Name
H11 - Quick-start Guide to Parent Management Training in Primary Care: Skills and Steps for Stepped Care Implementation
Description

A large community primary care clinic effectively implemented a stepped-care protocol for pediatric patients with externalizing behaviors including brief parent management training (PMT) in-the-exam room, full application of PMT, and training for physicians on trauma-informed interaction and PMT skills to use with pediatric patients. We aim to share the lessons learned from analysis of three years of data about predictors of primary care PMT dropout, learning outcomes of physicians training in the PMT skills, and the feasibility of implementation of this comprehensive program

Date & Time
Friday, October 25, 2024, 4:00 PM - 5:00 PM
Speakers
Lance Kelley, Chief Behavioral Health Officer, Waco Family Medicine
Becky Scott, Teaching Professor, Baylor University
Natalie Fjellanger, Integrated Health Manager Lead, Waco Family Medicine
Becky Scott
Content Level
Intermediate
Tags
Innovations, Medical, Pediatrics, Primary Care Behavioral Health Model, Team-based care
Session Type
Concurrent
SIG or Committee
PCBH, Peds, Medical
Location Name
Presidio C
Objective 1
Be able to list the 4 or more treatment models that address externalized behaviors or trauma and are feasible for use in a primary care clinic.
Objective 2
Identify potential facilitators or barriers in their own healthcare system as relevant to the implementation of a parent management training primary care program.
Objective 3
Demonstrate a minimum of two of the skills taught to physicians when trained in trauma-informed PMT-based exam-room interaction
Content Reference 1

Scott, B., Kelley, L., Schilling, S. (2024)Skills Training for Family Medicine Residents to Attenuate the Impact of Childhood Trauma: A Pilot Study, Family Medicine, 56 (3). 180-184. DOI: 10.22454/FamMed.2024.245065

Content Reference 2

Meadows, T., Vallely, R., & Haack, MK. (2011). Physician “costs” in providing behavioral health in primary care. Clinical Pediatrics, 50, 447–455.

Content Reference 3

Schilling, S., French, B., Berkowitz, S. J., Dougherty, S. L., Scribano, P. V., & Wood, J. N. (2017). Child–Adult Relationship Enhancement in Primary Care (PriCARE): A Randomized Trial of a Parent Training for Child Behavior Problems. Academic Pediatrics, 17(1), 53–60. https://doi.org/10.1016/j.acap.2016.06.009

Content Reference 4

Scott, B., Gurwitch, R. H., Messer, E. P., Kelley, L. P., Myers, D. R., & Young, J. K. (2021). Integrated CARE: Adaptation of Child-Adult Relationship Enhancement (CARE) Model for Use in Integrated Behavioral Pediatric Care. Clinical Pediatrics, 60(2), 100–108. https://doi.org/10.1177/0009922820959938