Can Pediatric Primary Care Practices Afford Integrated Behavioral Health? A Comparison of 5 Pediatric Practices.

Licensed behavioral health providers (LBHPs) were integrated into 5 pediatric primary care practices in southeast and east Texas from October 2018 through March 2020. LBHPs Licensed behavioral health providers across the sites were 3 licensed clinical social workers (LCSW), 1 psychologist, and 1 nurse practitioner (NP). Practices provided data for 6 to 15 months. Overall, 2769 units of behavioral health services were provided to 746 children over 2243 hours. Across 4 sites, 44.3% of behavioral health patients were diagnosed with trauma disorders, 22.1% with anxiety, 19.3% with attention-deficit hyperactivity disorder, 15.1% with depression, and 10.9% with disruptive behavior disorders. Overall, the model was financially successful at 2 sites (LCSWs) and unsuccessful at 1 site (NP). The other 2 sites demonstrated potential for financial sustainability with increased behavioral health patient volume. Overall, this model is a financially viable option for pediatric primary care practices with adequate patient volumes to provide integrated behavioral health services.

Effects of Tracking by Armored Vehicles on Townsend's Ground Squirrels in the Orchard Training Area, Idaho, USA

/ Maintaining raptor populations is a primary objective of the legislation that designates the Snake River Birds of Prey National Conservation Area. Army training activities could influence habitat quality for raptors by changing the density, productivity, or behavior of their Townsend's ground squirrel (Spermophilus townsendii) prey. These changes could occur directly or as a result of changes in the vegetation available as food and cover for the ground squirrels. We assessed the effects of long-term tracking by armored vehicles by comparing 9-ha areas in sagebrush (Artemisia tridentata) -dominated shrubsteppe and bluegrass (Poa secunda) -dominated grasslands subjected to low-intensity tracking for approximately 50 years with others that had not been tracked. We did not detect any effect on ground squirrel population dynamics associated with long-term tracking. Although densities of adults and juveniles tended to be higher in the areas exposed to such tracking, we attribute this difference to other factors that varied spatially. To determine short-term (two-year) effects, we experimentally tracked two sagebrush and two grassland sites with an M-1 tank after animals had begun their inactive season. In the following two active seasons we monitored squirrel demography and behavior and vegetative characteristics on the experimentally tracked sites and compared the results with control sites. Although we experimentally tracked approximately 33% of the surface of each of four sites where ground squirrel densities were assessed, the tracking had a detectable effect only on some herbaceous perennials and did not influence ground squirrel densities or behavior significantly during the subsequent two active seasons. We conclude that tracking after the start of the inactive season is likely to influence ground squirrel demography or behavior only if vegetation cover is substantially changed by decreasing coverage of preferred food plants or increasing the coverage of annual grasses and forbs that are succulent for only a short time each year.KEY WORDS: Armored vehicle tracking; Ground squirrels; Spermophilus townsendii; Behavior; Vegetation; Population density effects

Hemorrhagic gastritis in free-living rodents in Idaho.

Between February 1992 and March 1994, four species of rodent from the Snake River Birds of Prey Area near Boise, Idaho (USA) were necropsied. Hemorrhagic gastritis was observed in 16 of 131 Townsend's ground squirrels (Spermophilus townsendii), one of 11 Ord's kangaroo rats (Dipodomys ordii) and the one Great Basin pocket mouse (Perognathus parvus) evaluated. No lesions were observed in 14 white-footed deer mice (Peromyscus maniculatus). Tissue from one Townsend's ground squirrel was negative for Helicobacter sp.-like bacteria.

Two new species and temporal changes in the prevalence of eimerians in a free-living population of Townsend's ground squirrels (Spermophilus townsendii) in Idaho.

More than 1,180 fecal samples were collected from 253 juvenile and 384 adult Townsend's ground squirrels (Spermophilus townsendii) at the Snake River Birds of Prey Area near Boise, Idaho, from February to June 1992. Oocysts of 7 eimerians were observed. Five are new host records (Eimeria beecheyi, Eimeria bilamellata, Eimeria callospermophili, Eimeria lateralis, and Eimeria morainensis), 2 species are described here as new, and new structural information on E. morainensis is added. Sporulated oocysts of Eimeria adaensis n. sp. are ovoidal, 19.6 x 22.7 (16-22 x 18-26) microns with sporocysts ellipsoidal 7.2 x 11.9 (6-10 x 9-15) microns. No micropyle or oocyst residuum, but polar bodies, Stieda bodies, and sporocyst residua are present. Sporulated oocysts of Eimeria pseudospermophili n. sp. are ovoidal, 24.7 x 28.5 (21-27 x 25-32) microns with sporocysts ellipsoidal 8.8 x 14.2 (8-10 x 12-17) microns. Micropyle and oocyst residuum are absent, but polar bodies and Stieda bodies are present. Sporulated oocysts of E. morainensis are more variable in size and shape than originally described and contain 2 distinctly different residua not previously described. Temporal changes in the prevalence of eimerians of all 7 species combined in adult squirrels showed significant decline (r2 = 0.79, P < 0.001). We hypothesize that this decline was due to drought during the period of squirrel activity. No significant temporal change in the prevalence of eimerians in juvenile squirrels was observed. The prevalence of E. callospermophili, E. adaensis, and all eimerians combined in adults was significantly greater than in juveniles.(ABSTRACT TRUNCATED AT 250 WORDS)

Temporal and spatial variations in the behavior of shrubsteppe birds.

We documented patterns of activity and microhabitat use by breeding male Sage Sparrows (Amphispiza belli) and Brewer's Sparrows (Spizella breweri) in the semiarid shrubsteppe of northwestern U.S.A. to determine how their behavior varies in space and time and how these variations relate to environmental features. In analyses of several sites with multiple plots that were studied for 2-4 yr, the frequencies of activities and substrate use varied significantly with year, plot, and location. The major activities, foraging and singing, varied inversely with one another. Thus, although the general structure of the activity budgets of these species was stable (i.e. foraging and singing were always the most frequent activities), there was considerable variation in the quantitative details of their behavior in space and time. Using stepwise regression, we related these variations in behavior to variations in environmental features such as the densities of the same or other species, the number of species in the community, and coverages of the different substrate types. Few patterns emerged, and those that did were generally not in accord with our expectations. In particular, patterns of substrate use were not related to variations in coverages of those substrates. Sage Sparrows, for example, increased their use of sagebrush and grass with increasing grass coverage and with increasing densities of Sage Sparrows. Responses to both variables suggested nonlinear threshold patterns.We interpret the variations in behavior as indicating a loose coupling between behavior and proximate environmental conditions for these species. In such situations, the variability of behavior complicates attempts to test ecological hypotheses (e.g. behavioral niche partitioning) with data from a limited number of locations or years.