Integrating Behavioral Health into Pediatric Primary Care: Implications for Provider Time and Cost

Southern Medical Journal

Volumn 109, Issue 12, 2016, Pages 774-778

  Gouge, Natasha ^a,b,c   Polaha, Jodi ^a,b,c   Rogers, Rachel ^a,b,c   Harden, Amy ^a,b,c  

^a Mountain States Medical Group Pediatrics   (United States)

^b East Tennessee State University   (United States)

^c Mountain View Pediatrics   (United States)

Author keywords

behavioral health; collaborative practice; integrated care; mental health; pediatric primary care

Indexed keywords

ADOLESCENT; ANXIETY; ARTICLE; ATTENTION DEFICIT DISORDER; AUTISM; CHILD; CHILD HEALTH CARE; CLINICAL HANDOVER; DEPRESSION; DEVELOPMENTAL DISORDER; FEEDING DIFFICULTY; FEMALE; FOLLOW UP; HEALTH INSURANCE; HUMAN; INFANT; INTEGRATED HEALTH CARE SYSTEM; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MENTAL HEALTH; NEWBORN; PATIENT REFERRAL; PRIMARY MEDICAL CARE; PROFIT; PSYCHOLOGIST; REIMBURSEMENT; RURAL HEALTH CARE; SCHOOL ATTENDANCE; SIBLING RELATION; SLEEP DISORDER; TOILETING; TURNAROUND TIME; CHILD PSYCHOLOGY; CLINICAL PRACTICE; COST BENEFIT ANALYSIS; ECONOMICS; EVALUATION STUDY; FEASIBILITY STUDY; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PEDIATRICS; PERSONNEL MANAGEMENT; PRIMARY HEALTH CARE; TIME FACTOR;

CHILD; COST-BENEFIT ANALYSIS; FEASIBILITY STUDIES; HUMANS; PATIENT CARE TEAM; PEDIATRICS; PERSONNEL STAFFING AND SCHEDULING; PRACTICE PATTERNS, PHYSICIANS'; PRIMARY HEALTH CARE; PSYCHOLOGY, CHILD; TIME FACTORS;

EID: 85002497821     PISSN: 00384348     EISSN: 15418243     Source Type: Journal    
DOI: 10.14423/SMJ.0000000000000564     Document Type: Article

References (21)

1. Jellinek MS, Murphy JM, Little M, et al. Use of the Pediatric Symptom Checklist to screen for psychosocial problems in pediatric primary care: a national feasibility study. Arch Pediatr Adolesc Med 1999;153:254-260.
2. McInerny TK, Szilagyi PG, Childs GE, et al. Uninsured children with psychosocial problems: primary care management. Pediatrics 2000; 106(4 Suppl):930-936.
3. Polaha J, DaltonWT 3rd, Allen S. The prevalence of emotional and behavior problems in pediatric primary care serving rural children. J Pediatr Psychol 2011;36:652-660.
4. Ader J, Stille CJ, Keller D, et al. The medical home and integrated behavioral health: advancing the policy agenda. Pediatrics 2015;135:909-917.
5. Routh DK, Schroeder CS, Koocher GP. Psychology and primary health care for children. Am Psychol 1983;38:95-98.
6. Asarnow JR, Rozenman M, Wiblin J, et al. Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: a meta-Analysis. JAMA Pediatr 2015;169:929-937.
7. Friman PC. Come on in, the water is fine: achieving mainstream relevance through integration with primary medical care. Behav Anal 2010;33:19-36.
8. Kolko DJ, Perrin E. The integration of behavioral health interventions in children's health care: services, science, and suggestions. J Clin Child Adolesc Psychol 2014;43:216-228.
9. Lavigne JV, Lebailly SA, Gouze KR, et al. Treating oppositional defiant disorder in primary care: a comparison of three models. J Pediatr Psychol 2008;33:449-461.
10. Valleley RJ, Kosse S, Schemm A, et al. Integrated primary care for children in rural communities: An examination of patient attendance at collaborative behavioral health services. Fam Syst Health 2007;25:323-332.
11. Finney JW, Riley AW, Cataldo MF. Psychology in primary health care: effects of brief targeted therapy on children's medical care utilization. J Pediatr Psychol 1991;16:447-461.
12. Valleley RJ, Polaha J, Evans JH. The impact of behavioral healthcare services on medical utilization for children with externalizing disorders in a rural community. J Rural Community Psychol 2005;E7(2).
13. Tynan WD, Schuman W, Lampert N. Concurrent parent and child therapy groups for externalizing disorders: from the laboratory to the world of managed care. Cogn Behav Pract 1999;6:3-9.
14. Miller BF, Teevan B, Phillips RL, et al. The importance of time in treating mental health in primary care. Fam Syst Health 2011;29:144-145.
15. Stancin T, Perrin EC. Psychologists and pediatricians: opportunities for collaboration in primary care. Am Psychol 2014;69:332-343.
16. Cummings NA, O'Donohue W, Hayes SC, et al. Integrated Behavioral Healthcare: Positioning Mental Health Practice with Medical/Surgical Practice. San Diego, CA: Academic Press, 2001.
17. Cooper S, Valleley RJ, Polaha J, et al. Running out of time: physician management of behavioral health problems in rural pediatric primary care. Pediatrics 2006;118:e132-e138.
18. Gouge N, Polaha J, Powers R. Bringing a behavioral health consultant to residency: implications for practice and training. http://dc.etsu.edu/cgi/viewcontent.cgi?article=1011&context=ijhse. Published October 2014. Accessed September 19, 2016.
19. Strosahl K. Integrating beahvioral health and primary cae: the primary mental health care model. In: Blount A, ed. Integrated Primary Care: The Future of Medical and Mental Health Collaboration. New York: WW Norton, 1998:139-166.
20. Robinson P, Reiter J. Behavioral Consultation and Primary Care: AGuide to Integrating Services. New York: Springer, 2007.
21. Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 2014;12:573-576.