Name
Children Are Not Small Adults: Do our Models and Lexicon Hold Up in Pediatrics?
Description

Is integration different for youth? This presentation synthesizes evidence from two meta-analyses and a scoping review with taxonomic analysis summarizing what is known about integrated primary care for youth. Overall, the evidence indicates that integrated pediatric primary care improves access to behavioral health services and clinical outcomes. However, the literature reveals substantial inconsistency in how integration models are defined, implemented, and reported. Most studies reporting use of a specific model (e.g., PCBH, CoCM) do not meet essential model components, and several pediatric-specific components and workforce configurations emerged. We conclude by facilitating discussion about whether pediatric research should better report and adhere to adult-derived models or whether pediatric-specific models are needed.

Speakers
Cody Hostutler, PhD
Andrew Riley, PhD
John Parkhurst, PhD
Co-Authors
Jeffrey Shahidullah
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Pediatrics, Primary Care Behavioral Health Model
Session Type
Concurrent
Objective 1
Summarize evidence from meta-analyses on the impact of pediatric integrated primary care on behavioral health access and clinical outcomes.
Objective 2
Identify key components and workforce structures commonly used in pediatric integrated care, including elements that differ from adult-derived models.
Objective 3
Evaluate implications for research and policy, including whether pediatric integrated care should adhere more closely to existing adult models or develop pediatric-specific frameworks.
Content Reference 1

Hostutler, C. A., Shahidullah, J. D., Rybak, T. M., Stephenson, K. G., Freeman, K. A., LaLonde, L., ... & Riley, A. R. (2025). Integrated primary care and mental health service utilization: A meta-analysis. Pediatrics, 156(2), e2025071275.

Content Reference 2

Hostutler, C. A., Shahidullah, J. D., Mautone, J. A., Rybak, T. M., Okoroji, C., Bruni, T., ... & Riley, A. R. (2025). A systematic review and meta-analysis of pediatric integrated primary care for the prevention and treatment of physical and behavioral health conditions. Journal of pediatric psychology, 50(7), 561-578.

Content Reference 3

Shahidullah, J. D., Hostutler, C. A., Coker, T. R., Allmon Dixson, A., Okoroji, C., & Mautone, J. A. (2023). Child health equity and primary care. American Psychologist, 78(2), 93.

Content Reference 4

Hoffmann, J. A., Alegría, M., Alvarez, K., Anosike, A., Shah, P. P., Simon, K. M., & Lee, L. K. (2022). Disparities in pediatric mental and behavioral health conditions. Pediatrics, 150(4), e2022058227.

Content Reference 5

Faucette, R. N., Grant, S. B., Mendenhall, T., Yu, H., & Macchi, C. R. (2025). Advancing integrated health care through family, systems, and health: A brief report. Families, Systems, & Health, 43(1), 22.