Professional stakeholders’ perceptions of barriers to behavioral health care following pediatric traumatic brain injury

Aimee E. Miley, Chloe B. Elleman, Rachel Y. Chiu, Emily L. Moscato, Allison P. Fisher, Beth S. Slomine, Michael W. Kirkwood, Katherine T. Baum, Kathleen E. Walsh, Shari L. Wade

Research output: Contribution to journalArticlepeer-review


Objective: To examine professional stakeholders’ perspectives of barriers to behavioral health care (BHC) follow-up and telepsychology after pediatric traumatic brain injury (TBI). Methods: Twenty-nine professionals participated in a focus group (FG) or key informant interview (KII) between January and March 2020. Professionals answered questions about facilitators and barriers to BHC follow-up and telepsychology. Given widespread telepsychology implementation since COVID-19, a follow-up survey assessing telehealth perceptions since the pandemic was sent out in December 2020. Nineteen professionals completed the survey. Results: Professionals identified individual (e.g., family factors, insurance coverage/finances, transportation/distance, availability, planning follow-up care) and system-level (e.g., lack of access to BHC providers) barriers to BHC post-injury. Possible solutions, like collaborative follow-up care, were also identified. Generally, clinical professionals have favorable impressions of telepsychology and utilized services as a delivery modality for clinical care. Though telepsychology could reduce barriers to care, professionals also expressed concerns (e.g., technology issues, security/safety) and challenges (e.g., funding, accessibility, training/licensure for clinicians) with implementing telepsychology. Conclusion: Barriers identified highlight the need for context-specific solutions to increase BHC access, with telepsychology generally recognized as a beneficial modality for BHC. Future work should continue to focus on understanding barriers to BHC and potential solutions after pediatric TBI.

Original languageEnglish (US)
Pages (from-to)536-543
Number of pages8
JournalBrain Injury
Issue number4
StatePublished - 2022


  • Pediatric
  • behavioral health care
  • professional stakeholders
  • telepsychology
  • traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Developmental and Educational Psychology
  • Neuroscience (miscellaneous)


Dive into the research topics of 'Professional stakeholders’ perceptions of barriers to behavioral health care following pediatric traumatic brain injury'. Together they form a unique fingerprint.

Cite this