Related Experiment Video
Updated: Jan 6, 2026
09:13
Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
17.0K
Integrated Behavioral Health Services and Psychosocial Symptoms in Children
Jihye Kim1, Megan B Cole2, Jessica Rosenberg1
1Research Support Services Department, Boston Medical Center, Boston, Massachusetts.
JAMA Network Open
|September 16, 2025
Summary
Integrated behavioral health services, including behavioral health clinician (BHC) encounters and psychotropic prescriptions, improved psychosocial symptoms in children. This highlights the potential of expanding these services for marginalized pediatric populations.
Area of Science:
- Pediatric Behavioral Health
- Health Services Research
- Public Health
Background:
- Integrated pediatric behavioral health care is crucial but understudied, especially using electronic medical record (EMR) data.
- Federally Qualified Health Centers (FQHCs) are key sites for delivering integrated care to underserved populations.
Purpose of the Study:
- To assess the association between integrated behavioral health services and changes in psychosocial symptoms among children in FQHCs.
- To evaluate the impact of specific interventions like behavioral health clinician (BHC) encounters, community health worker (CHW) encounters, and psychotropic prescriptions.
Main Methods:
- A cohort study utilizing EMR data from 4 Massachusetts FQHCs (June 2020-April 2023).
- Inclusion of children aged 4-18 with identified behavioral health concerns.
- Propensity score matching was used to compare children receiving interventions (BHC encounters, CHW encounters, psychotropic prescriptions) with a control group.
Main Results:
- Children receiving BHC encounters showed a significant decrease in Pediatric Symptom Checklist (PSC-17) scores (-1.51 points).
- Psychotropic prescriptions were also associated with a significant reduction in PSC-17 scores (-2.21 points).
- No significant changes in PSC-17 scores were observed for children receiving CHW encounters.
Conclusions:
- Integrated behavioral health services, particularly BHC encounters and psychotropic medications, are associated with improved psychosocial outcomes in children treated at FQHCs.
- Expanding integrated pediatric behavioral health care can enhance outcomes for marginalized pediatric populations.
- Further research is needed to optimize the integration of CHW services within FQHCs.
More Related Videos
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
6.3K
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
811
Related Concept Videos
01:30Community Based Intervention
255
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
255
01:19Autism Spectrum Disorder
885
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
885
01:26Modeling in Therapy
356
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
356
01:20Integrated Healthcare System
2.2K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.2K
01:24Operant Conditioning Intervention
422
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
422
01:24Treatment Strategies for Psychological Disorders
559
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
559