Behavioral health in the pediatric primary care setting: Needs, barriers, and implications for psychologists.

Pidano, Anne E.; Kimmelblatt, Craig A.; Neace, William

doi:10.1037/a0019535

Cited by 34 publications

(39 citation statements)

References 41 publications

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“…Extant studies have focused primarily on unpacking the implications of IPC for PCPs, specifically investigating PCP level of training and comfort in assessing, diagnosing, and treating youth with mental health disorders (Cawthorpe, 2005;Pidano, Kimmelblatt, & Neace, 2011;Williams, Klinepeter, Palmes, Pulley, & Foy, 2004). The results of several studies have indicated that few pediatric PCPs endorse having previous training in behavioral pediatrics and the majority report being insufficiently prepared to address the mental health needs of youth Downloaded by [Simon Fraser University] at 15:46 05 June 2016 (Cawthorpe, 2005;Pidano et al, 2011).…”

Section: Training and Comfortmentioning

confidence: 99%

School mental health professionals’ training, comfort, and attitudes toward interprofessional collaboration with pediatric primary care providers

Arora

Connors

Biscardi

et al. 2016

Advances in School Mental Health Promotion

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Section: Training and Comfortmentioning

confidence: 99%

School mental health professionals’ training, comfort, and attitudes toward interprofessional collaboration with pediatric primary care providers

Arora

Connors

Biscardi

et al. 2016

Advances in School Mental Health Promotion

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“…Surveys conducted with pediatricians reveal that less than half feel comfortable or competent in their ability to treat behavioral healtii disorders (Olson et al, 2001;Pidano et al, 2011). In a related vein.…”

Section: The Importance Of Understanding the Needs And Practice Flow mentioning

confidence: 98%

“…Encouraging to that end are findings of a recent survey of pédiatrie primary care providers indicating that they are interested in training related to mental health issues and in establishing formal relationships with mental health specialists (Pidano et al, 2011).…”

Section: In-service Training Provided By Psychologists Can Effect Primentioning

confidence: 99%

“…For example, a majority of PCPs do not yet roudnely screen for mental health disorders (Halfon et al, 2004;Pidano, Kimmelblatt, & Neace, 2011;Weitzman & Leventhal, 2006). In fact, a startling 81% of parents nationwide reported diat no formal screening for risk of developmental, behavioral, or social delays was conducted during health care visits for their children ages 10 mondis to five years (NSCH, 2007).…”

mentioning

confidence: 97%

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Partnering with pediatric primary care: Lessons learned through collaborative colocation.

Ward-Zimmerman¹,

Cannata²

2012

Professional Psychology: Research and Practice

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“Not accepting new patients,” is a phrase too frequently heard by frantic parents in search of behavioral health treatment for their children. There are simply not enough services available to meet the need. The American Academy of Pediatrics (AAP) has endorsed primary care physicians (PCPs) as critical to ameliorating this state of affairs by promoting skill development for their membership to prevent, assess, and treat children's mental health issues. Health care reform initiatives are calling for the establishment of patient-centered medical homes (PCMHs) where the physician is responsible for ensuring comprehensive and well-coordinated care that includes mental health. These movements offer opportunities for psychologists to collaborate with PCPs, capitalizing on psychologists' specialized expertise. While there has been increasing discussion of collaborative health care models, much of this work is focused on the treatment of adults. This article draws on the authors' experiences developing a pediatric behavioral health and primary care colocation program in Connecticut and the lessons learned from more than a decade of partnering. The overarching lesson is that psychologists can facilitate practice transformation in pediatric primary care to improve early mental health detection, intervention, and referral. This article highlights knowledge, skill sets, and considerations for psychologists wishing to establish effective partnerships with pediatric primary care to improve behavioral health service delivery.

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“…Pediatric primary care (PPC) is often the first stop for families with behavioral, emotional, or developmental concerns for their children with 40-70% percent of people seeking behavioral health services exclusively in primary care (Kessler & Stafford, 2008). However, pediatric primary care providers (PCPs) face significant barriers to providing behavioral care including insufficient time, inadequate training, and poor reimbursement (Cooper, Valleley, Polaha, Begeny, & Evans, 2006;Nasir, Watanabe-Galloway, & DiRenzo-Coffey, 2014;Pidano, Kimmelblatt, & Neace, 2011). As families often struggle to access mental health services beyond the primary care setting (Schoen, et al, 2006), the integration of physical and mental health services in PPC represents an important effort to address the needs of children and families.…”

Section: A Survey Of Pediatric Primary Care Psychologistsmentioning

confidence: 99%

Professional practices, training, and funding mechanisms: A survey of pediatric primary care psychologists.

Hoffses

Riley

Menousek

et al. 2017

Clinical Practice in Pediatric Psychology

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The integration of mental health services in primary care settings has expanded rapidly in recent years with psychologists being at the forefront of efforts to promote healthy behaviors, reduce disease, and care for behavioral, emotional, and developmental needs to promote overall health and well-being for children and families (Asarnow, Kolko, Miranda, & Kazak, 2017;Stancin & Perrin, 2014). While there are many psychologists working in pediatric primary care (PPC), little is known about the specific activities that these psychologists engage in, the training they receive, or funding mechanisms that support their work. This study sought to address this gap in the literature through a survey of psychologists working in PPC. An anonymous online survey was disseminated to members of professional organizations and listservs who were identified as having interest in PPC. Psychologists (N ϭ 65) currently practicing in PPC completed the survey by reporting on clinical roles and practices, professional training, practice settings, and funding supports in PPC settings. Results indicate that psychologists assume a number of roles in PPC including providing individual and family therapy, conducting screenings for child mental health concerns, and providing consultation to medical colleagues. Many psychologists also provide supervision and offer educational opportunities for those in related fields, such as medicine and social work. Engagement in research activities was identified as a secondary activity. It was reported that a number of clinical activities were not billed for on a regular basis. Additional areas of research will be discussed along with implications for clinical services in PPC.

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Behavioral health in the pediatric primary care setting: Needs, barriers, and implications for psychologists.

Cited by 34 publications

References 41 publications

School mental health professionals’ training, comfort, and attitudes toward interprofessional collaboration with pediatric primary care providers

School mental health professionals’ training, comfort, and attitudes toward interprofessional collaboration with pediatric primary care providers

Partnering with pediatric primary care: Lessons learned through collaborative colocation.

Professional practices, training, and funding mechanisms: A survey of pediatric primary care psychologists.

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