Integrated Behavioral Health Care in Pediatric Subspecialty Clinics

Chase Samsel; Monique Ribeiro; Patricia Ibeziako; David R DeMaso

doi:10.1016/j.chc.2017.06.004

Integrated Behavioral Health Care in Pediatric Subspecialty Clinics

Child Adolesc Psychiatr Clin N Am. 2017 Oct;26(4):785-794. doi: 10.1016/j.chc.2017.06.004. Epub 2017 Jul 21.

Authors

Chase Samsel¹, Monique Ribeiro², Patricia Ibeziako³, David R DeMaso³

Affiliations

¹ Department of Psychiatry, 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 450 Brookline Avenue, SW360A, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: chase.samsel@childrens.harvard.edu.
² Department of Psychiatry, 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Department of Anesthesiology, Perioperative and Pain Medicine, 333 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA.
³ Department of Psychiatry, 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

PMID: 28916014
DOI: 10.1016/j.chc.2017.06.004

Abstract

Comorbid behavioral and physical health conditions are accompanied by troubling symptom burden, functional impairment, and treatment complexity. Pediatric subspecialty care clinics offer an opportunity for the implementation of integrated behavioral health (BH) care models that promote resiliency. This article reviews integrated BH care in oncology, palliative care, pain, neuropsychiatry, cystic fibrosis, and transplantation. Examples include integrated care mandates, standards of care, research, and quality improvement by child and adolescent psychiatrists (CAPs) and allied BH clinicians. The role of CAPs in integrated BH care in subspecialty care is explored, focusing on cost, resource use, financial support, and patient and provider satisfaction.

Keywords: Child psychiatry; Comorbidity; Health care; Integrated care; Pediatric; Psychosomatic medicine; Specialty care.

MeSH terms

Child
Child Psychiatry / methods*
Cystic Fibrosis / psychology
Delivery of Health Care, Integrated / methods*
Humans
Medical Oncology
Neuropsychiatry
Pain / psychology
Palliative Care / psychology
Pediatrics*