Interdisciplinary Perspectives on an Integrated Behavioral Health Model of Psychiatry in Pediatric Primary Care: A Community-Based Participatory Research Study.


Journal

Community mental health journal
ISSN: 1573-2789
Titre abrégé: Community Ment Health J
Pays: United States
ID NLM: 0005735

Informations de publication

Date de publication:
05 2019
Historique:
received: 23 04 2018
accepted: 24 08 2018
pubmed: 2 9 2018
medline: 11 7 2020
entrez: 2 9 2018
Statut: ppublish

Résumé

Integrated behavioral health services have positive outcomes for patients and providers, but little is known about providers' perspectives on implementing these services. This community-based participatory research collaboration with a Federally Qualified Health Center examined provider perspectives on implementing a collaborative psychiatry consultation program in pediatric primary care. We interviewed providers (N = 14) from psychiatry, social work, primary care, and psychology regarding their experiences implementing the program, and their recommendations for its sustainability. Providers described interdisciplinary integration arising from the program, with accompanying benefits (e.g., increased access to care for patients with complex diagnostic profiles, increased learning and role satisfaction among providers), and challenges (e.g., increased burden on primary care providers, potential patient discomfort with team-based care). Our results highlight the complexities of implementing collaborative psychiatry consultation in pediatric primary care, and suggest the importance of supporting primary care providers and patients within this context.

Identifiants

pubmed: 30171449
doi: 10.1007/s10597-018-0330-0
pii: 10.1007/s10597-018-0330-0
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

569-577

Références

J Healthc Qual. 2012 May-Jun;34(3):25-33
pubmed: 22059691
J Pediatr Psychol. 2017 Oct 1;42(9):1051-1064
pubmed: 28369443
J Prim Care Community Health. 2014 Apr 1;5(2):148-51
pubmed: 24327589
Pediatrics. 2015 May;135(5):909-17
pubmed: 25869375
Clin Pediatr (Phila). 2006 Jun;45(5):423-34
pubmed: 16891275
J Health Care Poor Underserved. 2015 Aug;26(3):1032-47
pubmed: 26320931
JAMA Pediatr. 2015 Oct;169(10):929-37
pubmed: 26259143
Arch Fam Med. 1995 Feb;4(2):124-33; discussion 134
pubmed: 7842150
Annu Rev Public Health. 1998;19:173-202
pubmed: 9611617
Acad Psychiatry. 2003 Winter;27(4):277-82
pubmed: 14754851
J Pediatr Psychol. 2016 Nov;41(10):1077-1080
pubmed: 27570239
Br J Psychiatry. 2009 Dec;195(6):537-44
pubmed: 19949206
Am J Psychiatry. 2002 Sep;159(9):1548-55
pubmed: 12202276
Pediatrics. 2009 Jul;124(1):358-64
pubmed: 19564320
Clin Pediatr (Phila). 2006 Jul;45(6):537-43
pubmed: 16893859
Gen Hosp Psychiatry. 2017 May;46:88-93
pubmed: 28622823
J Lat Psychol. 2014 Feb;2(1):37-53
pubmed: 25309845
J Gen Intern Med. 2012 Aug;27(8):945-52
pubmed: 22370766
Clin Pediatr (Phila). 2018 Jul;57(8):958-969
pubmed: 29082768
Am J Psychiatry. 2015 Aug 1;172(8):721-8
pubmed: 26234599
Psychiatr Serv. 2003 Feb;54(2):219-25
pubmed: 12556604
J Am Acad Child Adolesc Psychiatry. 2006 Sep;45(9):1023-1031
pubmed: 16840879
J Clin Child Adolesc Psychol. 2014;43(2):216-28
pubmed: 24588366
Pediatrics. 2010 Jun;125 Suppl 3:S69-74
pubmed: 20519564
Health Serv Res. 1996 Oct;31(4):409-27
pubmed: 8885856

Auteurs

Erin M Rodríguez (EM)

Department of Educational Psychology, University of Texas at Austin, 1912 Speedway, Stop D5000, Austin, TX, 78712, USA. erodriguez@austin.utexas.edu.

Lauren E Gulbas (LE)

Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd D3500, Austin, TX, 78712, USA.

Julia George-Jones (J)

Department of Educational Psychology, University of Texas at Austin, 1912 Speedway, Stop D5000, Austin, TX, 78712, USA.

Annette Leija (A)

Department of Educational Psychology, University of Texas at Austin, 1912 Speedway, Stop D5000, Austin, TX, 78712, USA.

David Burrows (D)

People's Community Clinic, 1101 Camino La Costa, Austin, TX, 78752, USA.

Celia Neavel (C)

People's Community Clinic, 1101 Camino La Costa, Austin, TX, 78752, USA.

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Classifications MeSH