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Pediatric integrated behavioral health service delivery models: Using a federal framework to assess levels of

Sean Lynch1, Catherine Greeno1, Judith L Teich1

  • 1a U.S. Department of Health & Human Services, Substance Abuse & Mental Health Services Administration , Center for Behavioral Health Statistics & Quality , Rockville , MD.

Social Work in Health Care
|October 16, 2018
PubMed

Insights

This study assessed pediatric integrated behavioral health service delivery models (IBHSDM). Many models show limited integration, potentially hindering quality and cost benefits, necessitating research into overcoming barriers to higher integration levels.

Area of Science:

  • Pediatric healthcare delivery
  • Integrated behavioral health services
  • Healthcare systems research

Background:

  • Pediatric integrated behavioral health service delivery models (IBHSDM) are increasingly adopted.
  • The actual level of integration within these models is not well-established.
  • Understanding integration levels is crucial for optimizing care quality and cost-effectiveness.

Purpose of the Study:

  • To systematically assess the integration level of existing pediatric integrated behavioral health service delivery models.
  • To identify the extent to which current models achieve higher levels of integration.
  • To inform future development and research in pediatric integrated care.

Main Methods:

  • A systematic review of journal databases and Google searches was conducted.
  • Studies involving children treated within IBHSDM were included.
  • Data extraction and assessment of integration levels were performed using a federal conceptual framework and PRISMA standards.

Main Results:

  • Analysis of 40 articles revealed 32 distinct integrated delivery models.
  • A significant portion (43.8%) achieved higher integration levels (5 or 6).
  • However, 40.6% of models had integration levels of 3 or lower, potentially insufficient for desired quality and cost outcomes.

Conclusions:

  • While some pediatric integrated behavioral health models achieve high integration, a substantial number remain at lower levels.
  • Lower integration levels may not yield expected improvements in healthcare quality and cost reduction.
  • Further research is needed to identify and address barriers to achieving higher integration in pediatric care.
Abstract

Keywords:
Childrenadolescentsbehavioral healthintegrated care

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