ArticleHealth services research2019
The effects of integrating behavioral health into primary care for low-income children.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Contextual determinants associated with children's and adolescents' mental health care utilization: a systematic review.European child & adolescent psychiatry · 2024Pooled it
- Interprofessional teams and capacity in collaborative primary care: a rapid scoping review.Systematic reviews · 2026Article
- A practice-based implementation strategy bundle for integrating behavioral health in primary care: a matrixed multiple case study.Implementation science communications · 2026Article
- Medicaid Accountable Care Model Designs and Maternal Health Measures.JAMA network open · 2025Article
- Integrated Behavioral Health Services and Psychosocial Symptoms in Children.JAMA network open · 2025Article
- Practice-Based Models of Pediatric Mental Health Care.Pediatric clinics of North America · 2024Review
- Disparities in Access to Mental Health Services Among Children Diagnosed with Anxiety and Depression in the United States.Community mental health journal · 2024Article
- Massachusetts Medicaid ACO Program May Have Improved Care Use And Quality For Pregnant And Postpartum Enrollees.Health affairs (Project Hope) · 2024Article
- Integrated behavioral health implementation and chronic disease management inequities: an exploratory study of statewide data.BMC primary care · 2024Article
- Association of Integrating Mental Health Into Pediatric Primary Care at Federally Qualified Health Centers With Utilization and Follow-up Care.JAMA network open · 2023Article
- Cost Analysis of Integrated Behavioral Health in a Large Primary Care Practice.Journal of clinical psychology in medical settings · 2022Article
- Behavioural Problems Amongst Pre-School Children in Chongqing, China: Current Situation and Influencing Factors.Risk management and healthcare policy · 2020Article
- The effects of integrating behavioral health into primary care for low-income children.Health services research · 2019Article
- Implementing Parenting Programs in Primary Care: A Framework and a Call for Action.Academic pediatricsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the impact of TEAM UP-an initiative that fully integrates behavioral health services into pediatric primary care in three Boston-area Community Health Centers (CHCs)-on health care utilization and costs. DATA SOURCES: 2014-2017 claims data on continuously enrolled children from a Massachusetts Medicaid managed care plan. STUDY
designWe used a difference-in-difference approach with inverse probability of treatment weights to compare outcomes in children receiving primary care at TEAM UP CHCs versus comparison site CHCs, in the pre (2014-2016q2)- versus post (2016q3-2017)-intervention periods. Utilization outcomes included emergency department visits, inpatient admissions, primary care visits, and outpatient/professional visits (all cause and those with mental health (MH) diagnoses). Cost outcomes included total cost of care (inpatient, outpatient, professional, pharmacy). We further assessed differential effects by baseline MH diagnosis. PRINCIPAL
findingsAfter 1.5 years, TEAM UP was associated with a relative increase in the rate of primary care visits (IRR = 1.15, 95% CI 1.04-1.27, or 115 additional visits/1000 patients/quarter), driven by children with a MH diagnosis at baseline. There was no significant change in avoidable health care utilization or cost.
conclusionsExpanding the TEAM UP behavioral health integration model to other sites has the potential to improve primary care engagement in low-income children with MH needs.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.