title: Training in integrated mental health-primary care models: a national survey of child psychiatry program directors.
abstract: OBJECTIVE
  The objective of this study was to assess current trainee exposure to integrated mental health/primary care models in US child and adolescent psychiatry fellowship programs.
  
  
  METHODS
  In June 2013, an electronic survey was sent to all US child and adolescent psychiatry fellowship program directors (N=123).
  
  
  RESULTS
  Fifty-two responses were obtained from the 120 eligible participants (43%). The majority of the program directors who responded (63%) indicated that fellows in their programs regularly participate in clinical care and/or consultation within an outpatient pediatric primary care setting. Program directors identified barriers to increasing training exposure to integrated care delivery as competing clinical demands and challenging financial models for indirect consultation in primary care settings.
  
  
  CONCLUSIONS
  Many child psychiatry fellowship program directors view training in integrated care models as an important part of their teaching and service mission, and are creating novel avenues for exposure. Current funding models, however, may limit the widespread implementation of these opportunities.
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD, USA, mburkey1@jhmi.edu.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Burkey
authors.forename: David L
authors.initials: DL
authors.lastname: Kaye
authors.forename: Emily
authors.initials: E
authors.lastname: Frosch
mesh_terms: D000296:Adolescent Psychiatry / Q000193:education; D000328:Adult; D002665:Child Psychiatry / Q000193:education*; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D019538:Health Care Surveys; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008605:Mental Health Services / Q000592:standards; D010372:Pediatrics / Q000193:education*; D011320:Primary Health Care / Q000592:standards