In partnership with a multi-site, Los Angeles-area community clinic consortium, North East
Valley Health Corporation (NEVHC), the investigators will use telehealth to integrate
pediatric developmental, behavioral and mental health (DB/MH) services into primary care for
low-income, publicly insured children. During Project Year 1, the investigators used
qualitative methods to conduct and analyze interviews with parents, clinicians, and staff at
NEVHC to assess their perspectives on the delivery of child DB/MH services and on a potential
telehealth-based patient visit, coordination, and clinician education system for the
provision of DB/MH specialty care in primary care settings to children ages 5-12. This data
was used in a stakeholder-engaged process to customize a telehealth-based delivery system for
pediatric DB/MH services that can be integrated into primary care settings.
During Project Years 2-3, the investigators will conduct a cluster randomized controlled
trial (RCT) to compare the customized telehealth-based patient visit, coordination, and
clinician education system to the usual in-person, community- based referral system at NEVHC.
This study will examine whether a telehealth developmental, behavioral and mental health
delivery model can be an effective, efficient, and family-centered way to provide integrated
DB/MH services to children in low-income communities.