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
Natalie Fjellanger LCSW-S, Director of Integrated Behavioral Health, Waco Family Medicine, Waco, TX
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