Using the Quality Improvement (QI) Tool Failure Modes and Effects Analysis (FMEA) to Examine Implementation Barriers to Common Workflows in Integrated Pediatric Care

The present study demonstrates that Failure Modes and Effects Analysis (FMEA) is a useful quality improvement (QI) tool to identify barriers of implementing pediatric BH integration and systematically planning improvement efforts. Behavioral health clinicians, including pediatric psychologists, primary care providers, and other members of the primary care team can leverage these findings to inform behavioral health (BH) integration model implementation in the pediatric primary care setting.


BRANCH (Building Resilience And Nurturing CHildren) is a brief trauma-informed, extended screening and assessment intervention developed for integrated behavioral health clinicians who practice in primary care pediatric settings. This report provides a summary of BRANCH’s development and implementation during the period of September 2017-May 2020.

Perceptions of the Implementation of Pediatric Behavioral Health Integration in 3 Community Health Centers

Child with toy block

Pediatric behavioral health integration (BHI) represents a promising approach to address unmet child mental health need but little research exists to guide BHI implementation. Through in-depth interviews with 38 professionals involved in a comprehensive pediatric BHI initiative at 3 community health centers, we explored perceptions of the impact of BHI on clinical practice, and facilitators and barriers to BHI implementation.