Skip to main content
SpringerLink
Log in

Integrating Behavioral Health in the Pediatric Medical Home: Expanding Clinical Roles to Improve Access and Outcomes

  • Chapter
  • First Online:
Integrated Primary and Behavioral Care

  • 618 Accesses

Abstract

The medical home was proposed by the American Academy of Pediatrics in 1967 as a model of care for children with special health-care needs—children with chronic health conditions who required care from pediatric subspecialists and mental health and child development professionals. In the medical home model, the primary care provider (PCP) is responsible for coordination of services from within the health care system and from community-based agencies including schools, to ensure that the child’s complex needs are comprehensively met. As the medical home model evolved, there was an increasing focus on primary care management of chronic health conditions like diabetes, cardiovascular disease, and asthma. The emphasis remained on providing care that is comprehensive, coordinated, continuous, and patient centered. In pediatrics, this means care that meets the needs of the child and family. Because services from diverse providers are integral to the model, it has also become known as the health home or health care home. Variations have been developed, including a mental health home in which the mental health professional is the care coordinator for individuals with a primary psychiatric diagnosis.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
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

Similar content being viewed by others

References

  • Adamson, M., Morawska, A., & Sanders, M. R. (2013). Childhood feeding difficulties: A randomized controlled trial of a group-based parenting intervention. Journal of Developmental & Behavioral Pediatrics, 34, 293–302.

    Article  Google Scholar 

  • American Academy of Child & Adolescent Psychiatry. (2013). Child and adolescent psychiatry workforce crisis: Solutions to improve early intervention and access to care. http://www.aacap.org/App_Themes/AACAP/docs/Advocacy/policy_resources/cap_workforce_crisis_201305.pdf. Accessed 8 Nov 2014.

  • American Academy of Child & Adolescent Psychiatry Committee on Collaboration with Medical Professionals. (2010). A guide to building collaborative mental health care partnerships in pediatric primary care. http://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/guide_to_building_collaborative_mental_health_care_partnerships.pdf. Accessed 8 Nov 2014.

  • American Academy of Child and Adolescent Psychiatry Committee on Health Care Access and Economics (and American Academy of Pediatrics). (2004). Improving mental health services in primary care: Reducing administrative and financial barriers to access and collaboration. Pediatrics, 123, 1248–1251.

    Google Scholar 

  • American Academy of Pediatrics. (2007). Strategies for system change in children’s mental health: A chapter action kit. http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Mental-Health/Documents/finalcak.pdf. Accessed 8 Nov 2014.

  • American Academy of Pediatrics. (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.html. Accessed 8 Nov 2014.

  • American Academy of Pediatrics. (2009). Policy statement: The future of pediatrics: Mental health competencies for pediatric primary care. Pediatrics, 124, 410–421.

    Article  Google Scholar 

  • American Academy of Pediatrics, Council on Children with Disabilities. (2007). Role of the medical home in family-centered early intervention services. Pediatrics, 120, 1153–1158.

    Article  Google Scholar 

  • American Academy of Pediatrics Council on Children With Disabilities, et al. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118, 405–420.

    Article  Google Scholar 

  • Annie, E., Casey Foundation Kids Count Data Center. (2014). http://datacenter.kidscount.org/. Accessed 8 Nov 2014.

  • Auerbach, R. P., et al. (2014). Adolescent nonsuicidal self-injury: Examining the role of child abuse, comorbidity, and disinhibition. Psychiatry Research (E-published ahead of print). doi:10.1016/j.psychres.2014.07.027.

    Google Scholar 

  • Barker, E. D., Copeland, W., Maughan, B., Jaffee, S. R., & Uher, R. (2012). Relative impact of maternal depression and associated risk factors on offspring psychopathology. British Journal of Psychiatry, 200, 124–129.a.

    Article  PubMed Central  PubMed  Google Scholar 

  • Batstra, L., & Frances, A. (2012). Diagnostic inflation: Causes and a suggested cure. Journal of Nervous and Mental Disease, 200, 474–479.

    Article  PubMed  Google Scholar 

  • Beacham, A. O., Herbst, A., Streitwieser, T., Scheu, E., & Sieber, W. J. (2012). Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings. Journal of Clinical Psychology in Medical Settings, 19, 364–375.

    Article  PubMed  Google Scholar 

  • Belar, C. D. (2008). Clinical health psychology: A health care specialty in professional psychology. Professional Psychology: Research & Practice, 39, 229–233.

    Article  Google Scholar 

  • Bethell, C., Reuland, C., Schor, E., Abrahms, M., & Halfon, N. (2011). Rates of parent-centered developmental screening: Disparities and links to services access. Pediatrics, 128, 146–155.

    Article  PubMed  Google Scholar 

  • Bird, D. C., Dempsey, P., & Hartley, D. (2001). Addressing mental health workforce needs in underserved rural areas: Accomplishments and challenges. Portland: Maine Rural Health Research Center: Muskie Institute, University of Southern Maine. http://muskie.usm.maine.edu/Publications/rural/wp23.pdf. Accessed 8 Nov 2014.

    Google Scholar 

  • Bishop, D. V. M., Whitehouse, A. J. O., Watt, H. J., & Line, E. A. (2008). Autism and diagnostic substitution: Evidence from a study of adults with a history of developmental language disorder. Developmental Medicine & Child Neurology, 50, 341–345.

    Article  Google Scholar 

  • Blair-Merritt, M. H., Blackstone, M., & Feudtner, C. (2006). Physical health outcomes of childhood exposure to intimate partner violence: A systematic review. Pediatrics, 117, 278–290.

    Article  Google Scholar 

  • Bonuck, K., & Grant, R. (2012). Sleep problems and early developmental delay: Implications for early intervention programs. Intellectual and Developmental Disabilities, 50, 41–52.

    Article  PubMed  Google Scholar 

  • Boyle, C. A., et al. (2011). Trends in the prevalence of developmental disabilities in US children, 1997–2008. Pediatrics, 127, 1034–1042.

    Article  PubMed  Google Scholar 

  • Brito, A., et al. (2008). The enhanced medical home: The pediatric standard of care for medically underserved children. Advances in Pediatrics, 55, 9–28.

    Article  PubMed  Google Scholar 

  • Brito, A., et al. (2010). Bridging mental health and medical care in underserved pediatric populations: Three integrative models. Advances in Pediatrics, 57, 295–313.

    Article  PubMed  Google Scholar 

  • Brooks-Gunn, J., & Duncan, G. J. (1997). The effects of poverty on children. The Future of Children, 7, 55–71.

    Article  PubMed  Google Scholar 

  • Brown Levey, S. M., Miller, B. F., & deGruy, F. V. III (2012). Behavioral health integration: An essential element of population-based healthcare redesign. TBM, 2, 364–371.

    Google Scholar 

  • Burns, B. J., et al. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 960–970.

    Article  Google Scholar 

  • Camargo, K., & Grant, R. (2014). Public health, science and policy debate; Being right is not enough. American Journal of Public Health 105, 232–235.

    Google Scholar 

  • Campbell, K., & Peebles, R. (2014). Eating disorders in children and adolescents: State of the art review. Pediatrics, 134, 582–592.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control & Prevention (CDC). (n.d.) About the (ACE) study. http://www.cdc.gov/violenceprevention/acestudy/about.html. Accessed 8 Nov 2014.

  • Centers for Disease Control & Prevention. Estimates of U.S. children with mental disorders. (n.d.) http://www.cdc.gov/media/dpk/2013/docs/Child_menatal_health/Child_menatal_health_infographic.pdf. Accessed 8 Nov 2014.

  • Centers for Disease Control & Prevention. (2005). Preventing lead poisoning in young children. http://www.cdc.gov/nceh/lead/publications/prevleadpoisoning.pdf. Accessed 8 Nov 2014.

  • Centers for Disease Control & Prevention. (2014). Prevalence of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 Sites, United States. 2010. MMWR Surveillance Summaries, 63(2), 1–21.

    Google Scholar 

  • Centers for Medicare & Medicaid Services. (2014). EPSDT—a guide for states: Coverage in the Medicaid benefit for children and adolescents. http://www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/downloads/epsdt_coverage_guide.pdf. Accessed 8 Nov 2014.

  • Chapman, D. P., Perry, G. S., & Strine, T. W. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease: Public Health Research, Practice, & Policy, 2(1). http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm. Accessed 8 Nov 2014.

  • Chen, M., et al. (2013). Association between psychiatric disorders and iron deficiency anemia among children and adolescents: A nationwide population-based study. BMC Psychiatry, 13, 161–168.

    Article  PubMed Central  PubMed  Google Scholar 

  • Chronis, A. M., et al. (2007). Maternal depression and early positive parenting predict future conduct problems in young children with attention-deficit/hyperactivity disorder. Developmental Psychology, 43, 70–82.

    Article  PubMed  Google Scholar 

  • Chubinsky, P., & Rappaport, N. (2006). Medication and the fragile alliance: The complex meanings of psychotropic medication to children, adolescents, and families. Journal of Infant, Child, and Adolescent Psychotherapy, 5, 111–123.

    Google Scholar 

  • Collins, C., Levis Hewson, D., Munger, R., & Wade, T. (2010). Evolving models of behavioral health integration in primary care. Milbank Memorial Fund. http://www.milbank.org/uploads/documents/10430EvolvingCare/10430EvolvingCare.html. Accessed 8 Nov 2014.

  • Congdon, E. L., et al. (2013). Iron deficiency in infancy is associated with altered neural correlates of recognition memory at 10 years. Journal of Pediatrics, 160, 1027–1033.

    Article  Google Scholar 

  • Costello, E. J., Eggar, H., & Angold, A. (2005). 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 972–986.

    Article  Google Scholar 

  • Croghan, T. W., & Brown, J. D. (2010). Integrating mental health treatment into the patient centered medical home. AHRQ Publication No. 10-0084-EF. https://www.michigan.gov/documents/mdch/shIntegrating_Mental_Health_Treatment_in_PCMH_346582_7.pdf. Accessed 8 Nov 2014.

  • Dempster, N. R., Wildman, B. G., & Duby, J. (2013). Perception of primary care pediatricians of effectiveness, acceptability, and availability of mental health services. Journal of Child Health Care (E-published ahead of print). doi:10.1177/1367493513503585.

    Google Scholar 

  • Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.

    Article  PubMed  Google Scholar 

  • Durkin, M. S., et al. (2008). Advanced parental age and the risk of autism spectrum disorder. American Journal of Epidemiology, 168, 1268–1276.

    Article  PubMed Central  PubMed  Google Scholar 

  • Eaton, D. K., et al. (2008). Youth risk behavior surveillance—United States 2007. Morbidity & Mortality. MMWR, Surveillance Summary, 57(4), 1–131. http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5704a1.htm. Accessed 8 Nov 2014.

    Google Scholar 

  • English, D. J., Marshall, D. B., & Stewart, A. J. (2003). Effects of family violence on child behavior and health during early childhood. Journal of Family Violence, 18, 43–57.

    Article  Google Scholar 

  • Fanton, J., & Gleason, M. M. (2009). Psychopharmacology and preschoolers: A critical review of current conditions. Child & Adolescent Psychiatric Clinics of North America, 18, 753–771.

    Article  Google Scholar 

  • Fantuzzo, J. W., & Mohr, W. K. (1999). Prevalence and effects of child exposure to domestic violence. The Future of Children, 9(3), 21–32.

    Article  PubMed  Google Scholar 

  • Flaherty, E. G., et al. (2006). Effect of early childhood adversity on child health. Archives of Pediatrics & Adolescent Medicine, 160, 1232–1238.

    Article  Google Scholar 

  • Fombonne, E., Zakarian, R., Bennett, A., Meng, L., & McLean-Heywood, D. (2006). Pervasive developmental disorders in Montreal, Quebec, Canada: Prevalence and links with immunizations. Pediatrics, 118, e139–e150.

    Article  PubMed  Google Scholar 

  • Froehlich-Santino, W., et al. (2014). Prenatal and perinatal risk factors in a twin study of autism spectrum disorders. Journal of Psychiatric Research, 54, 100–108.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gallioretti, L. E., Benvenuto, A., Benassi, F., & Curatolo, P. (2014). Are caesarean sections, induced labor and oxytocin regulation linked to autism spectrum disorders? Medical Hypotheses, 82, 713–718.

    Article  Google Scholar 

  • Garg, A., et al. (2007). Improving the management of family psychosocial problems at low-income children’s well-child care visits: The WE CARE project. Pediatrics, 120, 547–558.

    Article  PubMed  Google Scholar 

  • Garrett, A., et al. (2007). Children and megadisasters: Lessons learned in the new millennium. Advances in Pediatrics, 54, 189–214.

    Article  PubMed  Google Scholar 

  • Gracy, D., Weisman, J., Grant, R., Pruitt, J., & Brito, A. (2012). Content barriers to pediatric uptake of electronic health records. Advances in Pediatrics, 59, 159–181.

    Article  PubMed  Google Scholar 

  • Grant, R. (2005). State strategies to contain costs in the Early Intervention Program: Policy and evidence. Topics in Early Childhood Special Education, 25, 243–250.

    Google Scholar 

  • Grant, R., & Brito, A. (2010). Chronic illness and school performance: A literature review focusing on asthma and mental health conditions. Children’s Health Fund. http://www.childrenshealthfund.org/sites/default/files/chronic-illness-and-school-performance.pdf. Accessed 8 Nov 2014.

  • Grant, R., & Greene, D. (2012). The health care home model: Primary health care meeting public health goals. American Journal of Public Health, 102, 1096–1103.

    Article  PubMed Central  PubMed  Google Scholar 

  • Grant, R., & Isakson, E. (2013). Regional variations in early intervention utilization for children with developmental disabilities. Maternal & Child Health Journal, 17, 1252–1259.

    Article  Google Scholar 

  • Grant, R., & Nozyce, M. (2013). Proposed changes to the American Psychiatric Association diagnostic criteria for autism spectrum disorder: Implications for young children and their families. Maternal & Child Health Journal, 17, 586–592.

    Article  Google Scholar 

  • Grant, R., Shapiro, A., Joseph, S., Goldsmith, S., Rigual-Lynch, L., & Redlener, I. (2007). The health of homeless children revisited. Advances in Pediatrics, 54, 173–190.

    Article  PubMed  Google Scholar 

  • Grant, R., Gracy, D., Goldsmith, G., Shapiro, A., & Redlener, I. (2013). Twenty five years of child and family homelessness: Where are we now? American Journal of Public Health, 103(Suppl 2), e1–e10.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hacker, K., et al. (2013). Pediatric provider processes for behavioral health screening, decision making, and referral in sites with colocated mental health services. Journal of Developmental & Behavioral Pediatrics, 34, 680–687.

    Article  Google Scholar 

  • Hebbeler, K., et al. (2007). Early Intervention for infants and toddlers with disabilities and their families: Participants, services, and outcomes. SRI International. http://www.sri.com/sites/default/files/publications/neils_finalreport_200702.pdf. Accessed 8 Nov 2014.

  • Herz-Picchiotto, I., & Delwiche, L. (2009). The rise in autism and the role of age at diagnosis. Epidemiology, 20, 84–90.

    Article  Google Scholar 

  • Hilty, D. M., Cobb, H. C., Neufeld, J. D., Bourgeois, J. A., & Yellowlees, P. M. (2008). Telepsychiatry reduces geographic physician disparity in rural settings, but is it financially feasible because of reimbursement? Psychiatric Clinics of North America, 31, 85–94.

    Article  PubMed  Google Scholar 

  • Hix-Small, H., Marks, K., Squires, j., & Nickel, R. (2007). Impact of implementing developmental screening at 12 and 24 months in a pediatric practice. Pediatrics, 120, 381–389.

    Article  PubMed  Google Scholar 

  • Horwitz, S. M., et al. (2003). Language delay in a community cohort of young children. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 932–940.

    Article  Google Scholar 

  • Houtrow, A. J., Larson, K., Olson, L. M., Newacheck, P. W., & Halfon, N. (2014). Changing trends of childhood disability, 2001–2011. Pediatrics, 134, 530–538.

    Article  PubMed Central  PubMed  Google Scholar 

  • Howell, E. M., & Teich, J. (2008). Variations in Medicaid mental health service use and cost for children. Administration & Policy in Mental Health, 35, 220–228.

    Article  Google Scholar 

  • Howie, L. D., Pastor, P. N., & Lukacs, S. L. (2014). Use of medication prescribed for emotional or behavioral difficulties among children aged 6–17 years in the United States, 2011–2012. Centers for Disease Control & Prevention, NCHS Data Brief No. 148. http://www.cdc.gov/nchs/data/databriefs/db148.pdf. Accessed 8 Nov 2014.

  • Huang, L., Macbeth, G., Dodge, J., & Jacobstein, D. (2004). Transforming the workforce in children’s mental health. Administration and Policy in Mental Health, 32, 167–187.

    Article  PubMed  Google Scholar 

  • Husky, M. M., et al. (2012). Twelve-month suicidal symptoms and use of services among adolescents: Results from the national comorbidity survey. Psychiatric Services, 63, 989–996.

    Article  PubMed  Google Scholar 

  • Individuals with Disabilities Education Act (IDEA) Online Data Center (2014). https://www.ideadata.org/. Accessed 8 Nov 2014.

  • Institute of Medicine, Immunization Safety Review Committee. (2004). Immunization safety review: vaccines and autism. http://www.nap.edu/catalog.php?record_id=10997. Accessed 8 Nov 2014.

  • Jackson, B., & Lurie. S. (2006). Adolescent depression: Challenges and opportunities: A review and current recommendations for clinical practice. Advances in Pediatrics, 53, 111–163.

    Article  PubMed  Google Scholar 

  • Jee, S. H., et al. (2006). Factors associated with chronic conditions among children in foster care. Journal of Health Care for the Poor and Underserved, 17, 328–341.

    Article  PubMed  Google Scholar 

  • Kann, L., et al. (2014). Youth risk behavior surveillance—United States, 2013. Centers for disease control & prevention. MMWR Surveillance Summaries, 63(4). http://stacks.cdc.gov/view/cdc/23483. Accessed 8 Nov 2014.

  • Kaplan, S. G., Mayfield Arnold, E., Irby, M. B., Boles, K. A., & Skelton, J. A. (2014). Family systems theory and obesity treatment: Applications for clinicians. Infant, Child, & Adolescent Nutrition, 6, 24–29.

    Article  Google Scholar 

  • Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.

    Article  PubMed  Google Scholar 

  • Kim, W. J., & The American Academy of Child & Adolescent Psychiatry Task Force on Workforce Needs. (2003). Child and adolescent psychiatry workforce: A critical shortage and national challenge. Academic Psychiatry, 27, 277–282.

    Article  PubMed  Google Scholar 

  • King, M., & Bearman, P. (2008). Diagnostic change and the increased prevalence of autism. International Journal of Epidemiology, 38, 1224–1234.

    Article  Google Scholar 

  • King, M. D., Fountain, C., Dakhlallah, D., & Bearman, P. S. (2009). Estimated autism risk and older reproductive age. American Journal of Public Health, 99, 1673–1679.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kolko, D. J., & Perrin, E. (2014). The integration of behavioral health interventions in children’s health care: Services, science, and suggestions. Journal of Clinical Child & Adolescent Psychology, 43, 216–228.

    Article  Google Scholar 

  • Koppelman, J. (2004). The provider system for children’s mental health: Workforce capacity and effective treatment. National Health Policy Form (NHPF) Issue Brief No. 801. http://www.nhpf.org/library/issue-briefs/IB801_ChildMHProvider_10-26-04.pdf. Accessed 8 Nov 2014.

  • Kutz, G. F. (2011). Testimony. Foster children: HHS guidance could help states improve oversight of psychotropic prescriptions. Government Accountability Office, GAO-12-270T. http://www.gao.gov/assets/590/586570.pdf. Accessed 8 Nov 2014.

  • Lahey, B. B., et al. (1996). The NIMH methods for the epidemiology of child and adolescent mental disorders (MECA) study: Background and methodology. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 855–864.

    Article  Google Scholar 

  • Lai, M., Lombardo, M., & Baron-Cohen, S. (2014). Autism. Lancet, 383(9920), 896–910.

    Article  PubMed  Google Scholar 

  • Laraque, D., et al. (2004). Reactions and needs of tristate-area pediatricians after the events of September 11th: Implications for children’s mental health services. Pediatrics, 113, 1357–1366.

    Article  PubMed  Google Scholar 

  • Le Cook, B., Barry, C. L., & Busch, S. H. (2013). Racial/ethnic disparity trends in children’s mental health care access and expenditures from 2002 to 2007. Health Service Research, 48, 129–149.

    Article  Google Scholar 

  • LoParo, D., & Waldman, I. D. (2014). The oxytocin receptor gene (OXTR) is associated with autism spectrum disorder: A meta-analysis. Molecular Psychiatry (advance online publication, 5 Aug 2014) doi:10.1038/mp.2014.77.

    Google Scholar 

  • Loy, J. H., Merry, S. N., Hetrick, S. E., & Stasiak, K. (2012). Atypical antipsychotics for disruptive behaviour disorders in children and youths. Cochrane Database of Systematic Reviews, 9, CD008559. doi:10.1002/14651858.CD008559.pub2.

    PubMed  Google Scholar 

  • Madrid, P., et al. (2008). Building integrated mental health and medical programs for vulnerable populations post-disaster: Connecting children and families to a medical home. Prehospital & Disaster Medicine, 23, 314–321.

    Google Scholar 

  • Mandell, D., & Lecavelier, L. (2014). Should we believe the centers for disease control and prevention’s autism spectrum disorder prevalence estimates? Autism, 18, 482–484.

    Article  PubMed  Google Scholar 

  • Mason, M. J., Keyser-Marcus, L., Snipes, D., Benotsch, E., & Sood, B. (2013). Perceived mental health treatment need and substance use correlates among young adults. Psychiatric Services, 64, 871–877.

    Article  PubMed  Google Scholar 

  • McGinnis, T., Crawford, M., & Somers, S. A. (2014). A state policy framework for integrating health and social services. Issue Brief. Commonwealth Fund pub. 1757, Vol. 14. http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2014/jul/1757_mcginnis_state_policy_framework_ib.pdf. Accessed 8 Nov 2014.

  • McPartland, J., & Volkmar, F. R. (2012). Autism and related disorders. Handbook of Clinical Neurology. doi:10.1016/B978-0-444-52002-9.00023-1 (Pubmed Central).

    Google Scholar 

  • National Institute for Health Care Management. (2009). Strategies to support the integration of mental health into pediatric primary care. http://www.nihcm.org/pdf/PediatricMH-FINAL.pdf. Accessed 8 Nov 2014.

  • National Institute for Health Care Management. (2010). Improving early identification & treatment of adolescent depression: Considerations & strategies for health plans. http://www.nihcm.org/pdf/Adol_MH_Issue_Brief_FINAL.pdf. Accessed 8 Nov 2014.

  • Norman, R. E., et al. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-Analysis. PLoS Medicine, 9(11), e1001349. doi:10.1371/journal.pmed.1001349.

    Article  PubMed Central  PubMed  Google Scholar 

  • Nozyce, M., & Grant, R. (2009). Health impaired infants and young children. In B. A. Mowder, F. Rubinson, & A. E. Yasik (Eds.), Evidence based practice in infant and early childhood psychology (pp. 537–572). Hoboken: Wiley

    Google Scholar 

  • Olfson, M., Marcus, S. C., Weissman, M. M., & Jensen, P. (2002). National trends in the use of psychotropic medications by children. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 514–521.

    Article  Google Scholar 

  • Olteanu, A., et al. (2011). The persistence of mental health needs among children in New Orleans four years after Hurricane Katrina. Prehospital and Disaster Medicine, 26, 3–6.

    Article  PubMed  Google Scholar 

  • Osofsky, J. D. (2003). Prevalence of children’s exposure to domestic violence and child maltreatment: Implications for prevention and intervention. Clinical Child and Family Psychology Review, 6, 161–170.

    Article  PubMed  Google Scholar 

  • Pennington, M. L., Cullinan, D., & Southern, L. B. (2014). Defining autism: Variability in state education agency definitions of and evaluations for autism spectrum disorders. Autism Research and Treatment, 2014(Article ID, 327271), 8. http://dx.doi.org/10.1155/2014/327271. Accessed 8 Nov 2014.

    Google Scholar 

  • Perrou, R., et al. (2013). Mental health surveillance among children—United States, 2005–2011. Morbidity & Mortality Weekly Report, 62(2).

    Google Scholar 

  • Pomeranz, A. S., Corson, J. A., & Detzer, M. J. (2009). The challenge of integrated care for mental health: Leaving the 50 minute hour and other sacred things. Journal of Clinical Psychology in Medical Settings, 16, 40–46.

    Article  Google Scholar 

  • President’s (Bush) New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final report. http://govinfo.library.unt.edu/mentalhealthcommission/reports/FinalReport/downloads/downloads.html. Accessed 8 Nov 2014.

  • Rappley, M. D. (2006). Actual psychotropic medication use in preschool children. Infants & Young Children, 19, 154–163.

    Article  Google Scholar 

  • Rice, C., et al. (2012). Evaluating changes in the prevalence of the autism spectrum disorders (ASDs). Public Health Reviews, 34(2), 1–22.

    PubMed Central  PubMed  Google Scholar 

  • Richardson, L. P., Russo, J. E., Lozano, P., McCauley, E., & Katon, W. (2008). The effect of comorbid anxiety and depressive disorders on health care utilization and costs among adolescents with asthma. General Hospital Psychiatry, 30, 398–406.

    Article  PubMed Central  PubMed  Google Scholar 

  • Roll, J. M., Kennedy, J., Tran, M., & Howell, D. (2013). Disparities in unmet need for mental health services in the United States, 1997–2010. Psychiatric Services, 64, 80–82.

    Article  PubMed  Google Scholar 

  • Rossignol, D. A., Genuis, S. J., & Frye, R. E. (2014). Environmental toxicants and autism spectrum disorders: A systematic review. Translational Psychiatry, 4, e360. doi:10.1038/tp.2014.4 (23 pages).

    Article  PubMed Central  PubMed  Google Scholar 

  • Saluja, G., et al. (2004). Prevalence of and risk factors for depressive symptoms among young adolescents. Archives of Pediatrics & Adolescent Medicine, 158, 760–765.

    Article  Google Scholar 

  • Sanden, S., et al. (2014). The familial risk of autism. JAMA: The Journal of the American Medical Association, 311(17), 1770–1777.

    Article  Google Scholar 

  • Schoon, I., Parsons, S., Rush, R., & Law, J. (2010). Children’s language ability and psychosocial development: A 29-year follow-up study. Pediatrics, 126, e73–e80.

    Article  PubMed  Google Scholar 

  • Sellers, R., et al. (2013). Risk of psychopathology in adolescent offspring of mothers with psychopathology and recurrent depression. British Journal of Psychiatry, 202, 108–114.

    Article  PubMed  Google Scholar 

  • Shaefer, H. L., & Edin, K. (2012). Extreme poverty in the United States, 1996 to 2011. Policy Brief # 28. Gerald R. Ford School of Public Policy, University of Michigan, National Poverty Center. http://www.npc.umich.edu/publications/policy_briefs/brief28/policybrief28.pdf. Accessed 8 Nov 2014.

  • Shaw, D. S., Gilliom, M., Ingoldsby, E. M., & Nagin, D. S. (2003). Trajectories leading to school-age conduct problems. Developmental Psychology, 39, 189–200.

    Article  PubMed  Google Scholar 

  • Shepard, S. A., & Dickstein, S. (2009). Preventive intervention for early childhood behavioral problems: An ecological perspective. Child & Adolescent Psychiatry Clinics of North America, 18, 687–706.

    Article  Google Scholar 

  • Sherman, A., & Trisi, D. (2014). Deep poverty among children worsened in welfare law’s first decade. Center on Budget & Policy Priorities. http://www.cbpp.org/files/7-23-14pov2.pdf. Accessed 8 Nov 2014.

  • Shonkoff, J. P. (2010). Building a new biodevelopmental framework to guide the future of early childhood policy. Child Development, 81, 357–367.

    Article  PubMed  Google Scholar 

  • Shonkoff, J. P., et al. (2008). Mental health problems in early childhood can impair learning and behavior for life. National Scientific Council on the Developing Child. Working Paper #6. http://www.developingchild.net. Accessed 8 Nov 2014.

  • Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. JAMA: The Journal of the American Medical Association, 301(21), 2252–2259.

    Article  PubMed  Google Scholar 

  • Simon, A. E., Pastor, P. N., Avila, R. M., & Blumberg, S. J. (2013). Socioeconomic disadvantage and developmental delay among US children aged 18 months to 5 years. Journal of Epidemiology & Community Health, 67, 689–695.

    Article  Google Scholar 

  • Soares, N. S., Johnson, A. O., & Patidar, N. (2013). Geomapping telehealth access to developmental-behavioral pediatrics. Telemedicine & e-Health, 19, 585–590.

    Article  Google Scholar 

  • Stahmer, A. C., & Mandell, D. S. (2007). State infant/toddler program policies for eligibility and services provision for young children with autism. Administration & Policy in Mental Health, 34, 29–37.

    Article  Google Scholar 

  • Stahmer, A. C., et al. (2005). Developmental and behavioral needs and service use for young children in child welfare. Pediatrics, 116, 891–900.

    Article  PubMed Central  PubMed  Google Scholar 

  • Steinberg-Epstein, R., & Book, T. (2011). Controversies surrounding pediatric psychopharmacology. Advances in Pediatrics, 58, 153–179.

    Article  PubMed  Google Scholar 

  • Stoner, R., et al. (2014). Patches of disorganization in the neocortex of children with autism. New England Journal of Medicine, 370(13), 1209–1219.

    Article  PubMed Central  PubMed  Google Scholar 

  • Sturm, R., Ringel, J. S., & Andreyeva, T. (2003). Geographic disparities in children’s mental health care. Pediatrics, 112, e308–e315.

    Article  PubMed  Google Scholar 

  • Sugaya, L., et al. (2012). Child physical abuse and adult mental health: A national study. Journal of Traumatic Stress, 25, 384–392.

    Article  PubMed Central  PubMed  Google Scholar 

  • Talmi, A., et al. (2014). Improving developmental screening documentation and referral completion. Pediatrics (online ahead of print). doi:10.1542/peds.2012-1151.

    Google Scholar 

  • Tervo, R. C. (2005). Parent’s reports predict their child’s developmental problems. Clinical Pediatrics, 44, 601–611.

    Article  PubMed  Google Scholar 

  • The Working Party Group on Integrated Behavioral Healthcare. (2014). Joint principles: Integrating behavioral health care into the patient-centered medical home. Families, Systems, & Health, 32, 154–156.

    Article  Google Scholar 

  • Thomas, K. C., Ellis, A. R., Konrad, T. R., Holzer, C. E., & Morrissey, J. P. (2009). County-level estimates of mental health professional shortage in the United States. Psychiatric Services, 60, 1323–1328.

    Article  PubMed  Google Scholar 

  • Tjaden, P., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence. National Institute of Justice. https://www.ncjrs.gov/pdffiles1/nij/181867.pdf. Accessed 8 Nov 2014.

  • U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville: U.S. 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.

    Google Scholar 

  • Van Allen, J., McGrath Davis, A., & Lassen, S. (2011). The use of telemedicine in pediatric psychology: Research review and current applications. Child & Adolescent Psychiatric Clinics of North America, 20, 55–66.

    Article  Google Scholar 

  • Vloet, A., et al. (2014). Long-term symptoms and posttraumatic growth in traumatised adolescents: Findings from a specialised outpatient clinic. Journal of Traumatic Stress, 27, 622–625.

    Article  PubMed  Google Scholar 

  • Wakefield AJ et al. (1998, February 28). Ileal-lymphoid-nodular hyperplasia, nonspecific colitis, and pervasive-developmental disorder in children. Lancet 351, 637–641; subsequently retracted: Retraction—Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. (2010, February 6). Lancet 375, 445.

    Google Scholar 

  • Weintraub, K. (2014, March 27). Autism rates soar, now affects 1 in 68 children. USA Today. http://www.usatoday.com/story/news/nation/2014/03/27/autism-rates-rise/6957815/. Accessed 8 Nov 2014.

  • Whitaker, R. C., Phillips, S. M., & Orzol, S. M. (2006). Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children. Pediatrics, 118, 859–868.

    Article  Google Scholar 

  • Wildman, B. G., Stancin, T., Golden, C., & Yerkey, T. (2004). Maternal distress, child behaviour, and disclosure of psychosocial concerns to a paediatrician. Child: Care, Health & Development, 30, 385–394.

    Google Scholar 

  • Wissow, L. S., et al. (2008). A common factors approach to improving the mental health capacity of pediatric primary care. Administration & Policy in Mental Health, 35, 305–318.

    Article  Google Scholar 

  • Wissow, L. S., et al. (2013). Universal mental health screening in pediatric primary care: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52, 1134–1147.

    Article  Google Scholar 

  • Yilmaz, O., et al. (2008). Sleep quality and depression-anxiety in mothers of children with two chronic respiratory diseases: Asthma and cystic fibrosis. Journal of Cystic Fibrosis, 7, 495–500.

    Article  PubMed  Google Scholar 

  • Zito, J. M., & Safer, D. J. (2005). Editorial: Recent child pharmacoepidemiological findings. Journal of Child & Adolescent Psychopharmacology, 15, 5–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 505 E 82nd Street, Apartment 4B, New York, NY, 10028, USA

    Roy Grant MA

Authors
  1. Roy Grant MA
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roy Grant MA .

Editor information

Editors and Affiliations

  1. Department of Psychology, University of Nevada, Reno, Nevada, USA

    William O'Donohue

  2. University of Nevada, Reno, Nevada, USA

    Alexandros Maragakis

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Grant, R. (2015). Integrating Behavioral Health in the Pediatric Medical Home: Expanding Clinical Roles to Improve Access and Outcomes. In: O'Donohue, W., Maragakis, A. (eds) Integrated Primary and Behavioral Care. Springer, Cham. https://doi.org/10.1007/978-3-319-19036-5_12

Download citation

Publish with us

Policies and ethics

Search

Navigation