title: Practice Patterns Revisited in Pediatric Psychosomatic Medicine.
abstract: Given the heightened focus on the implementation of integrated care and population health management strategies, there is a critical need for an analysis of pediatric psychosomatic medicine (PPM) programs.
  
  
  
  The goal was to survey current practice patterns in academic PPM programs in North America regarding their service composition, clinical consultation services, changes in service demand, funding, and major challenges so as to inform and support advocacy efforts on behalf of children in their need for responsive and effective PPM services.
  
  
  
  With a 52.5% survey response rate from 122 child and adolescent psychiatry programs in North America, the demand for PPM services was reported to have significantly increased over the past decade as seen in the described expansion in clinical consultation services and the reported higher patient acuity, as well as new responsibilities in the care of youth with psychiatric illnesses who require boarding on medical inpatient services. Although an increased willingness by hospital administrators to fund PPM services was apparent, adequate funding remained a core issue. Although the value of research is well recognized, few programs are engaged in systematic PPM investigation.
  
  
  
  This survey provides evidence that the current field of PPM appears to be in an increasingly stronger position within academic medical centers. It is just as apparent today, as it has been in the past, that there is a need to communicate at local, regional, and national levels that PPM is an essential behavioral health service.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Shaw
authors.affiliation: National Institute of Mental Health, National Institutes of Health, Bethesda, MD.
authors.forename: Maryland
authors.initials: M
authors.lastname: Pao
authors.affiliation: Department of Psychiatry, Boston Children's Hospital, Boston, MA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Holland
authors.affiliation: Department of Psychiatry, Boston Children's Hospital, Boston, MA. Electronic address: david.demaso@childrens.harvard.edu.
authors.forename: David R
authors.initials: DR
authors.lastname: DeMaso
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D010372:Pediatrics / Q000379:methods*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011602:Psychophysiologic Disorders / Q000628:therapy*; D011611:Psychosomatic Medicine / Q000379:methods*
keywords: children.; delivery of healthcare; practice patterns; psychosomatic medicine