Barriers and facilitators to integrating behavioral health services and pediatric primary care.

Abstract

Objective: To describe the barriers and facilitators to integrating behavioral health services and pediatric primary care in federally qualified health centers (FQHCs) during the early stages of implementation. Method: We conducted 34 semistructured interviews with primary care providers (n ϭ 11), behavioral health clinicians (n ϭ 12), community health workers, and other pediatric staff (n ϭ 11) at 3 FQHCs. Themes were identified inductively using methods informed by grounded theory; inductively identified themes were then deductively organized within the Consolidated Framework for Implementation Research. Results: Interviewees perceived that the adoption and sustainability of behavioral health integration (BHI) in the pediatric practices of FQHCs were most dependent on barriers and facilitators in the outer setting (the health

Development of an Implementation Facilitation Strategy to Link Mental Health Screening and eHealth Intervention for Clients in Ryan White–Funded Clinics in Chicago

“…The identified barriers and facilitators are consistent with prior research on the implementation of behavioral health screenings and mHealth interventions in diverse care settings, including primary care clinics, 44 federally qualified health centers, 45 and clinics serving people with chronic health conditions. Within the CFIR, implementation readiness is a multidimensional construct that refers to the "tangible and immediate" indicators of an organization's commitment to the decision to implement a new intervention.…”

Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care

“…The findings from the triadic models included in the Asarnow et al meta-analysis 33 are summarized in Table 6. [159][160][161][162][163][164][165] Also included in Table 6 52,135,[166][167][168][169][170][171] are the findings from published quality improvement projects examining broader dissemination of integrated MH care in real-world settings; these studies are important in their demonstration of increased access to MH services in community-based pediatric practices.…”

The GROWBABY Research Network: A Framework for Advancing Health Equity Through Community Engaged Practice-Based Research

“…settings. Further community health centers and FQHCs face routine and predictable barriers in translation of evidencebased practices including staff engagement, space, funding, technology, and cultural and translation barriers (Gagnon et al, 2022;Fam & Ferrant, 2018;Wakida et al, 2018;Chartrand et al, 2019;Brady et al, 2020;Toscos et al, 2018). A PBRN allows us to share resources and insights and leverage the power and capital of multiple clinical partners of varying size to address these challenges, while soliciting external researchers and funders to partner with us for study (DeVoe et al, 2012).…”