title: Integrated Behavioral Health in Pediatric Primary Care.
abstract: There are multiple barriers to accessing high quality, evidence-based behavioral health care for children and adolescents, including stigma, family beliefs, and the significant paucity of child and adolescent psychiatrists. Although equal access continues to be an unmet need in the USA, there is growing recognition that integrated behavioral health services in pediatric primary care have the potential to reduce health disparities and improve service utilization. In a joint position paper, the American Academy of Pediatrics (AAP) and the American Academy of Child and Adolescent Psychiatry (AACAP) highlighted the multiple benefits of children receiving initial behavioral health screening, assessment, and evidence-based behavioral health treatments in the medical home. The purpose of this paper is to review the current state of the literature related to integrated behavioral health services in pediatric primary care. Specifically, innovative models of integrated behavioral health care are discussed.
authors.affiliation: The Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, 3440 Market Street, Suite 200, Philadelphia, PA, 19104, USA. njorogew@email.chop.edu.
authors.forename: Wanjiku F M
authors.initials: WF
authors.lastname: Njoroge
authors.affiliation: Division of Psychology, Nationwide Children's Hospital, 111 N 4th Street, Columbus, OH, 43215, USA.
authors.forename: Cody A
authors.initials: CA
authors.lastname: Hostutler
authors.affiliation: The Children's Hospital of Philadelphia, 3535 Market Street Room 1472, Philadelphia, PA, 19104, USA.
authors.forename: Billie S
authors.initials: BS
authors.lastname: Schwartz
authors.affiliation: The Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, 3535 Market Street, Room 1466, Philadelphia, PA, 19104, USA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Mautone
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services; D006801:Humans; D065886:Neurodevelopmental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D018802:Patient-Centered Care / Q000379:methods; D010372:Pediatrics / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D014481:United States
keywords: Behavioral health; Collaborative care; Colocation; Evidence-based; Integrated practice: children: adolescents; Mental health; Pediatric settings; Preventive child health care; Primary care