TY  - JOUR
PY  - 2016//
TI  - The scope of behavioral health integration in a pediatric primary care setting
JO  - Journal of pediatric psychology
A1  - Talmi, Ayelet
A1  - Muther, Emily F.
A1  - Margolis, Kate
A1  - Buchholz, Melissa
A1  - Asherin, Ryan
A1  - Bunik, Maya
SP  - 1120
EP  - 1132
VL  - 41
IS  - 10
N2  - OBJECTIVE: The current study examines the scope of integrated behavioral health services provided by behavioral health clinicians in pediatric primary care. <br><br>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. <br><br>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. <br><br>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.<br><br>© The Author 2016. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.<p />  <p>Language: en</p>
LA  - en
SN  - 0146-8693
UR  - http://dx.doi.org/10.1093/jpepsy/jsw065
ID  - ref1
ER  -