Name
Expanding Access through Partnership: How Integrated Child Psychiatry Extended to a Community Pediatric Practice
Description

Hear from key representatives of two organizations who worked to bridge access for an integrated child and adolescent psychiatry model to a large pediatric practice. This session reviews how the PHLOW Program, an integrated psychiatric care model within La Clinica, was successfully extended to Southern Oregon Pediatrics, the largest pediatric practice in the region. We discuss big picture ideas, such as finding compatibility with missions, down to the fine details of solving logistical barriers to partnership. We also review the expansion’s mutual value to providers and patients, and opportunities for ongoing support outside of direct consultation and care.

Speakers
Kyle Rutledge DO, PhD, Psychiatrist | Child & Adolescent Psychiatrist, La Clinica Wellness Center, Medford, OR
Lona Dillard MSW, LCSW, Behavioral Health Consultant, Southern Oregon Pediatrics, Medford, Oregon
Lona Dillard
Co-Authors
Rosa Ruggiero, PMHNP, Psychiatric Services Director, La Clinica, Medford, OR

Mary Hough, MD, Pediatrician, Southern Oregon Pediatrics, Medford, OR
Content Level
All Audience
Tags
Pediatrics, Primary Care Behavioral Health Model, Psychiatry
Session Type
Concurrent
SIG or Committee
Pediatrics (PEDs), Primary Care Behavioral Health (PCBH)
Objective 1
Anticipate and address barriers to expanding an integrated behavioral health pediatric psychiatry program to another organization.
Objective 2
Consider ways to gradually increase buy-in from individual medical providers in utilization of an integrated behavioral health pediatric psychiatry program.
Objective 3
Appreciate the value of expanding an integrated behavioral health pediatric psychiatry program, including upskilling of medical staff and supporting patients through more extensive collaborative care.
Content Reference 1

Ader, J., Stille, C. J., Keller, D., Miller, B. F., Barr, M. S., & Perrin, J. M. (2015). The medical home and integrated behavioral health: advancing the policy agenda. Pediatrics, 135(5), 909–917. https://doi.org/10.1542/peds.2014-3941

Content Reference 2

Basu, S., Landon, B. E., Williams, J. W., Jr, Bitton, A., Song, Z., & Phillips, R. S. (2017). Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices. Journal of general internal medicine, 32(12), 1330–1341. https://doi.org/10.1007/s11606-017-4177-9

Content Reference 3

Druss, B. G., & Goldman, H. H. (2018). Integrating Health and Mental Health Services: A Past and Future History. The American journal of psychiatry, 175(12), 1199–1204. https://doi.org/10.1176/appi.ajp.2018.18020169

Content Reference 4

Reist, C., Petiwala, I., Latimer, J., Raffaelli, S.B., Chiang, M., Eisenberg, D., & Campbell, S. (2022) Collaborative mental health care: A narrative review. Medicine (Baltimore). 101(52):e32554. http://dx.doi.org/10.1097/MD.0000000000032554

Content Reference 5

Ruggiero, R., Rutledge, K., Hoeper, K., & Bridges, L. (2024). Psychiatric Health, Life Skills, and Opportunities for Wellness Program: Addressing psychiatric need through integrated consultation, collaboration, and brief episodes of care.. Families, Systems, & Health. https:// dx.doi.org/10.1037/fsh0000930