All together: Integrated care for youth with type 1 diabetes

Objective We describe the implementation and evaluation of an integrated, stepped care model aimed to identify and address the concerns of adolescents with type 1 diabetes (T1D) associated with diabetes‐related quality of life (DRQoL), emotional well‐being, and depression. Research Design and Method...

Full description

Saved in:

Bibliographic Details
Published in:	Pediatric diabetes Vol. 22; no. 6; pp. 889 - 899
Main Authors:	Versloot, Judith, Ali, Amna, Minotti, Simona C., Ma, Julia, Sandercock, Jane, Marcinow, Michelle, Lok, Daphne, Sur, Deepy, Wit, Maartje, Mansfield, Elizabeth, Parks, Sheryl, Zenlea, Ian
Format:	Journal Article
Language:	English
Published:	Former Munksgaard John Wiley & Sons A/S 01-09-2021 Wiley Subscription Services, Inc
Subjects:	Adolescent Adolescents Capitation Clinical Care and Technology Delivery of Health Care, Integrated Diabetes Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - psychology Diabetes Mellitus, Type 1 - therapy Emotions Female Health care Humans integrated care Male Mental health Pediatrics Pilot Projects Psychology, Adolescent Quality of life Teenagers type 1 diabetes youth type 1 diabetes integrated care adolescents mental health youth
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Objective We describe the implementation and evaluation of an integrated, stepped care model aimed to identify and address the concerns of adolescents with type 1 diabetes (T1D) associated with diabetes‐related quality of life (DRQoL), emotional well‐being, and depression. Research Design and Methods The care model with 4 steps: (1) Systematic identification and discussion of concerns salient to adolescents; (2) Secondary screening for depressive symptoms when indicated; (3) Developing collaborative treatment plans with joint physical and mental health goals; and (4) Psychiatric assessment and embedded mental health treatment; was implemented into an ambulatory pediatric diabetes clinic and evaluated using quantitative and qualitative methods. Results There were 236 adolescents (aged 13–18 years) with T1D that were enrolled in the care model. On average adolescents identified three concerns associated with their DRQoL and 25% indicated low emotional well‐being. Fifteen adolescents received a psychiatric assessment and embedded mental health treatment. Both adolescents and caregivers were appreciative of a broader, more holistic approach to their diabetes care and to the greater focus of the care model on adolescents, who were encouraged to self‐direct the conversation. Parents also appreciated the extra level of support and the ability to receive mental health care for their adolescents from their own diabetes care team. Conclusion The initial findings from this project indicate the acceptability and, to limited extent, the feasibility of an integrated stepped care model embedded in an ambulatory pediatric diabetes clinic led by an interdisciplinary care team. The care model facilitated the identification and discussion of concerns salient to youth and provided a more holistic approach.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correction added on 28 August 2021, after first online publication: Peer review history statement has been added.
ISSN:	1399-543X 1399-5448
DOI:	10.1111/pedi.13242