Kristina E Malik, Charlene Shelton, Amber Marin, Verenea J Serrano, Bruno J Anthony, Edward L Schor, Ricardo A Mosquera, Carlos Lerner, Christopher J Stille
{"title":"心理和行为健康服务可提供给儿童的医疗复杂性在复杂的护理方案。","authors":"Kristina E Malik, Charlene Shelton, Amber Marin, Verenea J Serrano, Bruno J Anthony, Edward L Schor, Ricardo A Mosquera, Carlos Lerner, Christopher J Stille","doi":"10.1177/00099228251372723","DOIUrl":null,"url":null,"abstract":"<p><p>We conducted a cross-sectional survey of complex care programs on behavioral health services provided to children with medical complexity (CMC). Quantitative and qualitative data were analyzed by using convergent mixed methods. Rates of CMC receiving behavioral health services were at or above national averages for the general pediatric population and the most reported concerns were externalizing behaviors. Of 25 programs, 7 (28%) reported integrated care and programs with integrated care found the service improved access and were more likely to screen for caregivers' mental health. Themes included: 1. Current models of care for pediatric mental and behavioral health limits access for CMC; 2. Collaboration is highly desired by medical teams; 3. Providing mental health for family members of CMC is important. Despite high service use and frequent availability of integrated care, complex care programs still report insufficient access to behavioral health services required to meet the needs of CMC.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251372723"},"PeriodicalIF":0.7000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Mental and Behavioral Health Services Available to Children With Medical Complexity in Complex Care Programs.\",\"authors\":\"Kristina E Malik, Charlene Shelton, Amber Marin, Verenea J Serrano, Bruno J Anthony, Edward L Schor, Ricardo A Mosquera, Carlos Lerner, Christopher J Stille\",\"doi\":\"10.1177/00099228251372723\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We conducted a cross-sectional survey of complex care programs on behavioral health services provided to children with medical complexity (CMC). Quantitative and qualitative data were analyzed by using convergent mixed methods. Rates of CMC receiving behavioral health services were at or above national averages for the general pediatric population and the most reported concerns were externalizing behaviors. Of 25 programs, 7 (28%) reported integrated care and programs with integrated care found the service improved access and were more likely to screen for caregivers' mental health. Themes included: 1. Current models of care for pediatric mental and behavioral health limits access for CMC; 2. Collaboration is highly desired by medical teams; 3. Providing mental health for family members of CMC is important. Despite high service use and frequent availability of integrated care, complex care programs still report insufficient access to behavioral health services required to meet the needs of CMC.</p>\",\"PeriodicalId\":10363,\"journal\":{\"name\":\"Clinical Pediatrics\",\"volume\":\" \",\"pages\":\"99228251372723\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00099228251372723\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00099228251372723","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
The Mental and Behavioral Health Services Available to Children With Medical Complexity in Complex Care Programs.
We conducted a cross-sectional survey of complex care programs on behavioral health services provided to children with medical complexity (CMC). Quantitative and qualitative data were analyzed by using convergent mixed methods. Rates of CMC receiving behavioral health services were at or above national averages for the general pediatric population and the most reported concerns were externalizing behaviors. Of 25 programs, 7 (28%) reported integrated care and programs with integrated care found the service improved access and were more likely to screen for caregivers' mental health. Themes included: 1. Current models of care for pediatric mental and behavioral health limits access for CMC; 2. Collaboration is highly desired by medical teams; 3. Providing mental health for family members of CMC is important. Despite high service use and frequent availability of integrated care, complex care programs still report insufficient access to behavioral health services required to meet the needs of CMC.
期刊介绍：
Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
