Detection and treatment of mental health issues by pediatric PCPs in New York State: an evaluation of Project TEACH

Psychiatr Serv. 2015 Apr 1;66(4):430-3. doi: 10.1176/ Epub 2014 Dec 15.


Objective: The authors evaluated Project TEACH (PT), a statewide training and consultation program for pediatric primary care providers (PCPs) on identification and treatment of mental health conditions.

Methods: An intervention group of 176 PCPs who volunteered for PT training was compared with a stratified random sample of 200 PCPs who did not receive PT training. Data on prescription practices, diagnoses, and follow-up care were from New York State Medicaid files (2009-2013) for youths seen by the trained (N=21,784) and untrained (N=46,607) PCPs.

Results: The percentage of children prescribed psychotropic medication increased after PT training (9% to 12%, p<.001), a larger increase than in the untrained group (4% to 5%, p<.001) (comparison, p<.001). Fewer differences were noted in diagnoses and in medication use and follow-up care among children with depression.

Conclusions: This intervention may have an impact on providers' behaviors, but further research is needed to clarify its effectiveness.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Child
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / therapy*
  • New York
  • Pediatrics / education*
  • Pediatrics / methods
  • Pediatrics / statistics & numerical data*
  • Primary Health Care / methods
  • Primary Health Care / statistics & numerical data*
  • Program Evaluation / methods*