Abstract
The most commonly used service delivery systems for pediatric behavioral health care are primary care practices and schools. Increasingly, pediatric behavioral health care is being integrated with medical care to provide more comprehensive and coordinated services for children. Unfortunately, behavioral health services offered in primary care and school are disconnected, resulting in parents being in the position of attempting to coordinate care, which may not be feasible for many families, especially those experiencing heightened levels of stress and limited resources. In this chapter, we propose a cross-system service delivery framework that links integrated services based in primary care with services based in schools. This framework is based on a multi-tier, public health model that provides a continuum of prevention and intervention services.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Adams, C. D., Hinojosa, S., Armstrong, K., Takagishi, J., & Dabrow, S. (2016). An innovative model of integrated behavioral health: School psychologists in pediatric primary care settings. Advances in School Mental Health Promotion, 9, 188–200.
American Academy of Pediatrics. (2002). The medical home. Pediatrics, 110, 184–186.
Asarnow, J., Rozenman, M., Wiblin, J., & Zeltzer, L. (2015). Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: A meta-analysis. JAMA Pediatrics, 169, 929–937.
Beidas, R. S., Stewart, R. E., Walsh, L., Lucas, S., Downey, M. M., Jackson, K., … Mandell, D. S. (2015). Free, brief, and validated: Standardized instruments for low-resource mental health settings. Cognitive and Behavioral Practice, 22, 5–19.
Boyle, C. A., Boulet, S., Schieve, L. A., Cohen, R. A., Blumberg, S. J., Yeargin-Allsopp, M., … Kogan, M. D. (2011). Trends in the prevalence of developmental disabilities in US children, 1997-2008. Pediatrics, 127, 1034–1042.
Buchholz, M., & Talmi, A. (2012). What we talked about at the pediatrician’s office: Exploring differences between Health Steps and traditional pediatric primary care visits. Infant Mental Health Journal, 33, 430–436.
Casey, B. M., Andrews, N., Schindler, H., Kersh, J. E., Samper, A., & Copley, J. (2008). The development of spatial skills through interventions involving block building activities. Cognition and Instruction, 26, 269–309.
Chan, E., Fleegler, E., Weas, S., Zhang, X., Rhodes, E., Kahn, J., … Loddenkemper, T. (2016). Implementation of an internet-based patient monitoring system improves families’ perception of quality of communication and experience of care. Paper presented at the Pediatric Academic Societies Annual Meeting, Baltimore, MD.
Council on Children with Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee, & Medical Home Initiatives for Children with Special Needs Project Advisory Committee. (2006). Identifying infants and young children with developmental surveillance and screening. Pediatrics, 118, 405–420.
Driscoll, K. C., Wang, L., Mashburn, A. J., & Pianta, R. C. (2011). Fostering supportive teacher-child relationships: Intervention implementation in a state-funded preschool program. Early Education and Development, 22, 593–619.
Duchnowski, A. J., Kutash, K., & Friedman, R. M. (2002). Community-based interventions in a systems of care and outcomes framework. In B. J. Burns & K. Hoagwood (Eds.), Community treatment for youth: Evidence-based interventions for severe emotional and behavioral disorders (pp. 16–37). New York: Oxford University Press.
Epstein, J., Langberg, J., Lichtenstein, P., Kolb, R., Altaye, M., & Simon, J. (2011). Use of an internet portal to improve community-based pediatric ADHD care: A cluster randomized trial. Pediatrics, 128, e1201–e1208.
Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166, 2314–2321.
Ginsburg, K. R. (2007). The importance of play in promoting healthy child development and maintaining strong parent-child bonds. Pediatrics, 119, 182–191.
Guevara, J., Fuedtner, C., Romer, D., Power, T., Eiraldi, R., Nihtianova, S., … Schwarz, D. (2005). Fragmented care for inner-city minority children with attention-deficit/hyperactivity disorder. Pediatrics, 116, e512–e517.
Hamre, B. K., & Pianta, R. C. (2001). Early teacher-child relationships and the trajectory of children’s school outcomes through eighth grade. Child Development, 72, 625–638.
Hamre, B. K., Pianta, R. C., Mashburn, A. J., & Downer, J. T. (2012). Promoting young children’s social competence through the preschool PATHS curriculum and MyTeachingPartner professional development resources. Early Education and Development, 23, 809–832.
Hughes, J. N., Im, M. H., & Wehrly, S. E. (2014). Effect of peer nominations of teacher-student support at individual and classroom levels on social and academic outcomes. Journal of School Psychology, 52, 309–322.
Katon, W., Von Korff, M., Lin, E., & Simon, G. (2001). Rethinking practitioner roles in chronic illness: The specialist, primary care physician, and the practice nurse. General Hospital Psychiatry, 23, 138–144.
Kazak, A. E., Rourke, M. T., Alderfer, M. A., Pai, A., Reilly, A. F., & Meadows, A. T. (2007). Evidence-based assessment, intervention and psychosocial care in pediatric oncology: A blueprint for comprehensive services across treatment. Journal of Pediatric Psychology, 32, 1099–1110.
Kolko, D. J., Campo, J., Kilbourne, A. M., Hart, J., Sakolsky, D., & Wisniewski, S. (2014). Collaborative care outcomes for pediatric behavioral health problems: A cluster randomized trial. Pediatrics, 133, e981–e992.
Kolko, D. J., Campo, J. V., Kilbourne, A. M., & Kelleher, K. (2012). Doctor-office collaborative care for pediatric behavioral problems: A preliminary clinical trial. Archives of Pediatrics & Adolescent Medicine, 166, 224–231.
Mandell, D. M., Guevara, J. P., & Pati, S. (2007). The search for coordinated, continuous community-based care: How the parallel efforts of the Medical Home and Systems of Care can inform each other. In W. J. Fisher (Ed.), Research on community-based mental health services for children and adolescents (pp. 77–94). Amsterdam: JAI Press.
Mautone, J. A., Marcell, E., Tresco, K. E., & Power, T. J. (2015). Assessing the quality of parent-teacher relationships for students with ADHD. Psychology in the Schools, 52, 196–207.
McDaniel, S. H., Grus, C. L., Cubic, B. A., Hunter, C. L., Kearney, L. K., Schuman, C. C., … Johnson, S. B. (2014). Competencies for psychology practice in primary care. American Psychologist, 69, 409–429.
Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980–989.
Pallini, S., Baiocco, R., Schneider, B. H., Madigan, S., & Atkinson, L. (2014). Early child-parent attachment and peer relations: A meta-analysis of recent research. Journal of Family Psychology, 28, 118–123.
Pfiffner, L. J., Rooney, M., Haack, L., Villodas, M., Delucchi, K., & McBurnett, K. (2016). A randomized controlled trial of a school-implemented school-home intervention for Attention-Deficit/Hyperactivity Disorder symptoms and impairment. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 762–770.
Power, T. J., Blum, N. J., Guevara, J. P., Jones, H. A., & Leslie, L. K. (2013). Coordinating mental health care across primary care and schools: ADHD as a case example. Advances in School Mental Health Promotion, 6, 68–80.
Power, T. J., Hughes, C. L., Helwig, J. R., Nissley-Tsiopinis, J., Mautone, J. A., & Lavin, H. J. (2010). Getting to first base: Promoting engagement in family–school intervention for children with ADHD in urban, primary care practice. School Mental Health, 2, 52–61.
Power, T. J., Mautone, J. A., Marshall, S. A., Jones, H. A., Cacia, J., Tresco, K., … Blum, N. J. (2014). Feasibility and potential effectiveness of integrated services for children with ADHD in urban primary care practices. Clinical Practice in Pediatric Psychology, 2, 412–426.
Power, T. J., Michel, J., Mayne, S., Miller, J., Blum, N. J., Grundmeier, R. W., … Fiks, A. G. (2016). Coordinating systems of care using health information technology: Development of the ADHD Care Assistant. Advances in School Mental Health Promotion, 9, 201–218.
Roorda, D. L., Verschueren, K., Vancraeyveldt, C., Van Craeyvelt, S., & Copin, H. (2014). Teacher-child relationships and behavioral adjustment: Transactional links for preschool boys at risk. Journal of School Psychology, 52, 495–510.
Rosenberg, S. A., Robinson, C. C., Shaw, E. F., & Ellison, M. C. (2013). Part C early intervention for infants and toddlers: Percentage eligible versus served. Pediatrics, 131, 38–46.
Rudasill, K. M., Niehaus, K., Buhs, E., & White, J. M. (2013). Temperament in early childhood and peer interactions in third grade: The role of teacher-child relationships in early elementary grades. Journal of School Psychology, 51, 701–716.
Sanders, M. R. (2012). Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology, 8, 345–379.
Serbin, L. A., Hubert, M., Hastings, P. D., Stack, D. M., & Schwartzman, A. E. (2014). The influence of parenting on early childhood health and health care utilization. Journal of Pediatric Psychology, 39, 1161–1174.
Sheridan, S. M., Bovaird, J. A., Glover, T. A., Garbacz, S. A., Witte, A., & Kwon, K. (2012). A randomized trial examining the effects of conjoint behavioral consultation and the mediating role of the parent-teacher relationship. School Psychology Review, 41, 23–46.
Sheridan, S. M., & Kratochwill, T. R. (2008). Conjoint behavioral consultation: Promoting family-school connections and interventions (2nd ed.). New York: Springer Science + Business Media.
Sheridan, S. M., Warnes, E. D., Woods, K. E., Blevins, C. A., Magee, K. L., & Ellis, C. (2009). An exploratory evaluation of conjoint behavioral consultation to promote collaboration among family, school, and pediatric systems: A role for pediatric school psychologists. Journal of Educational and Psychological Consultation, 19, 106–129.
Sroufe, L. A. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & Human Development, 7, 349–367.
Stroul, B. A., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University Child Development Center.
Sugai, G., & Horner, R. R. (2006). A promising approach for expanding and sustaining school-wide positive behavior support. School Psychology Review, 35, 245–259.
Toomey, S. L., Finkelstein, J., & Kuhlthau, K. (2008). Does connection to primary care matter for children with attention-deficit/hyperactivity disorder? Pediatrics, 122, 368–374.
Volpe, R. J., & Fabiano, G. A. (2013). Daily behavior report cards: An evidence-based system of assessment and intervention. New York: Guilford.
Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 603–613.
Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124.
Acknowledgment
Preparation of this chapter was supported by a grant from Pfizer Independent Grants for Learning and Change.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Power, T.J., Laracy, S.D. (2018). Multi-tiered, Evidence-Based Systems of Support. In: Forman, S., Shahidullah, J. (eds) Handbook of Pediatric Behavioral Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-00791-1_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-00791-1_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-00790-4
Online ISBN: 978-3-030-00791-1
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)