Examining Caretaker Attitudes Towards Primary Prevention of Pediatric Behavioral Health Problems in Integrated Care
- PDF / 252,254 Bytes
- 13 Pages / 496.063 x 720 pts Page_size
- 54 Downloads / 208 Views
y, 49.5% of children and adolescents in the USA are estimated to meet criteria for one or more behavioral health diagnoses in their lifetimes.1 One half of affected children will meet diagnostic criteria for a mental health disorder in conjunction with severe impairment.1 While much of the existing research and service provision has been allocated to treatment, emphasis is
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11414-02009720-6) contains supplementary material, which is available to authorized users. Address correspondence to Martha Zimmermann, MA, Department of Psychology, University of Nevada, 1664 N. Virginia St., Reno, NV 89557, USA. E-mail: [email protected]. William O’Donohue, PhD, Department of Psychology, University of Nevada, Reno, NV, USA. Monica Zepeda, BA, Department of Psychology, University of Nevada, Reno, NV, USA. Alexia Woodley, BS, Department of Psychology, University of Nevada, Reno, NV, USA.
)
Journal of Behavioral Health Services & Research, 2020. 1–12. c 2020 National Council for Behavioral Health. DOI 10.1007/s11414-020-09720-6
Attitudes Towards Prevention
ZIMMERMANN ET AL.
increasingly being placed on the prevention of behavioral disorders.2 While preventive interventions have successfully avoided or delayed the onset of behavioral disorders in childhood and adolescence,3 these are not routinely delivered in usual care. A promising avenue for delivery of preventive care services may be in integrated primary care, a healthcare model in which behavioral health services are delivered in collaboration with medical care. This model of service delivery has several potential advantages such as removing barriers to accessing behavioral healthcare, allowing trained professionals to deliver services, integrating behavioral health with medical concerns, and reducing stigma.4–7 Children and adolescents receiving integrated care experience better behavioral health outcomes than their counterparts receiving usual primary care.8 Parents and pediatricians also report satisfaction with this model.9 Part of the promise of integrated care is “one stop shopping,” where all the patients’ health needs can be met. Integrated care is not only intended to improve patient satisfaction but also to reduce overall medical costs. In this regard, integrated care settings may be able to fulfill the “Triple Aim,” of healthcare reform by improving outcomes for patients, reducing costs associated with service use, and contributing to patient and provider satisfaction.10 Primary prevention, however, has been given short shrift in many integrated care settings, with many gaps in literature still remaining.11 Primary prevention could be contributing to the Triple Aim in that preventive care can effectively reduce the onset of new behavioral health problems and reduce the overall healthcare costs.3, 12–14 While interventions to prevent problems in integrated care have demonstrated promise, research is needed to understand parental attitudes towards these program
Data Loading...
