Name
E05 - Addressing and Dismantling Stigma: Promotion and Strategies in a Pediatric Integrated Care Setting
Description

Pediatric mental health stigma – misconceptions and fear of judgement, creates barriers to seeking and obtaining care.  This can often lead to the marginalization of children and families and the perpetuation of symptoms and distress. This session includes strategies to normalize mental health concerns in the primary care setting, such as using certain terminology, ways to introduce a provider in WHOs, and appointment strategies to address potential self-stigma. Attendees will be empowered to use these recommendations in their own practice to help decrease mental health care stigma with children, families, and within care systems.

Date & Time
Friday, October 25, 2024, 11:15 AM - 11:45 AM
Speakers
Anne Bird, Medical Program Director, Rady Children's Hospital - San Diego
Melanie Goldman, Lead Integrated Health Therapist, Rady Children's Hospital
Isamar Cortes, Integrated Health Therapist, Rady Children's Hospital
Sarah Porras, Integrated Health Therapist, Rady Children's Hospital
Camille Ramirez, Integrated Health Therapist, Rady Children’s Hospital
Anne Bird Melanie Goldman
Content Level
All Audience
Tags
Medical, Patient-centered care or Patient perspectives, Pediatrics, Primary Care Behavioral Health Model
Session Type
Concurrent
SIG or Committee
Peds, Medical
Location Name
Bowie C
Objective 1
Understand how the Rady Children’s PCMHI model breaks down mental health care stigma by providing whole-child care, with both medical and mental health treatment, for children and adolescents.
Objective 2
Identify at least 3 strategies for addressing stigma among patients and families in receiving mental and behavioral health care in the primary care setting.
Objective 3
Identify a range of interventions that can be adapted and scaled to other institutions – to address and dismantle stigma.
Content Reference 1

Phelan SM, Salinas M, Pankey T, Cummings G, Allen JP, Waniger A, Miller NE, Lebow J, Dovidio JF, van Ryn M, Doubeni CA. Patient and Health Care Professional Perspectives on Stigma in Integrated Behavioral Health: Barriers and Recommendations. Ann Fam Med. 2023 Feb;21(Suppl 2):S56-S60. doi: 10.1370/afm.2924. PMID: 36849477; PMCID: PMC9970680

Content Reference 2

Schweitzer J, Bird A, Bowers H, Carr-Lee N, Gibney J, Schellinger K, Holt JR, Adams DP, Hensler DJ and Hollenbach K (2023) Developing an innovative pediatric integrated mental health care program: interdisciplinary team successes and challenges. Front. Psychiatry 14:1252037. doi: 10.3389/fpsyt.2023.1252037

Content Reference 3

Young, N. D., Mathews, B. L., Pan, A. Y., Herndon, J. L., Bleck, A. A., & Takala, C. R. (2020). Warm handoff, or cold shoulder? An analysis of handoffs for primary care behavioral health consultation on patient engagement and systems utilization. Clinical Practice in Pediatric Psychology, 8(3), 241–246. https://doi.org/10.1037/cpp0000360

Content Reference 4

Taylor RM, Minkovitz CS. Warm Handoffs for Improving Client Receipt of Services: A Systematic Review. Matern Child Health J. 2021 Apr;25(4):528-541. doi: 10.1007/s10995-020-03057-4. Epub 2021 Jan 3. PMID: 33392929

Content Reference 5

American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Collaborative and Integrated Care and AACAP Committee on Quality Issues. Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care. Journal of the American Academy of Child and Adolescent Psychiatry. 2023;62(2):91-119. doi: https://doi.org/10.1016/j.jaac.2022.06.007