The Pediatric Physician’s Organization at Children’s (PPOC) is a statewide network affiliated with an academic medical center in the Commonwealth of Massachusetts, serving approximately 500000 children in the State. With more than 80 independently owned practices affiliated with the network, 500 PCPs, and 100 integrated BHCs, the PPOC has significantly increased access to BH, and its focus on education and BH quality measures has improved the quality of BH care for children in the State. There are multiple challenges to achieving a systematic approach to integrated care delivery in a broad and diverse context like the PPOC network. Nevertheless, there have been many successes and accomplishments. This presentation will examine the PPOC BHIP program from its inception more than a decade ago, reviewing its educational and quality components, programmatic outcomes, challenges, successes, and evolution, followed by a glimpse at program strategy and future projects for the years to come. In the last part of the presentation, participants will be able to direct questions and engage in a discussion with the presenters.
Daniel Robb MSW, LICSW, BH Integration Manager, Boston Children's Hospital - Pediatric Physicians' Organization at Children's, Wellesley, MA
Alison Carroll MSW, LICSW, Behavioral Health Integration Manager, Pediatric Physicians' Organization at Children's, Boston Children's Hospital, Wellesley, MA
Katie Curran LICSW, Behavioral Health Integration Manager, Boston Children's Hospital, Halifax, MA
American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Collaborative and Integrated Care and AACAP Committee on Quality Issues. (2023). Clinical update: collaborative mental health care for children and adolescents in pediatric primary care. Journal of the American Academy of Child and Adolescent Psychiatry, 62(2), 91–119. https://doi.org/10.1016/j.jaac.2022.06.007
Arrojo, M.J., Bromberg, J., Walter, H. J., & Vernacchio, L. (2023). Pediatric primary-care integrated behavioral health: A framework for reducing inequities in behavioral health care and outcomes for children. Pediatric Clinics of North America, 70(4). 775-789. https://doi.org/10.1016/j.pcl.2023.04.004
Levy, S., Mountain-Ray, S., & Reynolds, J., Mendes, S. J., & Bromberg, J. (2018). A novel approach to treating adolescents with opioid use disorder in pediatric primary care. Substance Abuse, 39(2). 173-181. DOI: 10.1080/08897077.2018.1455165
(Walter et al 2018 in folder) Walter, H.J., Kackloudis, G., Trudell, E.K., Vernacchio, L., Bromberg, J., DeMaso, D.R., & Focht, G. (2018). Enhancing pediatricians’ behavioral health competencies through child psychiatry consultation and education. Clinical Pediatrics 57(8), 958-969 https://doi.org/10.1177/0009922817738330
Walter, H.J., Vernacchio, L., Correa, E.T., Bromberg, J., Goodman, E., Barton, J., Young, G.J., DeMasso, D.R., & Focht, G. (2021). Five-phase replication of behavioral health integration in pediatric primary care. Pediatrics. 148(2): e2020001073. https://doi.org/10.1542/peds.2020-001073