Hansel Tonya, Rohrer Glenn, Osofsky Joy, Osofsky Howard, Arthur Elizabeth, Barker Chikira
Louisiana State University Health Sciences Center, New Orleans, Louisiana (Drs Hansel, H. Osofsky and J. Osofsky and Ms Barker); and University of West Florida, Pensacola, Florida (Dr Rohrer and Ms Arthur).
J Public Health Manag Pract. 2017 Nov/Dec;23 Suppl 6 Suppl, Gulf Region Health Outreach Program:S19-S24. doi: 10.1097/PHH.0000000000000649.
Integrating behavioral health services into primary and pediatric health care settings is important to increase availability and access to quality mental and behavioral health care for children and adolescents. The Mental and Behavioral Health Capacity Project implemented models of pediatric integrated health care at Federally Qualified Health Clinics covering largely rural communities in Louisiana and impacted communities on the Florida Panhandle. The objectives of this article are to describe the programs and demonstrate sustainability and effectiveness of services provided.
A subsample from the Louisiana clinics collected data at intake and follow-up at 1, 3, and 6-month intervals. The hypotheses were that child behavior problems and parenting stress would significantly decrease over the course of treatment.
This study was conducted at 2 Federally Qualified Health Clinics in rural southeast Louisiana that provide pediatric primary health care.
Sample parameters were child patients younger than 18 years presenting at primary health care clinics in Southeast Louisiana (N = 177); the mean age was 9.8 years (standard deviation = 4.3 years).
Brief behavioral health services included parental education, medication management, stress management, empowerment, and psychodynamic interventions.
The main outcome measures were the Pediatric Symptom Checklist and the Parenting Stress Index.
Statistically significant decreases in child behavior problems and parenting stress were revealed, with 87% reporting satisfaction with services.
Utilizing community-based and culturally sensitive approaches, mental and behavioral health integrated into pediatric health care clinics can be sustainable and effective at improving child behavior problems, parenting stress, and overall family functioning.
将行为健康服务整合到初级和儿科医疗保健环境中，对于提高儿童和青少年获得优质心理和行为健康护理的可及性至关重要。心理和行为健康能力项目在联邦合格健康诊所实施了儿科综合医疗保健模式，这些诊所主要覆盖路易斯安那州的农村社区以及佛罗里达狭长地带受影响的社区。本文的目的是描述这些项目，并展示所提供服务的可持续性和有效性。
从路易斯安那州诊所选取的一个子样本在入组时以及在1个月、3个月和6个月的随访时收集数据。假设是儿童行为问题和养育压力在治疗过程中会显著降低。
本研究在路易斯安那州东南部农村的2家联邦合格健康诊所进行，这些诊所提供儿科初级医疗保健。
样本参数为在路易斯安那州东南部初级医疗保健诊所就诊的18岁以下儿童患者（N = 177）；平均年龄为9.8岁（标准差 = 4.3岁）。
简短的行为健康服务包括家长教育、药物管理、压力管理、赋权和心理动力干预。
主要结局指标为儿童症状清单和养育压力指数。
儿童行为问题和养育压力在统计学上显著降低，87%的人报告对服务满意。
采用基于社区且具有文化敏感性的方法，将心理和行为健康整合到儿科医疗保健诊所中，可以在改善儿童行为问题、养育压力和整体家庭功能方面具有可持续性且有效。
