Original Investigation

Integrated Behavioral Health Services and Psychosocial Symptoms in Children

JAMA Network Open 10.1001/jamanetworkopen.2025.32020

September 16, 2025 at 11:00 AM EDT

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Are integrated pediatric behavioral health services associated with improved psychosocial symptoms in children who receive care at federally qualified health centers?This cohort study included 942 unique children aged 4 to 18 years with an identified behavioral health concern at 4 Massachusetts federally qualified health centers with integrated behavioral health care. Receipt of encounters with behavioral health clinicians and psychotropic prescriptions were associated with improved psychosocial symptoms, although there was no association of community health worker encounters with changes in symptoms.These findings suggest that integrated behavioral health treatment at federally qualified health centers may improve psychosocial symptoms among children identified with behavioral health concerns.

Corresponding Author: R. Christopher Sheldrick, PhD, Department of Psychiatry, University of Massachusetts Chan Medical School, 222 Maple Avenue, Shrewsbury, MA 01545 (radley.sheldrick@umassmed.edu).

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