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J Pediatr Psychol. 2016 Nov;41(10):1120-1132. Epub 2016 Jul 17.

The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting.

Author information

1
Children's Hospital Colorado University of Colorado School of Medicine, Departments of Psychiatry and Pediatrics ayelet.talmi@ucdenver.edu.
2
Children's Hospital Colorado University of Colorado School of Medicine, Department of Psychiatry.
3
Children's Hospital Colorado.
4
Children's Hospital Colorado University of Colorado School of Medicine, Department of Pediatrics.

Abstract

OBJECTIVE:

The current study examines the scope of integrated behavioral health services provided by behavioral health clinicians in pediatric primary care.

METHODS:

A cross-sectional electronic health record review was conducted to characterize integrated behavioral health services including consultation types, recommendations, and medical diagnoses. Services were provided over a 6-year period in an urban, residency-training clinic serving a primarily publicly insured population.

RESULTS:

Of the 4,440 patients seen by behavioral health clinicians (BHCs), 2,829 (63.7%) were seen during well-child checks to address a wide array of presenting problems. The five consultation types "Healthy Steps (6%), pregnancy-related depression (17.7%), developmental (19.2%), mental health (53.2%), and psychopharmacology (5%)" were characterized by differences in demographics, presenting problems, recommendations, and medical diagnoses.

CONCLUSIONS:

Pediatric BHCs provide a wide range of services to pediatric populations in the context of integrated behavioral health programs. Implications for workforce capacity development, evaluation of outcomes and impact, and sustainability are discussed.

KEYWORDS:

health care services; health promotion and prevention; mental health; primary care; professional and training issues; psychosocial functioning

PMID:
27424483
DOI:
10.1093/jpepsy/jsw065
[Indexed for MEDLINE]

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