Pediatric Community Intervention Paper

Background: In or order to improve quality of care , address need of the physically ill children in one setting and improve integration between specialties our institution developed models of care with the various levels of integration between pediatricians and child and adolescent psychiatrist .Our goal is to meet the need of the children in general pediatric practice and children with the chronic medical illness
Method: This report describes levels of integration in each model using proposed levels of integrated Healthcare models (Heath, B., Wise Romero, P., & Reynolds, K. A. 2013). We surveyed pediatric and psychiatric providers related to the existing models of care they use at our institution. We asked about the organization of the integrated models at their clinical site and
Pediatric Behavioral Health Collaborative Care Program represents the model of Close collaboration at the outpatient general pediatric clinic. Children are referred by general pediatricians and remain in the care of the pediatrician after the consultation unless children need more intense care. Wait lists are shorter than in the classis system where children are referred to the psychiatric clinic. Anxiety & Cognitive Behavioral Consultation Clinic utilizes a model of Co-location at the outpatient specialty pediatric site. Specialists including neurologist, gastroenterologists and cardiologist refere patients to behavioral health specialist. Pediatric specialists except neurologist in majority of the cases do not choose to prescribe psychotropic medication and prefer follow up for medication at the psychiatric clinic. Child continues to see a therapist at the pediatric specialty clinics so all systems except billing is