J Pediatr Health Care. 2025 Feb 1:S0891-5245(24)00384-5. doi: 10.1016/j.pedhc.2024.11.010. Online ahead of print.
ABSTRACT
INTRODUCTION: The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.
METHODS: A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.
RESULTS: A relationship was found between referral type and frequency of attendance (X2 = 6.06, df = 2, N = 145, p = .049). Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (OR = 0.340, 95% CI [0.132, 0.880], p = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents’ needs.
DISCUSSION: Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.
PMID:39891644 | DOI:10.1016/j.pedhc.2024.11.010
