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Michelle S Franklin

Assistant Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry

Scholarly Works


A Roadmap for Accelerating Research in Intellectual and Developmental Disabilities Using PCORnet®.

Journal article Med Care · February 1, 2026 OBJECTIVE: This project sought to (1) identify critical gaps in knowledge of intellectual/developmental disabilities (IDD) clinical care and accelerate research by identifying a set of high-priority patient-centered comparative clinical effectiveness resea ... Full text Link to item Cite

Barriers and facilitators to social-emotional health screening in pediatrics: Results from a qualitative study of practitioner perspectives

Journal article Social and Emotional Learning Research Practice and Policy · December 1, 2025 Social-emotional health (SEH) affects well-being and outcomes across the lifespan and is most malleable when addressed before age five. Despite the importance of early screening, SEH screening does not occur at most well-child visits. This study aimed to e ... Full text Cite

Building Equitable Mental Health Care for Latino Children: Perspectives from Providers and Communities.

Journal article J Racial Ethn Health Disparities · June 2025 BACKGROUND: The current pediatric mental health crisis has disproportionately impacted Latino youth in the United States (US), as demonstrated by their elevated risks of depression, substance use disorder, and anxiety. Despite this, research suggests Latin ... Full text Link to item Cite

Medicaid Spending in Coordination-Only Dual-Eligible Special Needs Plans.

Journal article JAMA Netw Open · January 2, 2025 IMPORTANCE: More than 4 million Medicare beneficiaries have enrolled in dual-eligible Special Needs Plans (D-SNPs), and coordination-only D-SNPs are common. Little is known about the impact of coordination-only D-SNPs on Medicaid-covered services and spend ... Full text Link to item Cite

Workforce perspective on racial and ethnic equity in early childhood autism evaluation and treatment: "The cornerstone of everything we do".

Journal article Autism · October 2024 Black and non-White Latinx children tend to receive autism diagnoses later in life and with a higher degree of impairment than White children. The purpose of this study was to learn what is currently helping as well as preventing Black and non-White Latinx ... Full text Link to item Cite

Caregiver Perspectives on Barriers and Facilitators to Timely Well-Child Visits for Black Infants.

Journal article Matern Child Health J · May 2024 OBJECTIVES: Missed infant well-child visits (WCV) result in lost opportunities for critical preventive care. Black infants consistently receive less WCV care than other racial groups. We sought to understand barriers and facilitators to timely infant WCV f ... Full text Link to item Cite

Remodeling Broken Systems: Addressing the National Emergency in Child and Adolescent Mental Health.

Journal article Psychiatr Serv · March 1, 2024 A national emergency in child and adolescent mental health was declared in the United States in 2021 in the wake of the COVID-19 pandemic. This Open Forum discusses potential solutions to better support child and adolescent mental health by improving or ex ... Full text Link to item Cite

Cognitive behavioural therapy and medication for treatment of adolescent depression: a network meta-analysis.

Journal article Behav Cogn Psychother · May 2023 BACKGROUND: Cognitive behavioural therapy (CBT) and medication are widely accepted and useful interventions for individuals with depression. However, a gap remains in our current understanding of how CBT directly benefits adolescents with depression. AIMS: ... Full text Link to item Cite

Cross-Sector Intervention Strategies to Target Childhood Food Insecurity in North Carolina

Journal article North Carolina Medical Journal · January 1, 2023 background Childhood food insecurity increased considerably during the COVID-19 pandemic and is associated with compromised health. Health care systems are increasingly prioritizing food insecurity interventions to improve health, but it is unclear how hea ... Full text Cite

Racial and Ethnic Differences in Psychotropic Prescription Receipt Among Pediatric Patients Enrolled in North Carolina Medicaid.

Journal article Psychiatr Serv · December 1, 2022 OBJECTIVE: The authors aimed to examine racial-ethnic differences in filled psychotropic prescriptions among a pediatric Medicaid population. METHODS: This retrospective cohort study included patients ages 0-21 with at least one North Carolina Medicaid cla ... Full text Link to item Cite

Inequities in Receipt of the North Carolina Medicaid Waiver Among Individuals with Intellectual Disability or Autism Spectrum Disorder.

Journal article J Dev Behav Pediatr · September 1, 2022 OBJECTIVE: We examined characteristics associated with receiving the North Carolina Home and Community-Based Services Waiver for intellectual and developmental disabilities (I/DDs) and its association with emergency department (ED) utilization. METHOD: Thr ... Full text Link to item Cite

Influence of provider type on chronic pain prescribing patterns A systematic review.

Journal article J Am Assoc Nurse Pract · March 1, 2022 BACKGROUND: Chronic pain affects 100 million Americans and is most often treated in primary care, where the health care provider shortage remains a challenge. Nurse practitioners (NPs) represent a growing solution, yet their patterns of chronic pain manage ... Full text Link to item Cite

Qualitative Perceptions of an Anticipated Fresh Food Prescription Program

Journal article Health Behavior and Policy Review · January 1, 2022 Objective: Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to el ... Full text Cite

Identifying Individuals With Intellectual Disability Within a Population Study.

Journal article Nurs Res · 2020 BACKGROUND: Much remains unknown about the longitudinal health and well-being of individuals with intellectual disability (ID); thus, new methods to identify those with ID within nationally representative population studies are critical for harnessing thes ... Full text Link to item Cite

Psychometric Properties and Factor Structure of the Center for Epidemiologic Studies Depression Scale in a National Sample of Arab Adolescents.

Journal article Issues Ment Health Nurs · May 2019 Having valid, reliable, and culturally adapted tools to screen for adolescent depression is a crucial concern for mental health care professionals who promote preventive care. To this aim, this study tested the psychometric properties and factor structure ... Full text Link to item Cite

Health Care Transition for Adolescent and Young Adults with Intellectual Disability: Views from the Parents.

Journal article J Pediatr Nurs · 2019 PURPOSE: This study explored the health care transition (HCT) experiences of parents of adolescents and young adults (AYAs) with intellectual disability (ID), 18-33 years of age, including barriers and facilitators to the AYA's transition to adulthood with ... Full text Link to item Cite