Ayelet Talmi1, Emily F Muther2, Kate Margolis2, Melissa Buchholz2, Ryan Asherin3, Maya Bunik4. 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.
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
Authors: Rheanna E Platt; Andrea E Spencer; Matthew D Burkey; Carol Vidal; Sarah Polk; Amie F Bettencourt; Sonal Jain; Julia Stratton; Lawrence S Wissow Journal: Int Rev Psychiatry Date: 2019-03-26