Screening for Quality of Life in a Neurology Tic Clinic Using Quality Improvement Methodology.

Background: Tic disorders in children often co-occur with other disorders that can significantly impact functioning. Screening for quality of life (QoL) can help identify optimal treatment paths. This quality improvement (QI) study describes implementation of a QoL measure in a busy neurology clinic to help guide psychological intervention for patients with tics.

Increasing Access to and Utilization of Behavioral Health Care Through Integrated Primary Care.

Objectives: To evaluate changes in access to and utilization of behavioral health (BH) services after the integration of psychologists into primary care clinics compared with clinics without integrated psychologists.

Methods: We integrated 4 of 12 primary care clinics within our academic health system. We used the median wait time for BH services as a proxy for changes in access and defined BH utilization as the percentage of primary care visits that resulted in contact with a BH clinician within 180 days.

Experiences of Pain and Quality of Life in Pediatric Intracranial Hypertension.

Objective: To examine psychosocial correlates, specifically pain intensity, pain interference, and quality of life (QOL), in patients with pediatric intracranial hypertension. We hypothesized that parents and children who report higher levels of pain intensity and interference would be associated with lower QOL.

Methods: Eighty-three patients and their families seen in the pediatric intracranial hypertension clinic of a large pediatric hospital completed self-report and parent proxy measures on QOL, mood, and other psychosocial correlates.

8,000 years of climate, vegetation, fire and land-use dynamics in the thermo-mediterranean vegetation belt of northern Sardinia (Italy).

Knowledge about the vegetation history of Sardinia, the second largest island of the Mediterranean, is scanty. Here, we present a new sedimentary record covering the past ~ 8,000 years from Lago di Baratz, north-west Sardinia. Vegetation and fire history are reconstructed by pollen, spores, macrofossils and charcoal analyses and environmental dynamics by high-resolution element geochemistry together with pigment analyses.

Timely Access to Mental Health Services for Patients with Pain.

Unlabelled: Efficient access to pediatric mental health services is a growing concern as the number of patients increases and outpaces efforts to expand services. This study outlines interventions implemented using quality improvement (QI) science and methodology to demonstrate how a clinic embedded in a large children's hospital can improve access to the first appointment for a population seeking pain management services.

Methods: A process improvement project started with a QI team, whose members designed interventions to change scheduling practices.