Name
Working within Existing Systems to Establish and Expand Integration in Pediatric Primary and Specialty Care: Panel discussion on strategies and lessons learned
Description
The importance of integrated care in addressing the mental health crisis for children and adolescents in this country is well established. However, clinics and hospitals are in various stages of integration, utilize differing models, and are continuously working to further enhance and optimize integration. This panel offers perspectives from three unique settings: a co-located pediatric primary care practice moving toward greater integration, a pediatric inpatient hospital-based care practice moving into specialty care clinics, and a pediatric integrated primary care practice focused on enhancing integration. The panelists will share how they engaged key stakeholders, worked with limited resources, developed community based participatory research, and gathered quality improvement data while focusing on lessons learned and key insights for future pathways.
Speakers
Mary Shea PhD, Postdoctoral Scholar, Individual - Mary Shea, Lexington, Kentucky
Nicole Piland PhD, LMFT, Professor of Practice, Texas Tech University, Lubbock, TX
Megan Cassidy PhD, Psychologist, Mayo Clinic, Rochester, MN
Kristen Thompson PhD, Assistant Professor, Missouri State University, Springfield, MO
Nicole Piland PhD, LMFT, Professor of Practice, Texas Tech University, Lubbock, TX
Megan Cassidy PhD, Psychologist, Mayo Clinic, Rochester, MN
Kristen Thompson PhD, Assistant Professor, Missouri State University, Springfield, MO

Co-Authors
Tess Thomas, PhD, Assistant Professor, University of Kentucky, UKHealthcare, Lexington, KY
Hannah Mulholland, MSW, LICSW, Assistant Professor of Social Work, Mayo Clinic, Rochester, MN
Hannah Mulholland, MSW, LICSW, Assistant Professor of Social Work, Mayo Clinic, Rochester, MN
Content Level
All Audience
Tags
Pediatrics, Quality improvement programs
Session Type
Concurrent
SIG or Committee
Pediatrics (PEDs)
Objective 1
Identify barriers to and facilitators for implementation and expansion of pediatric integrated care in various settings.
Objective 2
Explore solutions for addressing barriers to implementation and expansion.
Objective 3
Engage in group discussion regarding strategies for enhancing integration in pediatric settings across primary and specialty care.
Content Reference 1
SAMHSA (n.d.). Integrating Behavioral Health Services Within Specialty Practices Serving Pediatric Populations. https://library.samhsa.gov/sites/default/files/integrating-services-serving-pediatric-pep25-06-001.pdf
Content Reference 2
Mental health prevalence - Centers for Disease Control and Prevention. (2024). Youth Risk Behavior Survey Data Summary & Trends Report: 2013–2023. Retrieved from https://www.cdc.gov/yrbs/dstr/.
Content Reference 3
Nguyen, A. M., Klege, R. A., Menders, T., Verma, C., Marcello, S., & Crabtree, B. F. (2024). Strategies for Implementing Integrated Behavioral Health into Health Centers. The Journal of the American Board of Family Medicine, 37(5), 833–846. https://doi.org/10.3122/jabfm.2023.230417R1
Content Reference 4
Robinson, P. J., & Reiter, J. T. (2025). Behavioral consultation and primary care: A guide to integrating services. Springer.
Content Reference 5
Schweitzer, J., Bird, A., Bowers, H., Carr-Lee, N., Gibney, J., Schellinger, K., Holt, J. R., Adams, D. P., Hensler, D. J., & Hollenbach, K. (2023). Developing an innovative pediatric integrated mental health care program: Interdisciplinary team successes and challenges. Frontiers in Psychiatry, 14, 1252037. https://doi.org/10.3389/fpsyt.2023.1252037