Our treatment research program (Services for Kids In Primary-care, SKIP) developed and tested an intervention based on the chronic care model (CCM), called Doctor Office Collaborative Care (DOCC; NIMH Grant 064372). In three clinical trials conducted from 2000 to 2013, the DOCC intervention or its key components were found to be effective in the management of childhood behavior problems and comorbid ADHD. Much of this work sought to deliver an intervention informed by collaborative care principles which are commonly used to provide holistic and integrated services designed to address challenging or chronic health and mental health problems by a prepared care team.
Click on a tab below to learn more about the history of the SKIP study.
The Services for Kids in Primary-Care (SKIP) study is established. Its mission: to collaborate with primary/health care providers to integrate, deliver, and evaluate effective services for child/adolescent mental health problems, and related family problems.
5-Year Trial of PONI
SKIP conducts a 5-year trial evaluating a Protocol for On-site, Nurse-administered Intervention (PONI) to address child behavior problems. PONI had high show rate and satisfaction, fewer barriers, clinical benefits, and was well liked by PCPs.
2-Year Trial of DOCC
SKIP conducts a 2-year pilot study of Doctor-Office Collaborative Care (DOCC) model coordinated/delivered by trained clinical care managers targeting child behavior problems and ADHD. DOCC showed more improvement in ratings of behavioral, hyperactivity, and emotional problems, and diagnostic remission, and had high family and PCP satisfaction.
5-Year Trial of DOCC
SKIP conducts a 5-year clinical trial evaluating expanded DOCC model applied by new clinical care managers that includes PCP training in ADHD medication protocol, child anxiety protocol, and automated case monitoring routines to target child behavior problems, ADHD, and anxiety. DOCC showed numerous improvements in care processes, pediatrician effectiveness, behavioral, attentional and emotional problems, parental stress, remission rates and individualized targets, and consumer satisfaction.
SKIP's Expanded Mission
SKIP expands its activities to include the dissemination of its programs and products to routine healthcare settings through program development, professional training, case consultation, and technical or research assistance services. SKIP's clinical focus includes common behavioral mental health problems, including ADHD as well as behavior, mood, and anxiety disorders.
Cost Effectiveness Research
SKIP receives a funding supplement for obtaining health care claims to evaluate the cost-effectiveness of DOCC vs. EUC.
SKIP Trains Statewide
SKIP conducts DOCC training and ongoing consultation with statewide network of Federally Qualified Health Centers (PCPs, clinicians, some leaders) funded by Community Care Behavioral Health.
SKIP Pilots New Procedures
SKIP receives a pilot grant to develop basic research procedures and infrastructure to support our current implementation trial from the University of Pittsburgh Health Policy Institute.
SKIP Tests Implementation Strategies
SKIP conducts a pilot test of the current implementation strategies developed for team-based and leadership-based implementation conditions.