TABLE 2

Proposed Approaches for Enhancing Residency Training in Behavioral and Mental Health

Proposed SolutionNecessary ParticipantsExisting ResourcesProposed Timeline
Robust behavioral and mental health curriculum
  • Residency program directors

  • Faculty (eg, general academics, developmental/behavioral, adolescent medicine, other subspecialty)

  • Community practitioners

  • Child and adolescent psychiatrists

  • Child psychologists

  • Social workers

  • Pediatric Review Committee of the ACGME

  • ABP

  • AAP’s Mental Health Competencies for Pediatric Primary Care17

  • AAP Mental Health Curriculum18

  • Existing curricula at local institutions

2 y and ongoing
Tools aimed at assessing entrustment for unsupervised practice as described in the EPAs
  • Residency program directors

  • Faculty (eg, general academics, developmental/behavioral, adolescent medicine, other subspecialty)

  • Child and adolescent psychiatrists

  • Nonphysician mental health faculty

  • ABP

Existing assessment instruments at local institutions3–5 y and ongoing
Appropriate training environments
  • Department chairs

  • Program directors

  • Pediatrician and nonphysician faculty

  • Community practitioners

  • Child and adolescent psychiatrists

  • Continuity clinics19,20

  • Adolescent medicine clinics

  • Community pediatrician offices

  • Behavioral and mental health services

  • Schools

  • Community mental health services

  • Tele–mental health

2–3 y and ongoing
Faculty development for pediatrician faculty
  • Department chairs

  • Residency program directors

  • General pediatric faculty

  • Subspecialty pediatricians

  • Community pediatricians

  • Developmental/behavioral pediatrician faculty

  • Child and adolescent psychiatry faculty

  • Opportunities offered through the Association of Pediatric Program Directors, Society for Adolescent Health and Medicine, Society for Developmental and Behavioral Pediatrics, AACAP, AAP, and ABP Lifelong Learning and Self-Assessment Modules

  • Psychologists

  • Social workers

2–3 y and ongoing
Collaboration with nonpediatrician clinicians and trainees
  • Child and adolescent psychiatrists and trainees

  • Child psychologists and trainees

  • Social workers and trainees

  • Other providers (eg, parent or peer mentor)

Colocated and integrated mental health services in some programs2–3 y and ongoing