TY - JOUR
KW - access to care
KW - behavioral health
KW - colocated care
KW - integrated care
KW - warm handoff
AU - A. Hoff
AU - C. Hughes-Reid
AU - E. Sood
AU - M. Lines
A1 - 
AB - Integrating behavioral health services within pediatric primary care may help address barriers to these services for youth, especially the underserved. Models of primary care behavioral health include coordinated, colocated, integrated, and collaborative care. This study began exploring the comparative utility of these models by investigating differences in the demographics and diagnoses of patients seen for a behavioral health warm handoff (integrated model) and a scheduled behavioral health visit (colocated model) across 3 pediatric primary care sites. The 3 sites differed in their rates of warm handoff usage, and there were differences in certain diagnoses given at warm handoffs versus scheduled visits. Depression diagnoses were more likely to be given in warm handoffs, and disruptive behavior, trauma/adjustment, and attention-deficit/hyperactivity disorder-related diagnoses were more likely to be given in scheduled visits. These results have implications for the influence of office structure and standardized procedures on behavioral health models used in pediatric primary care.
AD - Nemours duPont Pediatrics, Wilmington, DE, USA.; Nemours duPont Pediatrics, Wilmington, DE, USA.; Nemours duPont Pediatrics, Wilmington, DE, USA.; Nemours duPont Pediatrics, Wilmington, DE, USA.
BT - Clinical pediatrics
C5 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
CP - 14
CY - United States
DO - 10.1177/0009922820942157
IS - 14
JF - Clinical pediatrics
LA - eng
M1 - Journal Article
N2 - Integrating behavioral health services within pediatric primary care may help address barriers to these services for youth, especially the underserved. Models of primary care behavioral health include coordinated, colocated, integrated, and collaborative care. This study began exploring the comparative utility of these models by investigating differences in the demographics and diagnoses of patients seen for a behavioral health warm handoff (integrated model) and a scheduled behavioral health visit (colocated model) across 3 pediatric primary care sites. The 3 sites differed in their rates of warm handoff usage, and there were differences in certain diagnoses given at warm handoffs versus scheduled visits. Depression diagnoses were more likely to be given in warm handoffs, and disruptive behavior, trauma/adjustment, and attention-deficit/hyperactivity disorder-related diagnoses were more likely to be given in scheduled visits. These results have implications for the influence of office structure and standardized procedures on behavioral health models used in pediatric primary care.
PP - United States
PY - 2020
SN - 1938-2707; 0009-9228
SP - 1225
EP - 1232
EP - 
T1 - Utilization of Integrated and Colocated Behavioral Health Models in Pediatric Primary Care
T2 - Clinical pediatrics
TI - Utilization of Integrated and Colocated Behavioral Health Models in Pediatric Primary Care
U1 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
U2 - 32686481
U3 - 10.1177/0009922820942157
VL - 59
VO - 1938-2707; 0009-9228
Y1 - 2020
Y2 - Dec
ER -