Objectives:
This case study explores the application of a brief Integrated Behavioral Health-Prevention (IBH-P) model in a pediatric primary care setting that provides care to families experiencing complex psychosocial stressors. The model focuses on promoting social–emotional health and well-being while addressing structural and systemic inequities that hinder access to mental health care for families living in poverty and underresourced communities. The IBH-P visits use a universal, standardized approach, emphasizing trauma-informed care and recognizing the impact of caregiver well-being on the child.
Method:
This case study demonstrates the feasibility and impact of the IBH-P model through a case example of a Black family living below the federal poverty line.
Results:
The case study illustrates results previously documented in the literature regarding the impact of this IBH-P model. These include adherence to well child visits (WCVs), achieving developmental milestones on target, enhanced family distress tolerance and socioemotional well-being, reduced unnecessary emergency department visits, and sustained progress despite psychosocial risk factors.
Conclusions:
This case example highlights how IBH-P effectively supports families facing multiple challenges and promotes health equity for underresourced populations. It underscores the importance of culturally responsive care, standardization, and flexibility in building scalable and sustainable IBH programs.
Implications for Impact Statement
This article shares how pediatric psychologists working in primary care can support the health and development of young children and their families, especially those facing poverty and other stressors. We illustrate how brief visits with a baby and her mother at their pediatrician’s office were important in helping the baby stay up to date with her healthcare needs and reach her milestones, while also helping her mother overcome stress/challenges in caring for her baby. This article serves as a roadmap for other clinics wanting to provide similar types of care and highlights how psychologists can use the strategies we know to work while meeting families where they are and respecting their points of view.
