title: Integrating Mental and Physical Health Services Using a Socio-Emotional Trauma Lens.
abstract: This article provides a synthesis of the lessons learned from the Pediatric Integrated Care Collaborative (PICC), a SAMHSA-funded project that is part of the National Child Traumatic Stress Network. The high prevalence of trauma exposure in childhood and shortage of mental health services has informed efforts to integrate mental and behavioral health services in pediatric primary care. This article outlines strategies to integrate care following the six goals of the PICC change framework: create a trauma/mental health informed office; involve families in program development; collaborate and coordinate with mental health services; promote resilience and prevent mental health problems through a particular focus on trauma-related risks; assess trauma-related somatic and mental health issues; and address trauma-related somatic and mental heath issues. We conclude with a summary of key strategies that any practice or practitioner could employ to begin or continue the process of integration.
authors.affiliation: Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Bloomberg, MD. Electronic address: Ldayton2@jhu.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Dayton
authors.affiliation: Pediatric Integrated Care Collaborative, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
authors.forename: Jen
authors.initials: J
authors.lastname: Agosti
authors.affiliation: Santa Rosa Community Health Center, Santa Rosa, CA.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Bernard-Pearl
authors.affiliation: Community Care of North Carolina, Raleigh, NC.
authors.forename: Marian
authors.initials: M
authors.lastname: Earls
authors.affiliation: National Alliance on Mental Illness (NAMI) Maryland, Columbia, MD.
authors.forename: Kate
authors.initials: K
authors.lastname: Farinholt
authors.affiliation: Harvard University, Cambridge, MA.
authors.forename: Betsy McAlister
authors.initials: BM
authors.lastname: Groves
authors.affiliation: Pediatric Integrated Care Collaborative, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
authors.forename: Mark
authors.initials: M
authors.lastname: Rains
authors.affiliation: Baystate Health, Tufts School of Medicine, Boston, MA.
authors.forename: Barry
authors.initials: B
authors.lastname: Sarvet
authors.affiliation: Johns Hopkins Bloomberg School of Medicine, Baltimore, MD.
authors.forename: Holly C
authors.initials: HC
authors.lastname: Wilcox
authors.affiliation: Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Bloomberg, MD.
authors.forename: Lawrence S
authors.initials: LS
authors.lastname: Wissow
mesh_terms: D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration; D011368:Professional-Family Relations; D040921:Stress Disorders, Traumatic / Q000175:diagnosis / Q000628:therapy*