TABLE 1

Promising Adaptations of Mental Health Treatment for Primary Care

Pediatric SettingsParallels in Mental Health Services
Emphasis on patient-centered care and joint decision-making building trust and activationCommon-factors psychotherapeutic processes promoting engagement, optimism, alliance
Initial treatment often presumptive or relatively nonspecificStepped-care models with increasing specificity of diagnosis and intensity of treatment
Treatment based on brief counseling focused on patient-identified problems"Common elements"
Links with community services, advice addressing family and social determinantsPeer and/or family navigators
  • Adapted from Wissow LS, van Ginneken N, Chandna J, Rahman A. Integrating children’s mental health into primary care. Pediatr Clin North Am. 2016; 63(1):101.