TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Child
KW - Child, Preschool
KW - Communication
KW - Education, Continuing/methods
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders/psychology/therapy
KW - Mental Health
KW - Middle Aged
KW - Parents/psychology
KW - Pediatrics/education
KW - Primary Health Care
KW - Professional-Family Relations
KW - Questionnaires
AU - L. S. Wissow
AU - A. Gadomski
AU - D. Roter
AU - S. Larson
AU - J. Brown
AU - C. Zachary
AU - E. Bartlett
AU - I. Horn
AU - X. Luo
AU - M. C. Wang
A1 - 
AB - OBJECTIVE: We examined child and parent outcomes of training providers to engage families efficiently and to reduce common symptoms of a range of mental health problems and disorders. METHODS: Training involved three 1-hour discussions structured around video examples of family/provider communication skills, each followed by practice with standardized patients and self-evaluation. Skills targeted eliciting parent and child concerns, partnering with families, and increasing expectations that treatment would be helpful. We tested the training with providers at 13 sites in rural New York, urban Maryland, and Washington, DC. Children (5-16 years of age) making routine visits were enrolled if they screened "possible" or "probable" for mental disorders with the Strengths and Difficulties Questionnaire or if their provider said they were likely to have an emotional or behavioral problem. Children and their parents were then monitored for 6 months, to assess changes in parent-rated symptoms and impairment and parent symptoms. RESULTS: Fifty-eight providers (31 trained and 27 control) and 418 children (248 patients of trained providers and 170 patients of control providers) participated. Among the children, 72% were in the possible or probable categories. Approximately one half (54%) were white, 30% black, 12% Latino, and 4% other ethnicities. Eighty-eight percent (367 children) completed follow-up monitoring. At 6 months, minority children cared for by trained providers had greater reduction in impairment (-0.91 points) than did those cared for by control providers but no greater reduction in symptoms. Seeing a trained provider did not have an impact on symptoms or impairment among white children. Parents of children cared for by trained providers experienced greater reduction in symptoms (-1.7 points) than did those cared for by control providers. CONCLUSION: Brief provider communication training had a positive impact on parent mental health symptoms and reduced minority children's impairment across a range of problems.
BT - Pediatrics
C5 - Education & Workforce
CP - 2
CY - United States
DO - 10.1542/peds.2007-0418
IS - 2
JF - Pediatrics
N2 - OBJECTIVE: We examined child and parent outcomes of training providers to engage families efficiently and to reduce common symptoms of a range of mental health problems and disorders. METHODS: Training involved three 1-hour discussions structured around video examples of family/provider communication skills, each followed by practice with standardized patients and self-evaluation. Skills targeted eliciting parent and child concerns, partnering with families, and increasing expectations that treatment would be helpful. We tested the training with providers at 13 sites in rural New York, urban Maryland, and Washington, DC. Children (5-16 years of age) making routine visits were enrolled if they screened "possible" or "probable" for mental disorders with the Strengths and Difficulties Questionnaire or if their provider said they were likely to have an emotional or behavioral problem. Children and their parents were then monitored for 6 months, to assess changes in parent-rated symptoms and impairment and parent symptoms. RESULTS: Fifty-eight providers (31 trained and 27 control) and 418 children (248 patients of trained providers and 170 patients of control providers) participated. Among the children, 72% were in the possible or probable categories. Approximately one half (54%) were white, 30% black, 12% Latino, and 4% other ethnicities. Eighty-eight percent (367 children) completed follow-up monitoring. At 6 months, minority children cared for by trained providers had greater reduction in impairment (-0.91 points) than did those cared for by control providers but no greater reduction in symptoms. Seeing a trained provider did not have an impact on symptoms or impairment among white children. Parents of children cared for by trained providers experienced greater reduction in symptoms (-1.7 points) than did those cared for by control providers. CONCLUSION: Brief provider communication training had a positive impact on parent mental health symptoms and reduced minority children's impairment across a range of problems.
PP - United States
PY - 2008
SN - 1098-4275; 0031-4005
SP - 266
EP - 275
EP - 
T1 - Improving child and parent mental health in primary care: A cluster-randomized trial of communication skills training
T2 - Pediatrics
TI - Improving child and parent mental health in primary care: A cluster-randomized trial of communication skills training
U1 - Education & Workforce
U2 - 18245417
U3 - 10.1542/peds.2007-0418
VL - 121
VO - 1098-4275; 0031-4005
Y1 - 2008
ER -