Name
Playing the Long Game: Lessons Learned in Advocacy and Implementation of Preventive Behavioral Health Care
Description

Despite the slow reduction in stigma around mental and behavioral health and the increasing awareness of its systemic impact on individuals and families, the healthcare system continues to favor a pathological and interventive perspective. While reimbursement is available for health education around various biological health markers, the idea of preventative behavioral/mental health care has yet to take hold. There are efforts being made to make a paradigm shift to include prevention in behavioral/mental health, for example the provision of a behavioral/mental health well visit, however states can be unique in their challenges and successes. The session will include a rich discussion from panelists on their state’s effort to achieve a reimbursable payment structure for providing preventative behavioral/mental health services (pediatric to adult).

Speakers
Lisa Tyndall PhD, LMFt, Associate Director, Foundation for Health Leadership and Innovation, Cary, NC
Matthew Tolliver PhD, HSP, Associate Professor/Director of Behavioral Health, Individual - Matthew Tolliver,
Cody Hostutler PhD, Pediatric Primary Care Psychologist, Nationwide Children's Hospital, Columbus,
Lisa Powell PhD, Senior Health Policy Expert/Senior Clinical SME, ZERO TO THREE, Louisville, KY
Sarah Tolliver MD, Assistant Professor, ETSU Department of Pediatrics,
Maria Arrojo Master's, Senior BH Integration Manager, Pediatric Physician's Organization at Children's (PPOC)- Boston Children's Hospital, Wellesley Hills, MA
Matthew Tolliver Cody Hostutler Maria Arrojo
Co-Authors
Doug Tynan, PhD, ABPP
Content Level
All Audience
Tags
Policy, Primary Care Behavioral Health Model, Team-based care
Session Type
Concurrent
SIG or Committee
Primary Care Behavioral Health (PCBH)
Objective 1
Evaluate the impact of prevention in mental and relational health by analyzing at least three key benefits and demonstrating the importance of sustaining mental health preventive services in primary care by the end of the session.
Objective 2
Analyze the clinical, operational, and financial components of a primary care mental health well-visit through an implementation science framework, using real-world case studies, and identify at least two key factors influencing successful implementation.
Objective 3
Compare at least three prevention initiatives and sustainability strategies from other states, highlighting their successes and challenges, synthesizing lessons learned throughout their development and identifying at least three actionable takeaways to enhance future integration in primary care practices.
Content Reference 1

Hostutler, C. A., Shahidullah, J. D., Mautone, J. A., Rybak, T. M., Okoroji, C., Bruni, T., Stephenson, K. G., Utset, L. V., Freeman, K. A., LaLonde, L., & Riley, A. R. (2024). 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, jsae038. Advance online publication. https://doi.org/10.1093/jpepsy/jsae038

Content Reference 2

Liljenquist, Kendra et al. (2021). Transforming Well-Child Care to Meet the Needs of Families at the Intersection of Racism and Poverty. Academic Pediatrics, Volume 21, Issue 8, S102 - S107. DOI: 10.1016/j.acap.2021.08.004

Content Reference 3

Zimmermann, M., O’Donohue, W. (2021). The Behavioral Health Wellness Visit. In: O’Donohue, W., Zimmermann, M. (eds) Handbook of Evidence-Based Prevention of Behavioral Disorders in Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-030-83469-2_2

Content Reference 4

Zimmermann, M., O’Donohue, W., & Vechiu, C. (2020). A primary care prevention system for behavioral health: The behavioral health annual wellness checkup. Journal of Clinical Psychology in Medical Settings, 27(2). https://doi.org/10.1007/s10880-019-09658-8

Content Reference 5

Shahidullah, J. D., Hostutler, C. A., Coker, T. R., Allmon Dixson, A., Okoroji, C., & Mautone, J. A. (2023). Child health equity and primary care. The American psychologist, 78(2), 93–106. https://doi.org/10.1037/amp0001064