TY - JOUR KW - Adolescent KW - Adolescent Behavior KW - Ambulatory Care Facilities KW - Attitude of Health Personnel KW - Focus Groups KW - Humans KW - Mental Health Services KW - Patient Care Team KW - Primary Health Care AU - G. W. Bitar AU - P. Springer AU - R. Gee AU - C. Graff AU - M. Schydlower A1 - AB - Several major policy reports describe the central role of primary care in improving the delivery of behavioral health care services to children and adolescents. Although primary care providers are uniquely positioned to provide these services, numerous obstacles hinder the integration of these services, including time, clinic management and organization issues, training, and resources. Although many of these obstacles have been described in the literature, few studies have investigated these issues from the first-person perspective of front-line providers. The purpose of this study, therefore, is to provide an in-depth description of primary care providers' attitudes and perceptions of adolescent behavioral health care across a diversity of primary care settings (i.e., Federally Qualified Health Center [FQHC], FQHC-Look Alike, school-based, military). Sixteen focus groups were conducted at 5 primary care clinics. Thematic analysis was used to analyze the focus group data. Obstacles to integration are presented as well as strategies to overcome these challenges, using training and education, working groups, and community collaboratives. BT - Families, systems & health : the journal of collaborative family healthcare C5 - Education & Workforce CP - 4 CY - United States DO - 10.1037/a0018076 IS - 4 JF - Families, systems & health : the journal of collaborative family healthcare N2 - Several major policy reports describe the central role of primary care in improving the delivery of behavioral health care services to children and adolescents. Although primary care providers are uniquely positioned to provide these services, numerous obstacles hinder the integration of these services, including time, clinic management and organization issues, training, and resources. Although many of these obstacles have been described in the literature, few studies have investigated these issues from the first-person perspective of front-line providers. The purpose of this study, therefore, is to provide an in-depth description of primary care providers' attitudes and perceptions of adolescent behavioral health care across a diversity of primary care settings (i.e., Federally Qualified Health Center [FQHC], FQHC-Look Alike, school-based, military). Sixteen focus groups were conducted at 5 primary care clinics. Thematic analysis was used to analyze the focus group data. Obstacles to integration are presented as well as strategies to overcome these challenges, using training and education, working groups, and community collaboratives. PP - United States PY - 2009 SN - 1091-7527; 1091-7527 SP - 346 EP - 361 EP - T1 - Barriers and facilitators of adolescent behavioral health in primary care: Perceptions of primary care providers T2 - Families, systems & health : the journal of collaborative family healthcare TI - Barriers and facilitators of adolescent behavioral health in primary care: Perceptions of primary care providers U1 - Education & Workforce U2 - 20047357 U3 - 10.1037/a0018076 VL - 27 VO - 1091-7527; 1091-7527 Y1 - 2009 ER -