Name
Defining Prevention: Enhancing Documentation of Integrated Behavioral Health Services
Description

Emotional and behavioral disorders in children and adolescents are rising, and the Integrated Behavioral Health Prevention (IBH-P) model offers a way to address this need by embedding prevention and early intervention services during routine well-child visits. This quality improvement initiative applied a Plan-Do-Study-Act framework to refine and standardize how prevention services are documented in the electronic health record. Findings indicated variability in practices, highlighting a need for standardization. Lessons learned from this implementation effort offer practical guidance for pediatric IBH programs seeking to operationalize prevention services within routine care.

Speakers
Dominique Levert, PhD
Bridget Murphy, PhD
Co-Authors
Austin Burns, PhD, Pediatric Psychologist, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
Tiffany Rybak, PhD, Assistant Professor, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
Content Level
All Audience
Tags
Prevention, Quality improvement programs
Session Type
Poster
Objective 1
Identify documentation challenges across PDSA cycle
Objective 2
Explain why standardization of documentation is essential for team-based care
Objective 3
Identify data trends of practice change over time
Content Reference 1

Ammerman, R. T., Rybak, T. M., Herbst, R. B., Mara, C. A., Zion, C., Patel, M. A., ... & Stark, L. J. (2024). Integrated behavioral health prevention for infants in pediatric primary care: a mixed-methods pilot study. Journal of Pediatric Psychology, 49(4), 298-308.

Content Reference 2

American Academy of Pediatrics. (2021, October). AAP-AACAP-CHA declaration of a national emergency in child and adolescent mental health.

Content Reference 3

Leeb, R. T., Danielson, M. L., Claussen, A. H., Robinson, L. R., Lebrun-Harris, L. A., Ghandour, R., ... & Brown, J. (2024). Trends in mental, behavioral, and developmental disorders among children and adolescents in the US, 2016–2021. Preventing Chronic Disease, 21, E96.

Content Reference 4

Herbst, R. B., McClure, J. M., Ammerman, R. T., Stark, L. J., Kahn, R. S., Mansour, M. E., & Burkhardt, M. C. (2020). Four innovations: A robust integrated behavioral health program in pediatric primary care. Families, Systems, & Health, 38(4), 450.

Content Reference 5

Rybak, T. M., Herbst, R. B., Stark, L. J., Samaan, Z. M., Zion, C., Bryant, A., ... & Ammerman, R. T. (2023). Provider perspectives on an integrated behavioral health prevention approach in pediatric primary care. Journal of Clinical Psychology in Medical Settings, 30(4), 741-752.