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Rybak TM, Herbst RB, Stark LJ, Samaan ZM, Zion C, Bryant A, McClure JM, Maki A, Bishop E, Mack A, Ammerman RT. Provider Perspectives on an Integrated Behavioral Health Prevention Approach in Pediatric Primary Care. J Clin Psychol Med Settings 2023; 30:741-752. [PMID: 36828991 PMCID: PMC9957689 DOI: 10.1007/s10880-023-09947-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2023] [Indexed: 02/26/2023]
Abstract
The purpose of this study was to use qualitative interviews to ascertain the perspective of pediatric primary care providers on the implementation of Integrated Behavioral Health (IBH) as provided by psychologists within an expanded HealthySteps™ model, and with a particular focus on prevention of behavioral health symptoms in the first five years. A semi-structured interview guide was used to assess medical providers' perceptions of behavioral health integration into their primary care clinics. A conventional qualitative content analysis approach was utilized to identify patterns of meaning across qualitative interviews. Four themes were identified: (1) practice prior to IBH and initial concerns about integration, (2) psychologist's role and perceived added value, (3) what integration looks like in practice, and (4) perceived families' response to and experiences with IBH. Despite initial concerns about potential disruptions to clinic flow, providers indicated that adoption of IBH was seamless. The distinct roles of the psychologist were clear, and both treatment and prevention services provided by IBH were valued. Multidisciplinary collaboration and real-time response to family needs was seen as especially important and primary care providers reported that families were accepting of and highly valued IBH.
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Affiliation(s)
- Tiffany M Rybak
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA.
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
| | - Rachel B Herbst
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Lori J Stark
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Zeina M Samaan
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Cynthia Zion
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
| | - Alyssa Bryant
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
| | - Jessica M McClure
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
| | - Aileen Maki
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
| | - Elizabeth Bishop
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
| | - Aimee Mack
- Ohio Colleges of Medicine Government Resource Center, Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Robert T Ammerman
- Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7039, Cincinnati, OH, 45229, USA
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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