RT Book, Section
A1 Kelsay, Kimberly
A1 Talmi, Ayelet
A1 Burstein, Adam
A2 Hay Jr., William W.
A2 Levin, Myron J.
A2 Abzug, Mark J.
A2 Bunik, Maya
SR Print(0)
ID 1172101290
T1 Child & Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics
T2 Current Diagnosis & Treatment: Pediatrics, 25e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260457827
LK accessmedicine.mhmedical.com/content.aspx?aid=1172101290
RD 2024/04/23
AB Pediatric  primary  care  settings  are  often  the  first  points  of  identification  of  mental  and  behavioral  health  issues  and  entry  into  behavioral  health  systems  for  the  14%–20%  of  children  and  adolescents  affected.  Beyond  addressing  identified  and  diagnosable  mental  health  conditions,  pediatric  primary  care  settings  are  tasked  with  (1)  screening  and  surveillance,  (2)  early  identification,  (3)  triage  and  initiate  treatment  for  uncomplicated  issues,  and  (4)  referral  around  complex  behavioral  health  issues  for  the  child,  their  family,  and  the  environments  with  which  the  child  interacts.  Primary  care  providers  see  approximately  75%  of  children  with  psychiatric  disturbances,  and  half  of  all  pediatric  office  visits  involve  behavioral,  psychosocial,  or  educational  concerns.  Parents  and  children  often  prefer  discussing  these  issues  with  pediatric  providers  who  they  already  know  and  trust.  As  a  result,  pediatric  primary  care  providers  play  an  important  role  in  the  prevention,  identification,  initiation,  management,  and  coordination  of  mental  health  issues,  in  addition  to  providing  behavioral  and  development  care  for  children  and  adolescents.  Unfortunately,  the  shortage  of  mental  health  providers,  stigma  attached  to  receiving  mental  health  services,  chronic  underfunding  for  behavioral/mental  health  services,  institutional  barriers  within  the  public  mental  health  system,  and  disparate  insurance  benefits  contribute  to  the  fact  that  only  2%  of  children  with  diagnosable  disorders  are  seen  by  mental  health  specialists.