Promoting earlier access to pediatric behavioral health services with colocated care

Rachel Valleley, Ashley Leja, Brandy L Clarke, Allison Grennan, Jennifer D Burt, Kathryn Menousek, Mindy Chadwell, Tara Sjuts, Rebecca Gathje, Kevin A Kupzyk, Kristen Hembree

Research output: Contribution to journalArticle

Abstract

Objective:This study aimed to determine whether youth access behavioral health (BH) care earlier (i.e., when problems are less severe) when receiving services in colocated pediatric primary care clinics.Methods:Six primary care clinics in the Midwest with a colocated BH provider participated in this study. Data on number of sessions attended/not attended with the BH provider, BH symptom severity as measured by the Child Behavior Checklist, parent report of length of presenting problem, and improvement ratings were collected and compared for on-site referrals and off-site referrals. Descriptive, independent sample t tests and regression analyses compared those referred from on-site physicians versus off-site referral sources.Results:Results demonstrated that youth receiving BH services at their primary care physician's office accessed services when problems were less severe and had been impacting their functioning for a shorter duration.Conclusion:This study is among the first to explore whether youth receiving BH services in primary care are accessing those services earlier than those who are referred from outside sources, resulting in improved patient outcomes.

Original languageEnglish (US)
Pages (from-to)240-248
Number of pages9
JournalJournal of Developmental and Behavioral Pediatrics
Volume40
Issue number4
DOIs
StatePublished - May 1 2019

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Health Services
Primary Health Care
Referral and Consultation
Pediatrics
Health
Physicians' Offices
Behavioral Symptoms
Child Behavior
Primary Care Physicians
Checklist
Regression Analysis
Delivery of Health Care
Physicians

Keywords

  • behavioral health
  • earlier access
  • integrated care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

Promoting earlier access to pediatric behavioral health services with colocated care. / Valleley, Rachel; Leja, Ashley; Clarke, Brandy L; Grennan, Allison; Burt, Jennifer D; Menousek, Kathryn; Chadwell, Mindy; Sjuts, Tara; Gathje, Rebecca; Kupzyk, Kevin A; Hembree, Kristen.

In: Journal of Developmental and Behavioral Pediatrics, Vol. 40, No. 4, 01.05.2019, p. 240-248.

Research output: Contribution to journalArticle

Valleley, Rachel ; Leja, Ashley ; Clarke, Brandy L ; Grennan, Allison ; Burt, Jennifer D ; Menousek, Kathryn ; Chadwell, Mindy ; Sjuts, Tara ; Gathje, Rebecca ; Kupzyk, Kevin A ; Hembree, Kristen. / Promoting earlier access to pediatric behavioral health services with colocated care. In: Journal of Developmental and Behavioral Pediatrics. 2019 ; Vol. 40, No. 4. pp. 240-248.
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