Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care.

Area of Science:

• Pediatrics
• Developmental Psychology
• Healthcare Management

Background:

• Follow-up care after abnormal developmental screening presents challenges for families, especially in under-resourced communities.
• Integrated primary care (IPC) models offer a potential framework for addressing these challenges.

Purpose of the Study:

• To examine how an existing IPC co-located model can be adapted to include developmental services.
• To understand caregiver needs and preferences regarding developmental care within primary care settings.

Main Methods:

• Qualitative interviews were conducted with 51 caregivers of pediatric patients (4 months to 6 years old).
• Data were analyzed using the Consolidated Framework for Implementation Research (CFIR) and grounded theory.
• Thematic analysis identified key themes related to referrals, barriers, and preferences.

Main Results:

• Three major themes emerged: components of effective referrals, barriers to care, and caregiver preferences.
• Insights were gained into the practical aspects of integrating developmental services into primary care.
• Caregiver perspectives were central to identifying areas for service improvement.

Conclusions:

• Existing IPC models can be expanded to effectively address developmental concerns.
• Understanding caregiver preferences and referral components is crucial for successful implementation.
• This research provides a foundation for enhancing developmental support within primary care settings.