Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Godoy, Leandra; Long, Melissa; Marschall, Donna; Hodgkinson, Stacy; Bokor, Brooke; Rhodes, Hope; Crumpton, Howard; Weissman, Mark; Beers, Lee Savio

doi:10.1007/s10880-017-9509-8

Cited by 18 publications

(12 citation statements)

References 27 publications

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“…However, it is well‐documented that adolescent and young adult parents face formidable challenges, including transportation and childcare issues, to accessing face‐to‐face programs (Asheer, Berger, Meckstroth, Kisker, & Keating, 2014). Relatively unexplored, but the source of emerging interest, is the potential for using social media, online social networking and telehealth platforms as a mechanism for social support and connection for young parents (Godoy et al, 2017; Nolan, Hendricks, Ferguson, & Towell, 2017).…”

Section: Discussionmentioning

confidence: 99%

“Our lives aren't over”: A strengths‐based perspective on stigma, discrimination, and coping among young parents

Conn

Figueiredo

Sherer

et al. 2018

Journal of Adolescence

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The current study conducted interviews and focus groups with twenty-four diverse 16-25 yearold parents to elicit in-depth narratives about experiences related to parenting status. Parents were recruited from a case management program in the Southwestern United States supporting high school graduation and workforce employment (for mothers and fathers, respectively). Young parents disclosed experiences of shame, stigma, and discrimination associated with perceptions about their "fitness" to be a parent and moral judgment. Themes arose that revealed the positive, adaptive ways that participants coped with potentially deleterious experiences with a focus on their role as a parent and role model for their children. Our findings highlight positive meaning-making and resiliency of young parents when confronted with discrimination and systemic barriers, with many participants focusing on the benefits of parenthood within a unique developmental context. Further, implications for program development, provider trainings, and public policy and advocacy efforts for young parents are discussed.

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Section: Discussionmentioning

confidence: 99%

“Our lives aren't over”: A strengths‐based perspective on stigma, discrimination, and coping among young parents

Conn

Figueiredo

Sherer

et al. 2018

Journal of Adolescence

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“…Most recently, there has been an increased awareness of the need for integrated health care that incorporates these approaches, singularly or in combination, in conjunction with traditional physician-administered medical care. From the integrated health perspective, a collaborative treatment approach is orchestrated such that mental health services are integrated into a primary care setting (Asarnow, Rozenman, Wiblin, & Zeltzer, 2015;Godoy et al, 2017;Kolko & Perrin, 2014). Given recent research on factors that contribute to resilience and the agreement that resilience is malleable (Hilliard et al, 2015;Monaghan et al, 2015), it is important to consider the protective and resilient factors noted earlier in terms of prevention, as well as in response to difficulties.…”

Section: Fostering Resilience and Improving Mental Healthmentioning

confidence: 99%

Neuropsychological impact on mental health and associated treatments for children with chronic illness.

Riccio¹,

Schwartz²

2020

Promoting Mind–body Health in Schools: Interventions for Mental Health Professionals.

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A lthough there are variations, a chronic illness or condition generally includes the presence of a health or medical problem that lasts at least 3 months, requires ongoing medical care at some point, affects normal activities, and is associated with functional impairment of some kind (e.g., Thabrew, Stasiak, Garcia-Hoyos, & Merry, 2016). The prevalence of chronic illness is estimated to have increased over the past few decades (Brown, Daly, & Rickel, 2007;Halfon & Newacheck, 2010), with ranges from 10% to 35% of children and adolescents with a chronic health condition that interferes with daily living. According to a national survey, 14% of children under 18 years of age have a health problem treated with medication within the previous 3 months (National Center for Health Statistics [NCHS], 2012). Approximately 7% to 9% of children have a chronic illness severe enough to consistently interfere with their normal school or life activities (NCHS, 2012). Some of the more common chronic illnesses requiring medical intervention include asthma (

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“…1,2,11,21,22 Furthermore, empirical support for effective implementation strategies to promote care integration is mixed. 10,23-26…”

Section: Benefits and Challenges Of Integrated Pediatric Health Carementioning

confidence: 99%

Integrated Pediatric Health Care in Pennsylvania: A Survey of Primary Care and Behavioral Health Providers

Kolko

Torres²,

Rumbarger³

et al. 2018

Clin Pediatr (Phila)

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This study reports on a statewide survey of medical and behavioral health professionals to advance the knowledge base on the benefits and obstacles to delivering integrated pediatric health care. Surveys distributed in 3 statewide provider networks were completed by 110 behavioral health specialists (BHSs) and 111 primary care physicians (PCPs). Survey content documented their perceptions about key services, benefits, barriers, and needed opportunities related to integrated care. Factor analyses identified 8 factors, and other items were examined individually. We compared responses by specialty group (BHS vs PCP) and integrated care experience (no vs yes). The findings revealed differences across domains by specialty subgroup. In several cases, BHS (vs PCP) respondents, especially those with integrated care experience, reported lower benefits, higher barriers, and fewer resource requests. The implications of these results for enhancing care integration development, delivery, training, and research are discussed along with the study’s limitations and empirical literature.

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Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Cited by 18 publications

References 27 publications

“Our lives aren't over”: A strengths‐based perspective on stigma, discrimination, and coping among young parents

“Our lives aren't over”: A strengths‐based perspective on stigma, discrimination, and coping among young parents

Neuropsychological impact on mental health and associated treatments for children with chronic illness.

Integrated Pediatric Health Care in Pennsylvania: A Survey of Primary Care and Behavioral Health Providers

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