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Objective <p>The Project ECHO® (Extension for Community Healthcare Outcomes) model was used to deliver training and case consultation to primary care clinicians and behavioral health teams, aiming to enhance their knowledge and confidence in addressing the behavioral health needs of young children<i>.</i></p> Methods <p>Two Project ECHO programs were developed by the Massachusetts Child Psychiatry Access Program team in partnership with the Massachusetts Department of Public Health, targeting (1) primary care clinicians and (2) integrated behavioral health providers. Both ECHOs emphasized early relational health principles, introducing frameworks and tools to support understanding young children and their caregivers in their contexts. Quantitative and qualitative data were collected to assess impact and inform future iterations.</p> Results <p>Participants across the five ECHO runs provided both quantitative and qualitative feedback that knowledge gained through ECHO participation will impact their work with young children and families. Nearly 75% of primary care clinicians in one ECHO run were already implementing changes upon ECHO completion, with 100% anticipating doing so within 3&#xa0;months. Participants reported increased self-rated confidence in evaluating early childhood mental health concerns and collaborating with early education providers and families, emphasizing the importance of considering relational, social, cultural, and systemic factors in their work.</p> Conclusions <p>These findings suggest that the Project ECHO model effectively enhances clinician self-rated confidence and knowledge of early childhood mental health concerns.</p>

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Enhancing Primary Care and Behavioral Health Teams’ Confidence in Addressing Early Childhood Mental Health Using the Project ECHO Model

  • 期刊论文

  • 发表日期：

    2026年1月7日

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  • Kara Lindquist Lowen,
  • Marisa Matsudaira,
  • Maria Carolina Clark,
  • Yael Dvir

摘要

Objective

The Project ECHO® (Extension for Community Healthcare Outcomes) model was used to deliver training and case consultation to primary care clinicians and behavioral health teams, aiming to enhance their knowledge and confidence in addressing the behavioral health needs of young children.

Methods

Two Project ECHO programs were developed by the Massachusetts Child Psychiatry Access Program team in partnership with the Massachusetts Department of Public Health, targeting (1) primary care clinicians and (2) integrated behavioral health providers. Both ECHOs emphasized early relational health principles, introducing frameworks and tools to support understanding young children and their caregivers in their contexts. Quantitative and qualitative data were collected to assess impact and inform future iterations.

Results

Participants across the five ECHO runs provided both quantitative and qualitative feedback that knowledge gained through ECHO participation will impact their work with young children and families. Nearly 75% of primary care clinicians in one ECHO run were already implementing changes upon ECHO completion, with 100% anticipating doing so within 3 months. Participants reported increased self-rated confidence in evaluating early childhood mental health concerns and collaborating with early education providers and families, emphasizing the importance of considering relational, social, cultural, and systemic factors in their work.

Conclusions

These findings suggest that the Project ECHO model effectively enhances clinician self-rated confidence and knowledge of early childhood mental health concerns.