Department of Psychiatry, 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 450 Brookline Avenue, SW360A, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Department of Psychiatry, 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Department of Anesthesiology, Perioperative and Pain Medicine, 333 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115, USA.
Child Adolesc Psychiatr Clin N Am. 2017 Oct;26(4):785-794. doi: 10.1016/j.chc.2017.06.004. Epub 2017 Jul 21.
Comorbid behavioral and physical health conditions are accompanied by troubling symptom burden, functional impairment, and treatment complexity. Pediatric subspecialty care clinics offer an opportunity for the implementation of integrated behavioral health (BH) care models that promote resiliency. This article reviews integrated BH care in oncology, palliative care, pain, neuropsychiatry, cystic fibrosis, and transplantation. Examples include integrated care mandates, standards of care, research, and quality improvement by child and adolescent psychiatrists (CAPs) and allied BH clinicians. The role of CAPs in integrated BH care in subspecialty care is explored, focusing on cost, resource use, financial support, and patient and provider satisfaction.
合并存在的行为和身体健康状况伴随着令人困扰的症状负担、功能障碍和治疗复杂性。儿科专科诊所提供了实施促进恢复力的综合行为健康 (BH) 护理模式的机会。本文综述了肿瘤学、姑息治疗、疼痛、神经精神病学、囊性纤维化和移植领域的综合 BH 护理。儿科精神病学家 (CAP) 和相关 BH 临床医生的例子包括综合护理任务、护理标准、研究和质量改进。还探讨了 CAP 在专科护理中综合 BH 护理中的作用,重点是成本、资源利用、财政支持以及患者和提供者满意度。