Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System
Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System
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DOI：
10.1007/s10880-017-9509-8
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发表时间：
2017-12-01
影响因子：
2.2
通讯作者：
Beers, Lee
中科院分区：
文献类型：
--
作者：
Godoy, Leandra;Long, Melissa;Beers, Lee
初级保健中的行为健康整合一直在发展，但文献传统上侧重于较小规模的努力。我们详细介绍了如何在一个大型的城市儿科医院系统的六个初级保健诊所(每年为超过35,000名儿童提供服务，主要通过医疗补助提供保险)中整合行为健康，并讨论了成功维持和扩大努力以实现行为健康与初级保健有效整合的战略。在3年的时间跨度内，该诊所在井下儿童就诊时实施了常规、普遍的行为健康筛查，参加了为期15个月的行为健康筛查质量改进学习，并整合了心理学家和精神病学家的工作。在改善家庭参与度、进一步扩大服务和确保可持续性方面，还有更多的工作要做。
Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system's six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists. Additional work remains to be done in improving family engagement, further expanding services, and ensuring sustainability.