What does DC MAP stand for?
DC MAP stands for Mental Health Access in Pediatrics.

What services does DC MAP provide?
DC MAP is a child mental health access program that provides the following services:

  1. Primary care clinician telephone consultation with child mental health specialists
  2. Community resource referrals and face-to-face consultations as clinically indicated
  3. Mental health education and training in primary care
  4. Child mental health resource guide maintenance
  5. Quarterly medication reviews flagged by the Psychotropic Monitoring Group

Who is DC MAP intended to serve? Can others use DC MAP services?
DC MAP is geared towards pediatric primary care providers, including (but not limited to) pediatricians, family physicians, pediatric/family nurse practitioners, and pediatric/family physician’s assistants. DC MAP also allows consultations from other professionals working with primary care providers, such as integrated social workers, psychologists or psychiatrists. Unfortunately, we do not have the capacity to provide support to others outside of primary care, though we would direct others to the resource guide available at www.dchealthcheck.net. DC MAP is intended to serve providers working in or providing services to children who live in the District of Columbia. DC MAP works closely with Maryland’s BHIPP program (http://www.mdbhipp.org/) and Virginia’s VMAP program (https://www.vmapforkids.org/), which serve providers working in or serving children in Maryland and Virginia, respectively. DC MAP is not intended to be used by families.

Can families call DC MAP?
Unfortunately, families cannot call DC MAP directly as this is outside the scope of our work. When families call, we encourage them to consult with their child’s pediatrician.

How do I enroll in DC MAP?
Individual providers wishing to enroll in DC MAP can complete the following Provider Enrollment Form. We also request that a main point person from each practice enrolls the practice by completing the following Practice Enrollment Form. Providers can enroll even if their practice is not currently enrolled. For questions about enrollment or to see if your practice is enrolled, please contact us.

Do I have to (re-)enroll? How often?
Yes, providers must enroll in DC MAP and we request that they re-enroll annually. Enrollment forms provide us with information about who is using our service and what impact DC MAP has on the community. To ensure up-to-date information and timely reporting of program evaluation outcomes to our funders, we request annual re-enrollment. We appreciate your willingness to complete these forms!

What happens if I do not enroll in DC MAP but still want to use DC MAP services?
DC MAP services are intended for providers enrolled in the program. However, we understand that there may be cases in which a provider wants to use DC MAP without having first enrolled. We will accept calls from these providers but we will work closely with providers following the consultation to ensure that they enroll as soon as possible.

Can you talk to my practice about DC MAP?
We are eager to make site visits to introduce ourselves, discuss DC MAP, and enroll practices and providers. If you would like to schedule a site visit, please email Renee Williams at RWilliams@childrensnational.org

What is DC MAP’s availability?
DC MAP is open Monday through Friday from 9am to 5pm. DC MAP is closed on the following holidays:

    • New Year’s Day
    • Martin Luther King, Jr. DayPresidents Day
    • Memorial Day
    • Independence Day
    • Labor Day
    • Columbus Day
    • Veterans Day
    • Thanksgiving
    • Christmas Day

Can I request a specific call-back time?
Yes, providers can request a specific call-back time. Please indicate in your communication with DC MAP when and how best to contact you and we will do our best to get in touch as requested.

Can someone else from my office call to set up a call?
Yes, all callers working with primary care can contact DC MAP. When staff members call to set up a consultation, please be sure that they can provide information about your availability and information about the case (e.g., basic question, patient’s demographic information) so that we may prepare for the call.

I called during business hours but received a voicemail…why is that? What should I do?
Callers may receive a voicemail during business hours if all DC MAP clinicians are attending to another consultation. If you receive a voicemail, please leave a message and include information about how to contact you. We closely monitor voicemails and will return your call within 30 minutes of your message.

What happens if I call when DC MAP is closed?
Callers contacting DC MAP when the office is closed are welcome to leave a secure voicemail. A member of the DC MAP team will contact you about the call as soon as possible on the next business day (or at the day/time requested by the caller).

Why is DC MAP not available 24/7? What happens if my patient/family is in crisis and DC MAP is closed?
DC MAP is a consultation service and is not a crisis/emergency support service. If your patient/family is in crisis, please take appropriate steps to ensure their safety, including calling 9-1-1, calling a local crisis line, like CHAMPS (202-481-1440), or sending the patient/family to the nearest emergency department. Please note that we do not check voicemail during hours/days when DC MAP is closed.

What information do I need when I call?
When you call, we will ask questions about yourself, including your name, NPI#, and contact information verification. If you are not already enrolled in DC MAP, we will ask a few additional demographic questions. We then ask if the call is about a specific child (versus a global question). If it is pertaining to a specific child, so, we will gather some basic demographic information, including child’s name, DOB, and insurance coverage. We ask all callers to provide a brief description about why they are calling to better direct the call. During the consultation, we will likely ask some additional clarifying questions (e.g., medications the child takes, past service history), but these questions may vary across calls.

Will I have to give all of this information every time I call?
We retain data about providers and children so if you have contacted the line before or if you are calling back about a specific child, we should have data on file that we would just need to verify.

What are allowable topics? What are things that I should not contact DC MAP about?
We accept calls about any topic related to mental or developmental health, substance use, and issues that may impact child mental health (e.g., parental depression, domestic violence). Providers are invited to call about specific children or about general topics (e.g., medication use). This is a consultation service and not a crisis/emergency support service. Consultants cannot make abuse reports nor provide forensic, safety, child custody, and/or educational assessments and recommendations. Consultants will also not do liaison work on behalf of PCPs, like calling schools or outside providers. However, consultants will strive to ensure that all callers be connected with appropriate resources so when in doubt, please call us and we can direct you to more appropriate resources if we are not the right one. For example, we can provide information about who to call to receive more appropriate resources or we can advise you on what questions to ask, rating scales to use, etc.

Can I call about patients I see within primary care who are over 21?
Our services are limited to patients 21 years of age and younger. However, as with other questions outside of the scope of DC MAP, we will do our best to ensure that you are connected with appropriate resources.

How are calls triaged?
In most cases, providers calling DC MAP will first speak with the care coordinator. She will gather some preliminary information (e.g., provider information, child demographic information, nature of the call). The care coordinator will then determine which DC MAP team member may be most appropriate for the call. In cases in which it is a care coordination/resource question alone, the care coordinator will answer it herself. However, in other cases, you may be transferred to the DC MAP on-call psychiatrist or mental health therapist (social worker or psychologist) depending on the nature of the call and DC MAP provider availability

When I call, can I put a family on the phone with a DC MAP team member?
DC MAP clinicians (e.g., psychiatrists, psychologists, social workers) will speak directly with providers only and will not speak by phone with families. Following a telephone consultation between a PCP and a DC MAP team member, then a DC MAP team member may speak with a family member via phone if indicated.

How does DC MAP decide which patients will be seen for a face-to-face appointment?
In certain circumstances, the MAP team may determine that additional face-to-face or telephone support with the family is required. The goal is to link families with needed resources within primary care or the community in as timely a manner as possible so only a minority of calls will result in this interim follow-up. Calls that may be eligible for this follow-up include instances in which it is unclear from the call what the best course of action would be, instances in which the child can be managed in primary care, but requires consultation from someone who has seen the child, and instances in which a family requires more care coordination support to connect with services. DC MAP providers serve as consultants and therefore will not take over ongoing care management or prescribe medications.

What follow-up consultation services are available?
DC MAP offers time limited follow up with select families via phone or via face-to-face consultations. MAP-family telephone contact may occur in cases in which the family requires brief support around connecting with and coordinating community-based services. Families seen for face-to-face visits will be seen by DC MAP clinicians at either MedStar Georgetown University Hospital or Children’s National. Most families would only be seen for one face-to-face visit, though in some very rare instances the DC MAP team may provide brief bridge support until the family is connected with other services.

Where would my patient go for an appointment?
Patients referred for a face-to-face consultation will go to either Children’s National or MedStar Georgetown University Hospital. The location of appointments will be determined by interest and proximity of the patients to the clinic (e.g., if child lives near one place or already receives care somewhere), DC MAP clinician appointment availability, patient age (individuals 18 years of age and older must be seen at Georgetown), and the nature of the presenting concern. We will do our best to ensure that we meet each family’s preferences while also striving to get them in as soon as possible with a clinician who can best address their needs.

Do I need to get my patient’s consent before calling DC MAP?
It is always helpful to obtain consent from the family to contact DC MAP, but it is not required when calling us. Children and families seen for face-to-face consultations by the DC MAP team will complete consent paperwork at the time of their visit.

Are you HIPAA compliant? What happens to my patients’ information?
Information obtained during calls and in person visits is maintained in a HIPAA compliant database. We are required by our funders (the DC Department of Behavioral Health) to provide regular reports on DC MAP usage and outcomes. We do not disclose identifying information with outside organizations.

Can DC MAP help me connect my patient with Children’s National or MedStar Georgetown University Hospital mental health services?
The DC MAP team will provide you with the information you need to make appropriate referrals, but our assistance does not expedite or change the process for connecting with the Children’s National or MedStar Georgetown University Hospital psychiatry and psychology departments.

What documentation will I receive from DC MAP after consulting with them or after one of my patients consults with them?
A follow-up note will be sent to you within 2 business days of your call to DC MAP and within 1 week of any visits or contact we have with families. This note will summarize the recommendations discussed.

How can I learn more information about DC MAP and other programs like it?
For more information, about DC MAP, please contact Leandra Godoy (lgodoy@childrensnational.org; 202-471-4805). For more information about other mental health access programs, please see the National Network of Child Psychiatry Access Program website (www.nncpap.org).