CHOP's PolicyLab Análise de participação de mercado de dezembro 2025

This clinical pathway provides a detailed behavior screening tool, supportive resources and interventions for treating a pediatric patient with challenging behaviors in the primary care setting. Primary Care Clinical Pathway for Supporting Childrenwith Challenging Behaviors Goals and Metrics Patient Education Provider Resources Related Pathways Behavioral Health Issues, ED Behavioral Escalations, Outpatient Specialty Care and Primary Care Autism Screening, Primary Care Depression, Outpatient Behavioral Health and Primary Care Suicide Risk and Care, Outpatient Specialty Care Children with Challenging Behaviors that May Impact Medical Care Pre-Visit Evaluation or Review Behavior Safety Alert Preliminary Assessment and Interventions Recognition of Challenging Behaviors Proactive Interventions Communication Strategies Environmental Modifications Room patient, minimize wait time, address sensory sensitivities Safety Planning Patient Engaged in Visit Behavioral Escalation Event De-escalation Techniques and Safety Response De-escalation Techniques and Resources Biopsychosocial Pain Management Safety Response Proceed with Visit Assess opportunity for additional interventions or De-escalation Techniques or Biopsychosocial Pain Management Unable to Proceed with Visit Caregiver/provider/nurse Discussion of supportive options Reschedule visit Debrief with staff Notify leadership, complete KAPS Discharge and Documentation Document behaviors in narrative note, complete Behavior Safety Alert if applicable Consider Consults to HMHK, Social Work, Psychology or Sedation Review anxiety-reducing medications in primary care Consider reviewing Pennsylvania Telephonic Psychiatric Consultation Service Program (TiPS) Posted: December 2020 Last Revised: August 2025 Authors: M. Hoynoski, MPH, CCLS V. Scheid, MD W. Wallace, DO E. Steinmiller, MSN E. Gatto, LCSW B. McGovern, LSW E. Barker, MS, CCLS C. Maehler, PharmD Editors: Clinical Pathways Team Evidence Review Evidence CHOP Programs Child a