Objective: Psychosocial concerns are common among youth with Type I diabetes; psychosocial screening and integrated care models can address these concerns. Medical providers are key stakeholders, but their perspectives on the role of mental health within pediatric diabetes care represent a gap in the literature. This study aimed to describe pediatric diabetes care providers’ views on the relationship between psychosocial stress and diabetes, their experiences with psychosocial screening and psychological consultation within their clinic, and their suggestions for mental health professionals working with youth who have diabetes. Method: All endocrinologists, fellows, and diabetes educators involved with psychosocial screening and psychology consultations ( N = 7; 71.4% female, 42.9% Hispanic/Latinx White, 28.6% Non-Hispanic/Latinx White, 28.6% Asian) at a single outpatient pediatric diabetes clinic participated in semistructured interviews. Qualitative data were analyzed via thematic content analysis. Results: Providers described a bidirectional relationship between psychosocial stress and diabetes management. They expressed positive views of psychosocial screening and the clinic’s integrated psychology team, which allow them to focus on the medical aspect of care and gain comfort with mental health. Providers offered suggestions to improve coordination and communication with mental health professionals. Conclusions: Pediatric diabetes care providers valued psychosocial screening and benefited from collaboration with the clinic psychology team. Clinics without access to mental health professionals may struggle to sustain screening practices. Eliciting medical providers’ opinions and using other implementation science strategies are important for incorporating psychosocial screening and intervention within pediatric diabetes clinics, especially for clinics with unique models for psychological services. Implications for Impact Statement: Medical providers in a pediatric diabetes clinic reported positive views of psychosocial screening and psychology consultations. Interdisciplinary collaboration with mental health professionals may promote medical providers’ comfort, confidence, and competence navigating their patients’ mental health concerns and ultimately improve care for youth with Type I diabetes mellitus. Obtaining medical providers’ perspectives is important for effective implementation of psychosocial screening procedures in diabetes clinics with varying models for access to mental health services.

Behavior problems in young children, especially among families from disadvantaged backgrounds (e.g., facing greater risk of poverty, social exclusion, discrimination, and violence), often result in referrals to mental health clinics. However, low‐income families from historically marginalized racial and ethnic backgrounds disproportionately experience barriers to accessing, engaging, and completing treatment. This study examined the recruitment and referral network of a parenting program providing Parent‐Child Interaction Therapy (PCIT) in a large urban academic medical center and affiliated community‐embedded clinics, as well as the impact of recruitment/referral sources on screening paperwork completion, intake attendance, and treatment completion. Data from 2510 families referred between 2018 and 2022 were analyzed, considering demographic factors and recruitment adaptations during COVID‐19. Referral sources included but were not limited to community agencies, social media, and healthcare providers. Logistic regression analyses determined the likelihood of completing the screening paperwork, attending intake, and completing treatment based on recruitment/referral sources. Every recruitment/referral source increased the likelihood of screening paperwork completion (except community outreach). Every source increased the likelihood of attending intake (except previously enrolled families). Treatment completion was significantly more likely for those referred from pediatricians, friends, behavioral health, and Google. After COVID‐19 (post March 2020), families were more likely to complete the screening paperwork, attend intake, and complete treatment compared to families screened before COVID‐19. Effective recruitment and retention strategies are crucial for engaging families in mental health services. Findings emphasize the role of community and healthcare providers, word‐of‐mouth, and Google and the benefits of telehealth (indicated by post‐COVID‐19 results), in improving treatment access and retention, highlighting the need for flexible service delivery methods.

Background: Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for child disruptive behavior problems, but access barriers historically limit its reach. Objective: This study examined the reach, effectiveness, adoption, and implementation of Pocket PCIT Online, a self-directed web-based adaptation of PCIT. Methods: In an open trial, 1480 caregivers accessed the free 4-week Pocket PCIT Online intervention. Measures of child behavior, parenting stress, and family conflict were collected pre- and postintervention. Reach, effectiveness, adoption, and implementation were assessed using an implementation science framework. Results: Significant improvements were observed across all outcome measures for intervention completers (n=204). Caregivers reported increased positive child behaviors (Cohen’s d=0.87) and decreased parenting distress (Cohen’s d=−0.3) following completion of Pocket PCIT Online. Of note, approximately 35.8% (73/204) of caregivers reported clinically significant improvements in their children’s frequency of disruptive behaviors. However, only 16.5% (204/1234) of participants completed postintervention measures. Caregivers completed Pocket PCIT Online at a significantly higher rate prior to the COVID-19 national emergency (21/74, 28%) than during or after the onset of COVID-19 (183/1158, 15.8%). Conclusions: While Pocket PCIT Online demonstrates potential as a low-cost, accessible, and scalable public health intervention for child disruptive behaviors, strategies to enhance retention and broaden reach to historically underserved populations are needed.