Skip to main content

Integrating Child Psychiatric Care

  • Chapter
  • First Online:
Integrated Care in Psychiatry

Abstract

Families bring concerns about behavioral health in their children to their pediatric primary care providers. New models of primary care are integrating behavioral health screening, assessment, monitoring, and treatment into office practice. The Pediatric Medical Home is such a model utilizing care coordination to ensure attention to the whole child. Resources created by the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry are available to support this practice transformation. A variety of integration models are described including co-location of behavioral health professionals and video and telephone consultations. Barriers, including reimbursement issues, training needs, space considerations, and family and medical team comfort, all will need to be addressed to make integrated care a reality. The Affordable Care Act with its support for accountable care organizations may help build integrated pediatric care and support the pediatric medical home as the location of both medical and behavioral health care for children and families.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Leaf PJ, Owens PL, Leventhal JM, Forsyth BW, Vaden-Kiernan M, Epstein LD, et al. Pediatricians’ training and identification and management of psychosocial problems. Clin Pediatr (Phila). 2004;43(4):355–65.

    Article  Google Scholar 

  2. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245–58.

    Article  CAS  PubMed  Google Scholar 

  3. Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. JAMA. 2001;286(24):3089–96.

    Article  CAS  PubMed  Google Scholar 

  4. Garner AS, Shonkoff JP, Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics. American Academy of pediatrics policy statement: early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224–31.

    Article  PubMed  Google Scholar 

  5. US Department of Health and Human Services. Mental health: a report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health; 1999.

    Google Scholar 

  6. Thomas CR, Holzer III CE. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry. 2006;45(9):1023–31.

    Article  PubMed  Google Scholar 

  7. Rushton J, Bruckman D, Kelleher K. Primary care referral of children with psychosocial problems. Arch Pediatr Adolesc Med. 2002;156(6):592–8.

    Article  PubMed  Google Scholar 

  8. Costello EJ, Edelbrock C, Costello AJ, Dulcan MK, Burns BJ, Brent D. Psychopathology in pediatric primary care: the new hidden morbidity. Pediatrics. 1988;82:415–24.

    CAS  PubMed  Google Scholar 

  9. Costello RJ. Child psychiatric disorders and their correlates: a pediatric primary care sample. J Am Acad Child Adolesc Psychiatry. 1989;28:851–5.

    Article  CAS  PubMed  Google Scholar 

  10. New Freedom Commission on Mental Health. Achieving the promise: transforming mental health care in America. Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: Department of Health and Human Services; 2003.

    Google Scholar 

  11. Schowalter JE. A history of child and adolescent psychiatry in the United States. Psychiatric Times. 2003;20:9.

    Google Scholar 

  12. American Academy of Pediatrics. Addressing mental health concerns in primary care: a clinician’s toolkit. Elk Grove Village: American Academy of Pediatrics; 2010.

    Google Scholar 

  13. American Academy of Child and Adolescent Psychiatry. Best principles for integration of child psychiatry into the pediatric health home. 2012. http://www.aacap.org/galleries/default-file/best_principles_for_integration_of_child_psychiatry_into_the_pediatric_health_home_2012.pdf. Accessed 27 Apr 2013.

  14. Bright futures in Mental Health (Volumes 1 and 2). 2002. http://www.brightfutures.aap.org/practices_guides_and_other_resoruces.html. Accessed 29 Apr 2013.

  15. American Academy of Pediatrics. The future of pediatrics: mental health competencies for primary care clinicians. Pediatrics. 2009;124:410–21.

    Article  Google Scholar 

  16. American Academy of Child and Adolescent Psychiatry. Policy statement: collaboration with pediatric medical professionals. 2008. http://www.aacap.org/cs/root/policy_statements/collaboration_with_pediatric_medical_professionals. Accessed 27 Apr 2013.

  17. American Academy of Child and Adolescent Psychiatry. A guide to developing collaborative mental health care partnerships in pediatric primary care. 2010. http://www.aacap.org/galleries/PracticeInformation/Collaboration_Guide_FINAL_approved_6-10.pdf. Accessed 27 Apr 2013.

  18. Sarvet B, Gold J, Bostic JQ, Masek BJ, Prince JB, Jeffers-Terry M, et al. Improving access to mental health care for children: the Massachusetts Child Psychiatry Access Project. Pediatrics. 2010;126:1191–200.

    Article  PubMed  Google Scholar 

  19. National Center for Medical Home Implementation. 2005. http://www.medicalhomeinfo.org. Accessed 30 Apr 2013.

  20. Shaw RJ, DeMaso DR. Textbook of pediatric psychosomatic medicine. Washington, DC: American Psychiatric Publishing; 2010. p. 27.

    Google Scholar 

  21. Antonelli R, McAllister J, Popp J. Making care coordination a critical component of the pediatric health system: a multidisciplinary framework. Commonwealth Fund Pub. No. 1277. May 2009

    Google Scholar 

  22. Carman KL, Dardess P, Maurer M, Sofaer S, Adams K, Bechtel C, et al. Patient and family engagement: a framework for understanding the elements and developing interventions and policies. Health Aff. 2013;32(2):223–31.

    Article  Google Scholar 

  23. Kathol RG, Perez R, Cohen JS. The integrated care management manual: assisting complex patients regain physical and mental health. New York: Springer; 2010.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Barry Sarvet M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Sarvet, B., Sargent, J. (2014). Integrating Child Psychiatric Care. In: Summergrad, P., Kathol, R. (eds) Integrated Care in Psychiatry. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0688-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-0688-8_9

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-0687-1

  • Online ISBN: 978-1-4939-0688-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics