Abstract
With a decade of experience in integrated early childhood behavioral health programming, we present our lessons learned from Montefiore. We begin with our program model and chart the progression of the model as we expanded. We note why we made certain changes to the model, and how taking the model to scale throughout our system required modifications. We share our top three lessons learned: breaking down silos while respecting the medical hierarchy, navigating thorny issues of privacy related to documentation and communication, and the need to battle isolation as integrated behavioral health providers.
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Acknowledgements
Funding for Healthy Steps at Montefiore has been provided by the Altman Foundation, The Price Family Foundation, The Tiger Foundation, The Marks Family Foundation, the Child Welfare Foundation, The Stavros Niarchos Foundation, The Grinberg Family Foundation, The Hearst Foundation, and the New York City Council Children’s Mental Health under 5 Initiative. The authors also wish to thank Dr. Andrew Racine for leadership, support and guidance throughout the lifespan of Healthy Steps at Montefiore.
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© 2016 Springer International Publishing Switzerland
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Briggs, R.D., Hershberg, R.S., Germán, M. (2016). Healthy Steps at Montefiore: Our Journey from Start Up to Scale. In: Briggs, R. (eds) Integrated Early Childhood Behavioral Health in Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-31815-8_7
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DOI: https://doi.org/10.1007/978-3-319-31815-8_7
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