National integration of mental health screening and treatment into specialized care for cystic fibrosis: What predicts success?
Alexandra L QuittnerDavid BarkerSonia GrazianoAnna M GeorgiopoulosEmily F MutherMarieke VerkleijMichael S SchechterLaura TillmanAmy MuellerPaula LomasSarah HempsteadBeth A SmithPublished in: Pediatric pulmonology (2023)
Implementation of the mental health guidelines was highly successful over time. Funding for MHCs with dedicated time was critical. Longitudinal modeling indicated that CF centers with diverse characteristics could implement them, supported by evidence from the CF Patient Registry showing nearly universal uptake of mental health screening in the United States. Years of experience predicted better implementation, suggesting that education and training of MHCs and retention of experienced providers are critical to success.