Integrating behavioral health in the pediatric medical home

Behavioral health disorders (psychiatric illness and substance abuse disorders) represent a significant burden across the nation's health care system. The number of children and adolescents requiring behavioral health care has increased while at the same time the behavioral health workforce continues to experience a shortage of providers. The current model of care is failing to meet the behavioral health needs of children and adolescents. Initiatives are underway that call for improved integration of behavioral health services into primary care. Patients and families often seek behavioral health care in the primary care setting.

The purpose of this article is to describe how one large urban pediatric practice began to integrate behavioral health services. Opportunities and challenges are discussed along with a review of three integrated care delivery models.

Literature search was performed using PubMed and CINAHL; we also used Substance Abuse and Mental Health Services Administration, American Academy of Child and Adolescent Psychiatry, and American Academy of Pediatrics Guidelines, which describe the need for integration of behavioral/mental health into pediatric primary care.