Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics: Perceived Strengths, Challenges, and New Delivery Models
This study describes the experiences of and barriers for pediatricians in Kentucky in providing behavioral/mental health (B-MH) services in primary care settings. These data will serve as a foundation for improving service delivery. An online survey was completed by 70 pediatricians. Descriptive dat...
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| Veröffentlicht in: | Clinical pediatrics 2012-10, Vol.51 (10), p.978-982 |
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| container_title | Clinical pediatrics |
| container_volume | 51 |
| creator | Davis, Deborah Winders Honaker, Sarah M. Jones, V. Faye Williams, P. Gail Stocker, Frederick Martin, Elaine |
| description | This study describes the experiences of and barriers for pediatricians in Kentucky in providing behavioral/mental health (B-MH) services in primary care settings. These data will serve as a foundation for improving service delivery. An online survey was completed by 70 pediatricians. Descriptive data are presented. More than 90% of the respondents said that they saw at least one patient a month with 1 of 10 specific B-MH diagnoses. Physicians’ comfort with diagnosing and treating disorders varied widely by diagnosis, age-group, and drug classification. Major barriers to providing optimal care were inaccessibility of mental health professionals for consultation and referral, lack of communication, and lack of knowledge. Respondents were more likely to favor consultation and co-location models over an integration model of care delivery. Overall, the authors found that pediatricians are dealing with patients with B-MH problems for which they may not have been adequately trained. Communication and collaboration needs were identified. |
| doi_str_mv | 10.1177/0009922812441667 |
| format | Article |
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Faye ; Williams, P. Gail ; Stocker, Frederick ; Martin, Elaine</creator><creatorcontrib>Davis, Deborah Winders ; Honaker, Sarah M. ; Jones, V. Faye ; Williams, P. Gail ; Stocker, Frederick ; Martin, Elaine</creatorcontrib><description>This study describes the experiences of and barriers for pediatricians in Kentucky in providing behavioral/mental health (B-MH) services in primary care settings. These data will serve as a foundation for improving service delivery. An online survey was completed by 70 pediatricians. Descriptive data are presented. More than 90% of the respondents said that they saw at least one patient a month with 1 of 10 specific B-MH diagnoses. Physicians’ comfort with diagnosing and treating disorders varied widely by diagnosis, age-group, and drug classification. Major barriers to providing optimal care were inaccessibility of mental health professionals for consultation and referral, lack of communication, and lack of knowledge. Respondents were more likely to favor consultation and co-location models over an integration model of care delivery. Overall, the authors found that pediatricians are dealing with patients with B-MH problems for which they may not have been adequately trained. Communication and collaboration needs were identified.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/0009922812441667</identifier><identifier>PMID: 22514194</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Attitude of Health Personnel ; Child ; Child Behavior Disorders - diagnosis ; Child Behavior Disorders - therapy ; Child, Preschool ; Clinical Competence ; Delivery of Health Care - organization & administration ; Female ; Health care delivery ; Health Care Surveys ; Health Services Accessibility ; Humans ; Infant ; Infant, Newborn ; Kentucky ; Male ; Mental Disorders - diagnosis ; Mental Disorders - therapy ; Mental health care ; Models, Organizational ; Pediatrics ; Pediatrics - organization & administration ; Physicians ; Polls & surveys ; Practice Patterns, Physicians' - statistics & numerical data ; Primary care ; Primary Health Care - organization & administration ; Referral and Consultation</subject><ispartof>Clinical pediatrics, 2012-10, Vol.51 (10), p.978-982</ispartof><rights>The Author(s) 2012</rights><rights>Copyright Westminster Publications, Inc. Oct 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c318t-26da7e66b8057b85cb20f2f7a88fb4f52d9bf6771a64b4e093ffb8e476a4049e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0009922812441667$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0009922812441667$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22514194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Deborah Winders</creatorcontrib><creatorcontrib>Honaker, Sarah M.</creatorcontrib><creatorcontrib>Jones, V. Faye</creatorcontrib><creatorcontrib>Williams, P. Gail</creatorcontrib><creatorcontrib>Stocker, Frederick</creatorcontrib><creatorcontrib>Martin, Elaine</creatorcontrib><title>Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics: Perceived Strengths, Challenges, and New Delivery Models</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>This study describes the experiences of and barriers for pediatricians in Kentucky in providing behavioral/mental health (B-MH) services in primary care settings. These data will serve as a foundation for improving service delivery. An online survey was completed by 70 pediatricians. Descriptive data are presented. More than 90% of the respondents said that they saw at least one patient a month with 1 of 10 specific B-MH diagnoses. Physicians’ comfort with diagnosing and treating disorders varied widely by diagnosis, age-group, and drug classification. Major barriers to providing optimal care were inaccessibility of mental health professionals for consultation and referral, lack of communication, and lack of knowledge. Respondents were more likely to favor consultation and co-location models over an integration model of care delivery. Overall, the authors found that pediatricians are dealing with patients with B-MH problems for which they may not have been adequately trained. Communication and collaboration needs were identified.</description><subject>Adolescent</subject><subject>Attitude of Health Personnel</subject><subject>Child</subject><subject>Child Behavior Disorders - diagnosis</subject><subject>Child Behavior Disorders - therapy</subject><subject>Child, Preschool</subject><subject>Clinical Competence</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Female</subject><subject>Health care delivery</subject><subject>Health Care Surveys</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Kentucky</subject><subject>Male</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Models, Organizational</subject><subject>Pediatrics</subject><subject>Pediatrics - organization & administration</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary Health Care - organization & administration</subject><subject>Referral and Consultation</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtrGzEQxkVpSJw0956CoJdeNpG0eu0xMc0DHOJDeyzLaHfUyOzDkdaF_PeRsVOKIacZZn7zzcxHyFfOLjk35ooxVlVCWC6k5FqbT2TGq9IWwjDzmcy27WLbPyGnKa0Y4yVT5TE5EUJxySs5I78fWhym4EMDUxgHCkNLH2GAP9jnOh09vcFn-BvGCN3VYy5BR-8RuumZLuPoOuwTDUPOQw_xlc4hIl1iG2CKoUlfyJGHLuH5Pp6RX7c_fs7vi8XT3cP8elE0JbdTIXQLBrV2linjrGqcYF54A9Z6J70SbeW8NoaDlk4iq0rvnUVpNEgmKyzPyPed7jqOLxtMU92H1GDXwYDjJtWcVUoqnZ_P6LcDdDVu4pCvqznnSilbyi3FdlQTx5Qi-nq9-zBL1Vvr60Pr88jFXnjjemz_Dbx7nYFiB6Ts7n9bPxJ8A2K3ijs</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Davis, Deborah Winders</creator><creator>Honaker, Sarah M.</creator><creator>Jones, V. 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| subjects | Adolescent Attitude of Health Personnel Child Child Behavior Disorders - diagnosis Child Behavior Disorders - therapy Child, Preschool Clinical Competence Delivery of Health Care - organization & administration Female Health care delivery Health Care Surveys Health Services Accessibility Humans Infant Infant, Newborn Kentucky Male Mental Disorders - diagnosis Mental Disorders - therapy Mental health care Models, Organizational Pediatrics Pediatrics - organization & administration Physicians Polls & surveys Practice Patterns, Physicians' - statistics & numerical data Primary care Primary Health Care - organization & administration Referral and Consultation |
| title | Identification and Management of Behavioral/Mental Health Problems in Primary Care Pediatrics: Perceived Strengths, Challenges, and New Delivery Models |
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