A recently published study on integrating mental health care into a pediatric rheumatology specialty clinic, supported by the Cure JM Foundation, concluded that the need for mental health care is great, and despite the challenges, with the coordination of various stakeholders, it is possible. Published in Frontiers, the principal authors were Dr. Susan Shenoi, a pediatric rheumatologist and Director of the Cure JM Center of Excellence at Seattle Children’s Hospital; Dr. Joanna Patten, psychologist; Stacey Haynes, psychologist; and Suzanne Edison, JM parent, former counselor, and the Mental Health Coordinator at Cure JM.
It is well known that youth with rheumatological or autoimmune diseases often have coexisting mental health symptoms, including anxiety and depression, that are difficult to address in the span of a medical visit to their rheumatologist. Yet, according to focus group studies that Cure JM funded and conducted in 2018, both parents and patients feel most comfortable with their pediatric rheumatologist and would prefer to speak to, or be approached for mental health support, in their office.
As a result of these findings, Suzanne Edison approached Dr. Shenoi about the possibility of integrating mental health services (psychoeducation, screening assessments, counseling, and referrals) into the Center of Excellence clinic on a regular basis, effectively making it a standard of care. This paper describes not only the need for mental health services and the barriers to integrating psychological services, but looks at one successful model, called Embedded Behavioral Health Care (EBHC), and the steps it took to achieve it.
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