Comparing Two Models of Integrated Behavioral Health Programs in Pediatric Primary Care - 14/09/17

Doi : 10.1016/j.chc.2017.06.009

Miguelina Germán, PhD ^a,^⁎ , Michael L. Rinke, MD, PhD ^b, Brittany A. Gurney, MA ^c, Rachel S. Gross, MD, MS ^d, Diane E. Bloomfield, MD ^e, Lauren A. Haliczer, MA ^f, Silvie Colman, PhD ^g, Andrew D. Racine, MD, PhD ^h, Rahil D. Briggs, PsyD ⁱ
^a Department of Pediatrics, Pediatric Behavioral Health Integrated Program (BHIP), Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA
^b Department of Pediatrics, Division of Pediatric Hospital Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA
^c Trauma Informed Care Program (TIC), Behavioral Health Integration Program (BHIP), Department of Pediatrics, Montefiore Medical Group, 3411 Wayne Avenue, 8th Floor, Bronx, NY 10467, USA
^d Department of Pediatrics, Children's Hospital at Montefiore, Albert Einstein College of Medicine, 3444 Kossuth Avenue, 2nd Floor, Bronx, NY 10467, USA
^e The Children’s Hospital at Montefiore, Albert Einstein College of Medicine, 3444 Kossuth Avenue, Bronx, NY 10467, USA
^f Department of Psychological and Brain Sciences, University of Massachusetts Amherst, 402 Tobin Hall, 135 Hicks Way, Amherst, MA 01002, USA
^g Network Performance Group, Montefiore Medical Center, 6 Executive Plaza, Suite 112A, Yonkers, NY 10701, USA
^h Montefiore Health System, Montefiore Medical Group, Executive Offices, 111 East 210th Street, Bronx, NY 10467, USA
ⁱ Pediatric Behavioral Health Services, Montefiore Medical Group, 200 Corporate Boulevard South, Suite 175, Yonkers, NY 10701, USA

^∗Corresponding author.

Résumé

This study examined how to design, staff, and evaluate the feasibility of 2 different models of integrated behavioral health programs in pediatric primary care across primary care sites in the Bronx, NY. Results suggest that the Behavioral Health Integration Program model of pediatric integrated care is feasible and that hiring behavioral health staff with specific training in pediatric, evidence-informed behavioral health treatments may be a critical variable in increasing outcomes such as referral rates, self-reported competency, and satisfaction.

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Keywords : Integrated care, Integrated care models, Primary care, Pediatric, Behavioral health, Satisfaction, Competency