{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:39Z","timestamp":1787019039563,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"4_suppl2","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>To improve psychosocial risk assessment and service provision for children with craniofacial conditions presenting for annual interdisciplinary team visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Institute for Healthcare quality improvement model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>U.S. pediatric academic medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Caregivers of children ages 0-17 years with craniofacial conditions presenting for 1692 team visits between August 2017 and July 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Key drivers included: (1) standardizing pre-visit triage processes; (2) administering the Psychosocial Assessment Tool-Craniofacial Version (PAT-CV); (3) utilizing PAT-CV scores in real time to add patients to psychosocial provider schedules; and (4) family education. Interventions included improving patient screening, increasing PAT-CV completion rate, altering clinic flow, providing patient and parent education about psychosocial services, and altering team member roles to fully integrate PAT-CV administration and scoring in the clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>The primary outcome was the percentage of patients identified for psychosocial consultations via nurse triage, PAT-CV score, family or provider request who completed consultations. The secondary outcome was the percentage of patients completing needed psychosocial consultations based on elevated PAT-CV scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Use of the PAT-CV resulted in an increase in the percentage of patients with elevated psychosocial risk who received a psychosocial consultation from 86.7% to 93.4%. The percentage of children receiving psychosocial consultation at their annual team visit due to elevated PAT-CV scores increased from 72% to 90%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Integrating a validated psychosocial risk screening instrument can improve risk identification and psychosocial consultation completion. A combination of risk screening approaches may be indicated to identify patients in need of psychosocial services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211043006","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T07:04:18Z","timestamp":1632985458000},"page":"S18-S27","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving Psychosocial Risk Assessment and Service Provision for Craniofacial Team Patients: A Quality Improvement Project"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0040-6396","authenticated-orcid":false,"given":"Canice E.","family":"Crerand","sequence":"first","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"},{"name":"Division of Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6889-9292","authenticated-orcid":false,"given":"Hillary M.","family":"Kapa","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0209-4656","authenticated-orcid":false,"given":"Ari N.","family":"Rabkin","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"},{"name":"Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA"},{"name":"Division of Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Smith","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Kirschner","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Pearson","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jahnavi","family":"Valleru","sequence":"additional","affiliation":[{"name":"Quality Improvement Services, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4148-4729","authenticated-orcid":false,"given":"Adriane L.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Nationwide Children's Hospital, Columbus, OH, USA"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, 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