“1 in 10 children have a diagnosed behavioral health disorder and more than twice as many children have behavioral health symptoms that cause impairment.”3,4
Behavioral Health Prevalence and Data
The landscape of pediatric primary care is changing. Behavioral health and substance abuse concerns are affecting an increasing amount of children cared for in pediatric practices. Studies indicate between 9.5% and 14.2% of children birth to age five display social-emotional problems that affect family functioning1, 2. Studies show us that 1 in 10 children have a diagnosed behavioral health disorder and more than twice as many children have behavioral health symptoms that cause impairment 3,4. Unfortunately, 4 out of 5 of these children do not receive the services they need to improve their behavioral and emotional health 4, 5. As a result of the unmet needs of this population and the focus of the mental health community on those with severe impairments, families are turning to their primary care clinicians for behavioral health care.
- Egger HL, Angold A, Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47(3-4):313–337.
- Brauner CB, Stephens CB. Estimating the prevalence of early childhood serious emotional/behavioral disorder: challenges and recommendations. Public Health Rep. 2006;121(3):303–310.
- Shaffer D, Fisher P, Dulcan MK, et al. The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC- 2.3): description, acceptability, prevalence rates, and performance in the MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study. J Am Acad Child Adolesc Psychiatry. 1996;35(7):865–877.
- US Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health; 1999. http://www.surgeongeneral.gov/library/mentalhealth/home.html.
- Kataoka SH, Zhang L, Wells K. Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry. 2002;159(9):1548–1555.
- Wissow L, Anthony B, Brown J, et al. A common factors approach to improving the mental health capacity of pediatric primary care. Adm Policy Ment Health. 2008; 35: 305-318.(PDF)
- Wissow L, Gadomski A, Roter D, et al. Improving child and parent mental health in primary care: A cluster-randomized trial of communication skills training. Pediatrics. 2008; 121: 266-275. (PDF)
Behavioral Health Publications
- Adverse Childhood Experiences (ACE) Study
- The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care
- AAP Trauma Tool Box for Primary Care:
- Adverse Childhood Experiences and the Lifelong Consequences of Trauma (PDF)
- Addressing Adverse Childhood Experiences and other Types of Trauma in the Primary Care Setting (PDF)
- The Medical Home Approach to Identifying and Responding to Exposure to Trauma (PDF)
- Bring Out the Best in Your Children (PDF)
- When Things Aren’t Perfect: Caring for Yourself and Your Children (PDF)
- Protecting Physician Wellness: Working With Children Affected by Traumatic Events (PDF)
Studies and Research Pertinent to Behavioral Health
The American Academy of Pediatrics Task Force on Mental Health and the Mental Health Initiatives of the AAP provides the foundation for the training curriculum. BEHIP participants have access to six educational videos on the TNAAP website addressing specific topics in children's mental health:
- In preparation for the development of the BEHIP training curriculum, BlueCare surveyed both their network of Behavioral Health Providers and Best Practice Network Providers.
- Behavioral Health Provider Needs Assessment
- In 2012, a total of 574 providers in the Behavioral Health (BH) Network were emailed, resulting in 143 completed interviews (25% response rate). Listed below is some of the feedback from the Behavioral Health Provider Needs Assessment
- Behavioral Health Provider Needs Assessment
- Best Practice Network (BPN) Provider Needs Assessment
- In 2012, a total of 856 providers in the BPN were called using a telephone survey through Wilkins Research Services. The calls resulted in 184 completed interviews. Listed below is some of the feedback from BPN Provider Needs Assessment.
- Best Practice Network Provider Needs Assessment
Best Practice Network
- The Best Practice Network (BPN) includes primary care providers who care for kids who are more difficult to serve because of their health care needs, their mobility, and/or where they live. All of the children who receive care in this network are SelectKids members in the custody of the Department of Children’s Services (DCS). The BPN includes over 850 PCPs statewide.
- To learn more about the Best Practice Network, click HERE.
BEHIP Contact InformationHeather Smith, M.B.A.
Phone: (615) 758-1211