The top 5 reasons for pediatric office visits in the United States today are behavioral health concerns. This article describes a colocated behavioral health and care coordination integration model in a pediatric primary care office to reduce barriers to behavioral health care.
SlomskiA.Chronic mental health issues in children now loom larger than physical problems. JAMA. 2012;308:223-225.
2.
HalfonNHoutrowALarsonKNewacheckPW.The changing landscape of disability in childhood. Future Child. 2012;22:13-42.
3.
PerouRBiskoRBlumbergSTet al. Mental health surveillance among children—United States, 2005-2011. MMWR Suppl. 2013;62:1-35.
4.
TorioCMEncinosaNBerdahlTMcCormickMCSimpsonLA.Annual report on health care for children and youth in the United States: national estimates of cost, utilization and expenditures for children with mental health conditions. Acad Pediatr. 2015;15:19-35.
5.
BardachNSCokerTRZimaBTet al. Common and costly hospitalizations for pediatric mental health disorders pediatrics. Pediatrics. 2014;133:602-609.
6.
MahajanPAlpernERGrupp-PhelanJet al. Epidemiology of psychiatric-related visits to emergency departments in a multicenter collaborative research pediatric network. Pediatr Emerg Care. 2009;25:715-720.
7.
PittsenbargerZachary EMannixR. Trends in pediatric visits to the emergency department for psychiatric illnesses. Acad Emerg Med. 2014;21:25-30
8.
SimonAESchoendorfKC.Emergency department visits for mental health conditions among US children, 2001-2011. Clin Pediatr (Phila). 2014;53:1359-1366.
9.
Grupp-PhelanJHarmanJSKelleherKJ.Trends in mental health and chronic condition visits by children presenting for care at U.S. emergency departments. Public Health Rep. 2007;122:55-61.
10.
MapelliEBlankTDoanQ.Trends in pediatric emergency department utilization for mental health–related visits. J Pediatr. 2015;167:905-910.
11.
MojtabaiROlfsonMHanB.National trends in the prevalence and treatment of depression in adolescent and young adults. Pediatrics. 2016;138:e20161878.
12.
SullivanEMAnnectJLSimonTRLuoFDahlbergLL.Suicide trends among persons aged 10-24 years (United States 1994-2012). MMWR Morb Mortal Wkly Rep. 2015;64:201-205.
13.
Murthy V. Facing addiction in the US. The Surgeon General’s Report on Alcohol, Drugs, and Health. JAMA. 2017;317:133-134.
14.
KesslerR.Mental health care treatment initiation when mental health services are incorporated into primary care practice. J Am Board Fam Med. 2012;25:255-259.
15.
KesslerRCBerglundPDemlerOKinRMerikangasKRWaltersEE.Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593-602.
16.
US Department of Health and Human Services. Mental Health: Culture, Race and Ethnicity—A Supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001. http://www.surgeongeneral.gov/library/mentalhealth/cre. Accessed August 28, 2017.
17.
PascoeJWoodDDuffeyTKuoA.Mediation and adverse effects of child poverty in the US. Pediatrics. 2016;137:e2016/0340.
18.
MerikangasKRAmesMCuiLet al. The impact of comorbidity of mental and physical conditions on role of disability in the US adult household population. Arch Gen Psychiatry. 2007;64:1180-1188.
19.
EapenVJairamR.Integration of child mental health services to primary care: challenges and opportunities. Ment Health Fam Med. 2009;6:43-47.
20.
Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, Center for Integrated Health Solutions. Creating a Business Case for Integrated Care. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration; 2011. http://www.integration.samhsa.gov/integrated-care-models/behavioral-health-in-primary-care#business%20case. Accessed August 28, 2017.
21.
SteinREStorfer-IsserAKerkerBDet al. Beyond ADHD: How well are we doing?Acad Pediatr. 2016;16:115-121.
22.
BenzerJKBeehlerSMillerCCramerIF.Grounded theory of barriers and facilitators to mandated implementation of mental health care in the primary care setting. Depress Res Treat. 2012;2012:597157. doi:10.1655/2012/597157
23.
Bishop TaraFPressMJKeylaniSPincusHA.Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA Psychiatry. 2014;71:176-181.
24.
Reiss-BrennaBBrunisholzKDDredgeCet al. Association of integrated team-based care with health care quality, utilization, and cost. JAMA. 2016;316:826-834.
25.
AsarnowJRRozenmanMWiblinJZelzterL.Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: a meta-analysis. JAMA Pediatr. 2015;169:929-937.
26.
BunikMTalmiAStaffordBet al. Integrating mental health services in primary care continuity clinics: a National CORNET Study. Acad Pediatr. 2013;13: 551-557.
LadermanMMateK.Integrating behavioral health into primary care. Health Care Exec. 2014;29:74-77.
29.
KolkoDJCampoJKilbourneAMHartJSakolskyDWisniewskiS.Collaborative care outcomes for pediatric behavioral health problems: a cluster randomized trial. Pediatrics. 2014;133:e981-e992.
30.
KolkoDJCampoJVKilbourneAMKelleherK.Doctor-office collaborative care for pediatric behavioral problems: a preliminary clinical trial. Arch Pediatr Adolesc Med. 2012;166:224-231.
31.
KolkoDJ.The effectiveness of integrated care on pediatric behavioral health: outcomes and opportunities. JAMA Pediatr. 2015;169:894-896.
32.
KolkoDJPerrinE.The integration of behavioral health interventions in children’s health care: services, science, and suggestions. J Clin Child Adolesc Psychol. 2014;43:216-228.
33.
RichardsonLPLudsenEMcCauleyEet al. Collaborative care for adolescents with depression in primary care: a randomized clinical trial. JAMA. 2014;312:809-816.
34.
AsarnowJRJaycoxLHDuanN.Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial. JAMA. 2005;293:311-315.
35.
AderJStileCKellerDMillerBFBarrMPerrinJ.The medical home and integrated behavioral health: advancing the policy agenda. Pediatrics. 2015;135:909-917.
36.
BerwickDMNolanTWWhittingtonJ.The triple aim: care, health and cost. Health Aff (Millwood). 2008;27:759-769.
37.
AntonelliRCStilleCJAntonelliDM.Care coordination for children and youth with special health care needs: a descriptive, multisite study of activities, personnel costs, and outcomes. Pediatrics. 2008;122:e209-e216.
WellsNBronheimSZyzanskiSHooverC.Psychometric evaluation of a consumer-developed family-centered care assessment tool. Matern Child Health J. 2015;19:1899-1909.
40.
LarsenDLAttkissonCCHargreavesWANguyenTD.Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;2:197-207.
41.
AshworthCDWilliamsonPMontanoD.A scale to measure physician beliefs about psychosocial aspects of patient care. Soc Sci Med. 1984;19:1235-1238.
42.
StockRMahoneyECarneyPA.Measuring team development in clinical care settings. Fam Med. 2013;45:691-700.
43.
GlissonCLandsverkJSchoenwaldSet al; Research Network on Youth Mental Health. Assessing the organizing social context (OSC) of mental health services: implications for research and practice. Adm Policy Ment Health. 2008;35:98-113.
44.
JellinekMSMurphyJMRobinsonJFerrisALambSFutenJ.Pediatric symptom checklist: screening school-age children for psychosocial dysfunction. J Pediatr. 1988;112:201-209.
45.
SheldrikRCHensonBSNegerENMerchantSMurphyJMPerrinEC.The Baby and Pediatric Symptom Checklist: development and initial validation of a new social/emotional screening instrument for very young children. Acad Pediatr. 2013;13:72-80.
46.
KroenkeKSpitzerRLWilliamsJB.The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606-613.
47.
RichardsonLPMcCauleyFGrossmanDCet al. Evaluation of the Patient Health Questionnaire–9 items for detecting major depression among adolescents. Pediatrics. 2010;126:1117-1123.
48.
WolraichMLCambertWDuffyMABickmanLSimmonsTWorleyK.Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referral population. J Pediatr Psychol. 2003;28:559-568.
49.
FelittiVAnduRFNordeskyDet al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The ACE study. Am J Prev Med. 1998;14:245-258.
50.
ShonkoffJPGarnerAS; Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, and Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129:e232.
51.
SchwenkTL.Integrated behavioral and primary care: what is the real cost?JAMA. 2016;316:822-823.
52.
FoyJM.The medical home and integrated behavioral health. Pediatrics. 2015;135:930-931.
