ABSTRACT
Pediatric behavioral health integration (BHI) represents a promising approach to address unmet child mental health need but little research exists to guide BHI implementation. Through in-depth interviews with 38 professionals involved in a comprehensive pediatric BHI initiative at 3 community health centers, we explored perceptions of the impact of BHI on clinical practice, and facilitators and barriers to BHI implementation. Professionals identified 2 overarching themes about the impact of BHI on clinical practice (greater interdisciplinary collaboration/communication and enhanced provider wellness); 5 themes about facilitators of BHI (staff buy-in for BHI, leadership support, staff belonging to the same team culturally and/or structurally, co-location with close physical proximity, and data-driven quality improvement); and 5 themes about barriers to BHI (inadequate clinician staffing, insufficient space, limited provider time, billing/reimbursement issues, and care coordination challenges). Future pediatric BHI efforts may consider these findings to develop strategies to promote facilitators and reduce barriers during implementation.
Subject(s)
Attitude of Health Personnel , Community Health Centers , Health Services Accessibility , Mental Disorders/therapy , Pediatrics/methods , Adult , Aged , Female , Humans , Interviews as Topic , Male , Middle Aged , Primary Health Care/methods , Quality Improvement , Retrospective Studies , United States , Young AdultABSTRACT
A Conferência Internacional de População e Desenvolvimento Cairo 94 reafirmou o conceito estabelecido pela Organização Mundial de Saúde de saúde reprodutiva...
