TY - JOUR
KW - behavioral health
KW - integrated care
KW - pediatric primary care
AU - K. Burkhart
AU - K. Asogwa
AU - N. Muzaffar
AU - M. Gabriel
A1 - 
AB - Psychiatric disorders are becoming more frequently diagnosed within the pediatric primary care setting. Despite increased diagnosis within primary care, only a minority of patients receive further psychiatric or specialty care. The integrated/collaborative care treatment model was designed to improve access within primary care. The purpose of this review is to identify randomized controlled trials and quasi-experimental studies that have investigated whether increased access improves treatment engagement, satisfaction, and improved mental health outcomes. Six studies met inclusion criteria. Studies reviewed indicated increased access to behavioral health treatment through use of the integrated/collaborative care model and improved mental health outcomes. Recommendations for screening and treatment are provided. Limitations of the reviewed studies include lack of generalizability to urban populations, minority youth, and youth younger than 4 years of age. Practice recommendations to address these limitations are identified.
AD - UH Rainbow Babies and Children's Hospital, Cleveland, OH, USA.; University Hospitals of Cleveland, Cleveland, OH, USA.; University Hospitals of Cleveland, Cleveland, OH, USA.; University Hospitals of Cleveland, Cleveland, OH, USA.
BT - Clinical pediatrics
C5 - General Literature
CP - 2
CY - United States
DO - 10.1177/0009922819890004
IS - 2
JF - Clinical pediatrics
M1 - Journal Article
N2 - Psychiatric disorders are becoming more frequently diagnosed within the pediatric primary care setting. Despite increased diagnosis within primary care, only a minority of patients receive further psychiatric or specialty care. The integrated/collaborative care treatment model was designed to improve access within primary care. The purpose of this review is to identify randomized controlled trials and quasi-experimental studies that have investigated whether increased access improves treatment engagement, satisfaction, and improved mental health outcomes. Six studies met inclusion criteria. Studies reviewed indicated increased access to behavioral health treatment through use of the integrated/collaborative care model and improved mental health outcomes. Recommendations for screening and treatment are provided. Limitations of the reviewed studies include lack of generalizability to urban populations, minority youth, and youth younger than 4 years of age. Practice recommendations to address these limitations are identified.
PP - United States
PY - 2020
SN - 1938-2707; 0009-9228
SP - 148
EP - 153
EP - 
T1 - Pediatric Integrated Care Models: A Systematic Review
T2 - Clinical pediatrics
TI - Pediatric Integrated Care Models: A Systematic Review
U1 - General Literature
U2 - 31762297
U3 - 10.1177/0009922819890004
VL - 59
VO - 1938-2707; 0009-9228
Y1 - 2020
Y2 - Feb
ER -