Skip to main content

Future Directions for Integrated Pediatric Behavioral Healthcare

  • Chapter
  • First Online:
  • 921 Accesses

Abstract

This chapter synthesizes the evidence for use of interdisciplinary, collaborative care in pediatric behavioral health. In addition, the importance of multi-tiered integrated healthcare service delivery is addressed, as well as current barriers to this approach. The chapter calls for further development of models of professional training and professional functioning in integrated care, as well as the organizational structures and processes, and implementation strategies that will support these. Several areas for further development are emphasized as a means of increasing the uptake of integrated pediatric behavioral healthcare. These include increasing cross-systems understanding, common factors training, collaboration with parents and families, cross-system progress monitoring, eHealth/mHealth approaches, and financial issues. In addition, actions that can be taken at a number of levels that represent the systems that affect pediatric behavioral health service delivery are addressed. These levels include graduate and professional education, the individual practitioner, service delivery setting management/administration, researchers, professional organizations, and the state and federal level.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Ahmann, E., & Dokken, D. (2012). Strategies for encouraging patient/family member partnerships with the health care team. Pediatric Nursing, 38, 232–235.

    PubMed  Google Scholar 

  • American Academy of Pediatrics Task Force on Mental Health. (2010). Enhancing pediatric mental health care: Algorithms for primary care. Pediatrics, 125, S109–S125.

    Article  Google Scholar 

  • Baum, R., Green, C., & Weitzman, C. (2018, May). How can you care for children who present with symptoms of ADHD and Depression in your office? Workshop presented at the meeting of the Pediatric Academic Societies, Toronto, Canada.

    Google Scholar 

  • Bennett-Levy, J., Lee, N., Travers, K., Pohlman, S., & Hamernik, E. (2003). Cognitive therapy from the inside: Enhancing therapist skills through practising what we preach. Behavioural and Cognitive Psychotherapy, 31, 143–158.

    Article  Google Scholar 

  • Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annals of Family Medicine, 12, 573–576.

    Article  Google Scholar 

  • Brown, J. D., Wissow, L. S., Cook, B. L., Longway, S., Caffery, E., & Pefaure, C. (2013). Mental health communications skills training for medical assistants in pediatric primary care. Journal of Behavioral Health Services & Research, 40, 20–35.

    Article  Google Scholar 

  • Chu, B. C., Carpenter, A. L., Wyszynski, C. M., Conklin, P. H., & Comer, J. S. (2017). Scalable options for extended skill building following didactic training in cognitive-behavioral therapy for anxious youth: A pilot randomized trial. Journal of Clinical Child & Adolescent Psychology, 46, 401–410.

    Article  Google Scholar 

  • Eckenrode, J., Campa, M. I., Morris, P. A., Henderson, C. R., Jr., Bolger, K. E., Kitzman, H., & Olds, D. L. (2017). The prevention of child maltreatment through the Nurse Family Partnership Program: Mediating effects in a long-term follow-up study. Child Maltreatment, 22, 92–99.

    Article  Google Scholar 

  • Fawley-King, K., Trask, E., Calderón, N. E., Aarons, G. A., & Garland, A. F. (2014). Implementation of an evidence-based parenting programme with a Latina population: Feasibility and preliminary outcomes. Journal of Children’s Services, 9, 295–306.

    Article  Google Scholar 

  • Gayes, L. A., & Steele, R. G. (2014). A meta-analysis of motivational interviewing interventions for pediatric health behavior change. Journal of Consulting and Clinical Psychology, 82, 521–535.

    Article  Google Scholar 

  • Grencavage, L. M., & Norcross, J. C. (1990). Where are the commonalities among the therapeutic common factors? Professional Psychology: Research and Practice, 21, 372–378.

    Article  Google Scholar 

  • Health Resources and Services Administration. (2017). Strategic plan FY 2016–2018. Retrieved from https://www.hrsa.gov/about/strategic-plan/index.html.

  • Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466.

    Article  Google Scholar 

  • Horwitz, S. M., Leaf, P. J., & Leventhal, J. M. (1998). Identification of psychosocial problems in pediatric primary care: Do family attitudes make a difference? Archives of Pediatric and Adolescent Medicine, 152, 367–371.

    Article  Google Scholar 

  • Interprofessional Education Collaborative. (2016). Core competencies for interprofessional practice: 2016 update. Washington, DC: Interprofessional Education Collaborative. Retrieved from https://nebula.wsimg.com/2f68a39520b03336b41038c370497473?AccessKeyId=DC06780E69ED19E2B3A5&disposition=0&alloworigin=1.

    Google Scholar 

  • Kuo, D. Z., Houtrow, A. J., Arango, P., Kuhlthau, K. A., Simmons, J. M., & Neff, J. M. (2012). Family-centered care: Current applications and future directions in pediatric health care. Maternal and Child Health Journal, 16, 297–305.

    Article  Google Scholar 

  • Miller, J. J., Duron, J. F., Bosk, E. A., Finno-Velasquez, M., & Abner, K. S. (2016). Peer-learning networks in social work doctoral education: An interdisciplinary model. Journal of Social Work Education, 52, 360–371.

    Article  Google Scholar 

  • Olson, A. L., Kelleher, K. J., Kemper, K. J., Zuckerman, B. S., Hammond, C. S., & Dietrich, A. J. (2001). Primary care pediatricians’ roles and perceived responsibilities in the identification and management of depressions in children and adolescents. Ambulatory Pediatrics, 1, 91–98.

    Article  Google Scholar 

  • Polaha, J., Dalton, W. T., III, & Allen, S. (2011). The prevalence of psychosocial concerns in pediatric primary care serving rural children. Jounal of Pediatric Psychology, 36, 652–660.

    Article  Google Scholar 

  • Rohan, J. M., Drotar, D., Perry, A. R., McDowell, K., Malkin, J., & Kercsmar, C. (2013). Training healthcare providers to conduct adherence promotion in pediatric settings: An example with pediatric asthma. Clinical Practice in Pediatric Psychology, 1, 314–325.

    Article  Google Scholar 

  • Rushton, J., Bruckman, D., & Kelleher, K. (2002). Primary care referral of children with psychosocial problems. Archives of Pediatrics and Adolescent Medicine, 156, 592–598.

    Article  Google Scholar 

  • Schonwald, A., Horan, K., & Huntington, N. (2009). Developmental screening: Is there enough time? Clinical Pediatrics, 48, 648–655.

    Article  Google Scholar 

  • Shahidullah, J. D., Kettlewell, P. W., Palejwala, M. H., Forman, S. G., Billups, A., Anismatta, S. L., & Madsen, B. (2018). Behavioral health training in pediatric residency programs: A national survey of training directors. Journal of Developmental and Behavioral Pediatrics, 39, 292–302.

    PubMed  Google Scholar 

  • Webster-Stratton, C., & McCoy, K. P. (2015). Bringing The Incredible Years® programs to scale. New Directions in Child and Adolescent Development, 149, 81–95.

    Article  Google Scholar 

  • Wissow, L., Anthony, B., Brown, J., DosReis, S., Gadomski, A., Ginsburg, G., & Riddle, M. (2008). A common factors approach to improving the mental health capacity of pediatric primary care. Admistration and Policy in Mental Health and Mental Health Services Research, 35, 305–318.

    Article  Google Scholar 

  • Wissow, L., Gadomski, A., Roter, D., Larson, S., Lewis, B., & Brown, J. D. (2011). Aspects of mental health communication skills training that predict child and parent outcomes in pediatric primary care. Patient Education and Counseling, 82, 226–232.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan G. Forman .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Forman, S.G., Shahidullah, J.D. (2018). Future Directions for Integrated Pediatric Behavioral Healthcare. In: Forman, S., Shahidullah, J. (eds) Handbook of Pediatric Behavioral Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-00791-1_22

Download citation

Publish with us

Policies and ethics