TY - JOUR
AU - K. E. Malik
AU - C. Shelton
AU - A. Marin
AU - V. J. Serrano
AU - B. J. Anthony
AU - E. L. Schor
AU - R. A. Mosquera
AU - C. Lerner
AU - C. J. Stille
A1 - 
AB - We conducted a cross-sectional survey of complex care programs on behavioral health services provided to children with medical complexity (CMC). Quantitative and qualitative data were analyzed by using convergent mixed methods. Rates of CMC receiving behavioral health services were at or above national averages for the general pediatric population and the most reported concerns were externalizing behaviors. Of 25 programs, 7 (28%) reported integrated care and programs with integrated care found the service improved access and were more likely to screen for caregivers' mental health. Themes included: 1. Current models of care for pediatric mental and behavioral health limits access for CMC; 2. Collaboration is highly desired by medical teams; 3. Providing mental health for family members of CMC is important. Despite high service use and frequent availability of integrated care, complex care programs still report insufficient access to behavioral health services required to meet the needs of CMC.
AD - Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.; Department of Pediatrics, University of Colorado School of Medicine, Houston, TX, USA.; Department of Psychiatry and Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.; Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.; Division of Pulmonary, Allergy and Immunology, and Sleep Medicine, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, TX, USA.; Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
AN - 41024400
BT - Clin Pediatr (Phila)
C5 - Healthcare Disparities
CP - 12
DA - Dec
DO - 10.1177/00099228251372723
DP - NLM
ET - 20250929
IS - 12
JF - Clin Pediatr (Phila)
LA - eng
N2 - We conducted a cross-sectional survey of complex care programs on behavioral health services provided to children with medical complexity (CMC). Quantitative and qualitative data were analyzed by using convergent mixed methods. Rates of CMC receiving behavioral health services were at or above national averages for the general pediatric population and the most reported concerns were externalizing behaviors. Of 25 programs, 7 (28%) reported integrated care and programs with integrated care found the service improved access and were more likely to screen for caregivers' mental health. Themes included: 1. Current models of care for pediatric mental and behavioral health limits access for CMC; 2. Collaboration is highly desired by medical teams; 3. Providing mental health for family members of CMC is important. Despite high service use and frequent availability of integrated care, complex care programs still report insufficient access to behavioral health services required to meet the needs of CMC.
PY - 2025
SN - 0009-9228
SP - 1717
EP - 1725+
ST - The Mental and Behavioral Health Services Available to Children With Medical Complexity in Complex Care Programs
T1 - The Mental and Behavioral Health Services Available to Children With Medical Complexity in Complex Care Programs
T2 - Clin Pediatr (Phila)
TI - The Mental and Behavioral Health Services Available to Children With Medical Complexity in Complex Care Programs
U1 - Healthcare Disparities
U3 - 10.1177/00099228251372723
VL - 64
VO - 0009-9228
Y1 - 2025
ER -