Comparing Two Models of Integrated Behavioral Health Programs in Pediatric Primary Care

Miguelina Germán; Michael L Rinke; Brittany A Gurney; Rachel S Gross; Diane E Bloomfield; Lauren A Haliczer; Silvie Colman; Andrew D Racine; Rahil D Briggs

doi:10.1016/j.chc.2017.06.009

Comparing Two Models of Integrated Behavioral Health Programs in Pediatric Primary Care

Child Adolesc Psychiatr Clin N Am. 2017 Oct;26(4):815-828. doi: 10.1016/j.chc.2017.06.009.

Authors

Miguelina Germán¹, Michael L Rinke², Brittany A Gurney³, Rachel S Gross⁴, Diane E Bloomfield⁵, Lauren A Haliczer⁶, Silvie Colman⁷, Andrew D Racine⁸, Rahil D Briggs⁹

Affiliations

¹ Department of Pediatrics, Pediatric Behavioral Health Integrated Program (BHIP), Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA. Electronic address: mgerman@montefiore.org.
² Department of Pediatrics, Division of Pediatric Hospital Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA.
³ Trauma Informed Care Program (TIC), Behavioral Health Integration Program (BHIP), Department of Pediatrics, Montefiore Medical Group, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA.
⁴ Department of Pediatrics, Children's Hospital at Montefiore, Albert Einstein College of Medicine, 3444 Kossuth Avenue, 2nd Floor, Bronx, NY 10467, USA.
⁵ The Children's Hospital at Montefiore, Albert Einstein College of Medicine, 3444 Kossuth Avenue, Bronx, NY 10467, USA.
⁶ Department of Psychological and Brain Sciences, University of Massachusetts Amherst, 402 Tobin Hall, 135 Hicks Way, Amherst, MA 01002, USA.
⁷ Network Performance Group, Montefiore Medical Center, 6 Executive Plaza, Suite 112A, Yonkers, NY 10701, USA.
⁸ Montefiore Health System, Montefiore Medical Group, Executive Offices, 111 East 210th Street, Bronx, NY 10467, USA.
⁹ Pediatric Behavioral Health Services, Montefiore Medical Group, 200 Corporate Boulevard South, Suite 175, Yonkers, NY 10701, USA.

PMID: 28916016
DOI: 10.1016/j.chc.2017.06.009

Abstract

This study examined how to design, staff, and evaluate the feasibility of 2 different models of integrated behavioral health programs in pediatric primary care across primary care sites in the Bronx, NY. Results suggest that the Behavioral Health Integration Program model of pediatric integrated care is feasible and that hiring behavioral health staff with specific training in pediatric, evidence-informed behavioral health treatments may be a critical variable in increasing outcomes such as referral rates, self-reported competency, and satisfaction.

Keywords: Behavioral health; Competency; Integrated care; Integrated care models; Pediatric; Primary care; Satisfaction.

Publication types

Comparative Study

MeSH terms

Adolescent
Adolescent Psychiatry / methods
Child
Child Psychiatry / methods
Clinical Competence*
Delivery of Health Care, Integrated*
Health Personnel
Humans
Pediatrics*
Primary Health Care*
Prospective Studies
Referral and Consultation