Integrated Behavioral Health Care in Pediatric Subspecialty Clinics

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.

Keywords: Child psychiatry; Comorbidity; Health care; Integrated care; Pediatric; Psychosomatic medicine; Specialty care.

MeSH terms

  • Child
  • Child Psychiatry / methods*
  • Cystic Fibrosis / psychology
  • Delivery of Health Care, Integrated / methods*
  • Humans
  • Medical Oncology
  • Neuropsychiatry
  • Pain / psychology
  • Palliative Care / psychology
  • Pediatrics*