Name
Up and Away – Piloting system level change across a pediatric primary care physicians’ network
Description

The Pediatric Physicians’ Organization at Boston Children’s Hospital (PPOC) is the largest association of independent pediatric primary care providers in Massachusetts. The Behavioral Health Integration Program provides QI guidance and technical assistance for BHI to over 100 practices. This past year, BHIP piloted two initiatives aimed at improving adherence to best practices around suicide screening, and easing access and understanding of BH community resources based on acuity. This program will describe the need and design for these pilots, their implementation, and results/update on wider network wide adoption.  

Speakers
Daniel Robb MSW, LICSW, BH Integration Manager, Pediatric Physicians' Organization at Children's, Wellesley, MA
Maria Arrojo Master's, Senior BH Integration Manager, Pediatric Physician's Organization at Children's (PPOC)- Boston Children's Hospital, Wellesley Hills, MA
Alison Carroll MSW, LICSW, Behavioral Health Integration Manager, Pediatric Physician's Organization at Children's (PPOC) - Boston Children's Hospital, Wellesley, Massachusetts
Katie Curran LICSW, Behavioral Health Integration Manager, Boston Children's Hospital, Halifax, Massachusetts
Daniel Robb Maria Arrojo Alison Carroll Katie Curran
Content Level
Intermediate
Tags
Care management, Population and public health, Suicide
Session Type
Concurrent
SIG or Committee
None of the Above
Objective 1
Describe implementation of pilots for pediatric primary care network and data collection strategies for wider dissemination of workflows and resources
Objective 2
Identify process of creating screening and follow up workflows for concerns of suicide that follow best practice guidelines while being sustainable for providers
Objective 3
Describe a stepped care model approach to primary care behavioral health and identify available clinical and care coordination tools to implement such a model
Content Reference 1

Abbott-Smith, S., Ring, N., Dougall, N., & Davey, J. (2023). Suicide prevention: What does the evidence show for the effectiveness of safety planning for children and young people? - A systematic scoping review. Journal of psychiatric and mental health nursing, 30(5), 899–910. https://doi.org/10.1111/jpm.12928

Content Reference 2

Plax, K., Leshem, E., Dodd, S., Wang, R., Rook, S., Ericson, L., & Solsrud, A. (2024). Pediatric Primary Care Provider Perspectives on Universal Suicide Screening. Journal of primary care & community health, 15, 21501319241271321. https://doi.org/10.1177/21501319241271321

Content Reference 3

Aguinaldo, L. D., Sullivant, S., Lanzillo, E. C., Ross, A., He, J. P., Bradley-Ewing, A., Bridge, J. A., Horowitz, L. M., & Wharff, E. A. (2021). Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics. General hospital psychiatry, 68, 52–58. https://doi.org/10.1016/j.genhosppsych.2020.11.006

Content Reference 4

Walter, H. J., Vernacchio, L., Correa, E. T., Bromberg, J., Goodman, E., Barton, J., & Young, G. J. (2021). Five-phase replication of behavioral health integration in pediatric primary care. Pediatrics, 148(2), e2020001073. https://doi.org/10.1542/peds.2020-001073

Content Reference 5

Walter, H. J., Vernacchio, L., Trudell, E. K., Bromberg, J., Goodman, E., Barton, J., & Young, G. J. (2019). Five-year outcomes of behavioral health integration in pediatric primary care. Pediatrics, 144(1), e20183243. https://doi.org/10.1542/peds.2018-3243