Name
I11 - Back to the Future: A Look at a Decade of the PPOC Behavioral Health Integration Program and a Glimpse into the New Era of Pediatric Integration
Description

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.

Date & Time
Saturday, October 26, 2024, 10:00 AM - 11:00 AM
Maria Jesus (Chus) Arrojo Daniel Robb Alison Carroll Katie Curran
Content Level
All Audience
Tags
Outcomes, Pediatrics, Team-based care, Technical assistance, Training/Supervision
Session Type
Concurrent
SIG or Committee
Peds
Location Name
Presidio C
Objective 1
Identify 3 keys to success in implementing BH integration across a network of independent pediatric providers
Objective 2
Describe elements of education, quality improvement, and collaboration with a medical center to support and sustain BH integration in community pediatric settings
Objective 3
Discuss future areas of research and exploration for model expansion with particular focus on reducing child and youth health disparities in Massachusetts
Content Reference 1
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
Content Reference 2
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
Content Reference 3
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
Content Reference 4
(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
Content Reference 5
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