The Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, 3440 Market Street, Suite 200, Philadelphia, PA, 19104, USA.
Division of Psychology, Nationwide Children's Hospital, 111 N 4th Street, Columbus, OH, 43215, USA.
Curr Psychiatry Rep. 2016 Dec;18(12):106. doi: 10.1007/s11920-016-0745-7.
There are multiple barriers to accessing high quality, evidence-based behavioral health care for children and adolescents, including stigma, family beliefs, and the significant paucity of child and adolescent psychiatrists. Although equal access continues to be an unmet need in the USA, there is growing recognition that integrated behavioral health services in pediatric primary care have the potential to reduce health disparities and improve service utilization. In a joint position paper, the American Academy of Pediatrics (AAP) and the American Academy of Child and Adolescent Psychiatry (AACAP) highlighted the multiple benefits of children receiving initial behavioral health screening, assessment, and evidence-based behavioral health treatments in the medical home. The purpose of this paper is to review the current state of the literature related to integrated behavioral health services in pediatric primary care. Specifically, innovative models of integrated behavioral health care are discussed.
儿童和青少年获得高质量、基于证据的行为健康护理存在多种障碍，包括污名化、家庭观念以及儿童和青少年精神科医生的严重短缺。尽管在美国，平等获得服务仍然是一个未满足的需求，但人们越来越认识到，在儿科初级保健中整合行为健康服务有可能减少健康差距并提高服务利用率。在美国儿科学会（AAP）和美国儿童和青少年精神病学学会（AACAP）的联合立场文件中，强调了儿童在医疗保健之家接受初始行为健康筛查、评估和基于证据的行为健康治疗的多种好处。本文的目的是回顾与儿科初级保健中整合行为健康服务相关的文献现状。具体来说，讨论了创新的整合行为健康护理模式。
