当前位置： SCI文献检索 > PEDIATRICS期刊下所有文献 > Mental health screening in pediatric practice: factors related to positive screens and the contribution of parental/personal concern.

Mental health screening in pediatric practice: factors related to positive screens and the contribution of parental/personal concern.

Abstract：

OBJECTIVES:The goals were to examine factors related to positive Pediatric Symptom Checklist scores in an urban practice and to examine the relative contribution of parental/personal concern about emotional and behavioral problems to mental health problem identification. METHODS:Annual screening using the Pediatric Symptom Checklist was implemented in Cambridge Pediatrics (Cambridge, MA). A social worker was colocated in the clinic to provide therapeutic interventions for patients. A sample of 1668 screened patients between 4 years 11 months and 19 years of age was used for analysis. Bivariate and multivariate analyses were conducted to determine factors predictive of positive Pediatric Symptom Checklist scores, including demographics, socioeconomic indicators, enrollment in counseling, and parental/personal concern. Parental/personal concern, counseling, and positive Pediatric Symptom Checklist scores were examined to determine their efficacy as screening methods. RESULTS:Six percent of the population had positive Pediatric Symptom Checklist scores. There were statistically significant relationships between a positive score and being in counseling, parental/personal concern, having public insurance, and living in an area with median household incomes of less than 50,000 dollars. Parental/personal concern was 40% sensitive for a positive score. A positive Pediatric Symptom Checklist score with or without parental/personal concern identified 3.8% of the population; parental/personal concern with or without a positive Pediatric Symptom Checklist score identified 4.5%. CONCLUSIONS:Mental health screening can be effectively implemented in a pediatric practice. Colocated mental health professionals provide additional support. The combination of a screening tool and questions about parental/personal concern and present counseling can provide critical information about a child's mental health.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Hacker KA,Myagmarjav E,Harris V,Suglia SF,Weidner D,Link D

doi

10.1542/peds.2006-0026

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1896-906

issue

eissn

0031-4005

issn

1098-4275

pii

118/5/1896

journal_volume

118

pub_type

杂志文章

在线工具

Mental health screening in pediatric practice: factors related to positive screens and the contribution of parental/personal concern.