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Integrating Pediatrics and Mental Health: The Reality Is in the Relationships
Arch Pediatr Adolesc Med. 2004;158:833-834.
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One in 10 children in the United States suffers from mental health problems that affect their lives. The surgeon general has specifically called on pediatricians to improve screening and referral for child mental illness.1
In response to this national call, numerous studies have examined mental health screening in pediatric practices.2-3 However, little has been written about the realities of implementing an integrated model of primary care and mental health. Today, pediatricians are faced with increasing demands on their time. Productivity requirements, reimbursement dilemmas, and growing expectations for anticipatory guidance make success difficult.2, 4 Yet, the need to identify mental health issues at the primary care visit is imperative in order to address the growing number of children with mental health issues.
The Cambridge Health Alliance, Cambridge, Mass, introduced mental health screening in its pediatric clinic using the Pediatric Symptom Checklist.5 A clinical social worker supervised by the Department of Child Psychiatry . . . [Full Text of this Article]
Karen Hacker, MD, MPH;
Deborah Weidner, MD;
Jeanne McBride, RN, BSN, MM
Correspondence: Dr Hacker, Institute for Community Health, 119 Windsor St, Cambridge, MA 02139 (khacker@challliance.org).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
A Model for Training Pediatricians to Expand Mental Health Services in the Community Practice Setting
Goodfriend et al.
CLIN PEDIATR 2006;45:649-654.
ABSTRACT
Screens and Doors: The Management of Adolescent Depression in Primary Care
Brent
Arch Pediatr Adolesc Med 2006;160:755-756.
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