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.
Tiffany Rybak, PhD, Assistant Professor, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
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.
American Academy of Pediatrics. (2021, October). AAP-AACAP-CHA declaration of a national emergency in child and adolescent mental health.
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.
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.
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.