Licensed behavioral health providers (LBHPs) were integrated into 5 pediatric primary care practices in southeast and east Texas from October 2018 through March 2020. LBHPs Licensed behavioral health providers across the sites were 3 licensed clinical social workers (LCSW), 1 psychologist, and 1 nurse practitioner (NP). Practices provided data for 6 to 15 months. Overall, 2769 units of behavioral health services were provided to 746 children over 2243 hours. Across 4 sites, 44.3% of behavioral health patients were diagnosed with trauma disorders, 22.1% with anxiety, 19.3% with attention-deficit hyperactivity disorder, 15.1% with depression, and 10.9% with disruptive behavior disorders. Overall, the model was financially successful at 2 sites (LCSWs) and unsuccessful at 1 site (NP). The other 2 sites demonstrated potential for financial sustainability with increased behavioral health patient volume. Overall, this model is a financially viable option for pediatric primary care practices with adequate patient volumes to provide integrated behavioral health services.

从 2018 年 10 月到 2020 年 3 月，获得许可的行为健康提供者 (LBHP) 被整合到德克萨斯州东南部和东部的 5 个儿科初级保健实践中。LBHP 的许可行为健康提供者包括 3 名获得许可的临床社会工作者 (LCSW)、1 名心理学家和 1 名执业护士 (NP)。实践提供了 6 到 15 个月的数据。总体而言，在 2243 小时内为 746 名儿童提供了 2769 个行为健康服务单元。在 4 个地点，44.3% 的行为健康患者被诊断出患有创伤性障碍，22.1% 患有焦虑症，19.3% 患有注意力缺陷多动障碍，15.1% 患有抑郁症，10.9% 患有破坏性行为障碍。总体而言，该模型在 2 个站点 (LCSW) 上取得了财务上的成功，但在 1 个站点 (NP) 上失败了。其他 2 个站点展示了随着行为健康患者数量的增加而实现财务可持续性的潜力。总的来说，对于具有足够患者数量的儿科初级保健实践来说，这种模式是一种经济上可行的选择，可以提供综合行为健康服务。