Activity ID



March 3, 2021

Format Type


CME Credit



CME Provider

Oregon Health & Science University School of Medicine


According to a 2017 article in Clinical Pediatrics, “The top 5 reasons for pediatric office visits in the United States today are behavioral health concerns.”
In a November 2017 research brief, The Substance Abuse and Mental Health Services Administration (SAMHSA) notes that “The integration of behavioral health services into pediatric primary care settings is a key strategy for advancing health promotion and prevention among children and families.”

Despite the need and the support for integrating behavioral health care into clinics, there are still significant barriers for practices in implementing this model. These include challenging payment models which include carve-outs of mental health from physical health, as well as there often being significant billing practice differences between commercial and Medicaid carriers; Many brief services provided by a behavioral health clinician in an integrated setting are not reimbursable, making the integrated model often difficult to sustain financially; Understanding the roles of medical providers and behavioral health providers in an integrated setting can be challenging when clinicians have trained and practiced separately.

This ECHO will support clinics in learning how to run a pediatric clinic with a behavioral health services completely immersed.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

1. Define Integrated Behavioral Health (IBH) to create a common language between Behavioral Health Clinicians (BHC) and Pediatricians.
2. Create efficient, cohesive workflows to maximize the skillsets of both BHCs and Pediatricians to increase provider satisfaction, decrease provider burnout and increase quality of care for pediatric patients and their families.
3. Identify and understand various payment models for BHC services to create sustainable funding for BHCs within Pediatric Practices.
4. Expand the scope of BHCs in Pediatric Practices to maximize impact and reach of IBH to both pediatric patients and medical providers.


Interpersonal & Communication Skills, Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban

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