Integrated Early Childhood Behavioral Health in Primary Care

1. Front Matter

   Pages i-xx

   PDF

2. Introduction

   • Rahil D. Briggs

   Pages 1-6

3. The Clinical Adverse Childhood Experiences (ACEs) Questionnaire: Implications for Trauma-Informed Behavioral Healthcare

   • Anne Murphy, Howard Steele, Miriam Steele, Brooke Allman, Theodore Kastner, Shanta Rishi Dube

   Pages 7-16

4. The Economics of Child Development

   • Andrew D. Racine

   Pages 17-33

5. The Goodness of Fit between Evidence-Based Early Childhood Mental Health Programs and the Primary Care Setting

   • Dana E. Crawford, Rahil D. Briggs

   Pages 35-70

6. Healthy Steps for Young Children: Integrating Behavioral Health into Primary Care for Young Children and their Families

   • Margot Kaplan-Sanoff, Rahil D. Briggs

   Pages 71-83

7. Workforce Development for Integrated Early Childhood Behavioral Health

   • Rebecca Schrag Hershberg, Rahil D. Briggs

   Pages 85-104

8. Healthy Steps at Montefiore: Our Journey from Start Up to Scale

   • Rahil D. Briggs, Rebecca Schrag Hershberg, Miguelina Germán

   Pages 105-116

9. Cultural Considerations in Integrated Early Childhood Behavioral Health

   • Helena Duch, Kate Cuno, Miguelina Germán

   Pages 117-142

10. Funding, Financing, and Investing in Integrated Early Childhood Mental Health Services in Primary Care Settings

    • Ayelet Talmi, Melissa Buchholz, Emily F. Muther

    Pages 143-164

11. Considerations for Planning and Conducting an Evaluation

    • Ellen Johnson Silver, Rosy Chhabra

    Pages 165-179

12. Integrating Early Childhood Behavioral Health into Primary Care: The Pediatrician’s Perspective

    • Diane Bloomfield, Nicole Brown, Karen Warman

    Pages 181-190

13. Stories from the Exam Room: Case Examples of Healthy Steps Interventions at Montefiore

    • Laura Krug, Polina Umylny

    Pages 191-205

14. Back Matter

    Pages 207-212

    PDF

This book provides a step-by-step guide to integrating early childhood behavioral health care into primary care with hands-on advice for creating, implementing, and evaluating programs. It discusses the unique advantages of pediatric primary care as a setting for mental health services from birth into the early school years, particularly for addressing parent/child stress and trauma issues. Contributors illustrate in depth how bringing behavioral health into pediatric services can engender care that is replicable and sustainable, not only cost-effective but also clinically effective. Guidelines and case examples from frontline practitioners highlight typical challenges and workable recommendations.


Among the featured topics:


• The fit between early intervention programs and primary care.
• Staffing, workforce development, and funding issues.
• On-the-job teamwork concerns, from time constraints to continuity of care.
• Culturally competent care geared toward key child care issues.
• Intervening with parents of young children in the integrated pediatric setting.


Integrated Early Childhood Behavioral Health in Primary Care is an essential resource for clinicians/practitioners, graduate students, and researchers in child and school psychology, pediatrics, and social work.

• Adverse childhood experiences
• Early childhood behavioral health programming
• Early childhood brain development
• Early childhood mental health
• Healthy Steps for Young Children
• Integrated pediatric behavioral health
• Intergenerational interventions
• Parent-child relationships
• Parental mental health and wellbeing
• Prevention and intervention in early childhood
• Preventive mental health care
• Primary care pediatrics
• Programming models
• Reimbursement models
• Social emotional and developmental problems
• Stress-related disease and cognitive impairment
• Toxic stress and early brain development
• Two-generation interventions
• Workforce training

• Montefiore Health System, Bronx, USA

  Rahil D. Briggs

Rahil D. Briggs, Psy.D., is Associate Professor of Pediatrics at Albert Einstein College of Medicine, Director of Healthy Steps at Montefiore, and the Director of Pediatric Behavioral Health Services at Montefiore Medical Group. Dr. Briggs joined Einstein and Montefiore in 2005 as the Director and Founder of Healthy Steps at Montefiore. She was appointed Assistant Professor of Pediatrics in 2008 and expanded the Healthy Steps program to multiple sites within Montefiore Medical Group in 2009 and 2013. She was named the Director of Pediatric Behavioral Health Services at Montefiore in 2013 to spearhead the formation of one of the most comprehensive integrated pediatric behavioral health system in the nation. Her work concentrates on co-location of mental health specialists within primary care pediatrics, with a focus on prevention, early childhood mental health and development, and parent-child relationships. Dr. Briggs completed her undergraduate work at Duke University (magna cum laude) and her doctoral work at New York University.

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