental Health Research, 120 Beacon Street, 02143, Somerville, MA, USA aut Longway Shaina Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway Room 703, 21205, Baltimore, MD, USA aut Caffery Emily Mathematica Policy Research, Inc, 220 East Huron Street, Suite 300, 48104, Ann Arbor, MI, USA aut Pefaure Chris Mathematica Policy Research, Inc, 1100 First Street, 12th floor, 20002, Washington, DC, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 20-35 1094-3412 40:1<20 2013 40 11414 https://doi.org/10.1007/s11414-012-9292-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-012-9292-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Brown Jonathan Mathematica Policy Research, Inc, 1100 First Street, 12th floor, 20002, Washington, DC, USA aut NATIONALLICENCE 700 1- Wissow Lawrence Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway Room 703, 21205, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Cook Benjamin Cambridge Health Alliance, Center for Multicultural Mental Health Research, 120 Beacon Street, 02143, Somerville, MA, USA aut NATIONALLICENCE 700 1- Longway Shaina Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, 624 N. Broadway Room 703, 21205, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Caffery Emily Mathematica Policy Research, Inc, 220 East Huron Street, Suite 300, 48104, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Pefaure Chris Mathematica Policy Research, Inc, 1100 First Street, 12th floor, 20002, Washington, DC, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/1(2013-01-01), 20-35 1094-3412 40:1<20 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer