TY - JOUR
KW - behavioral health screen
KW - Factor Analysis
KW - Functional impairment
KW - pediatric primary care
KW - Pediatric Symptom Checklist-17
AU - R. T. Blucker
AU - D. Jackson
AU - J. A. Gillaspy
AU - J. Hale
AU - M. Wolraich
AU - S. R. Gillaspy
A1 - 
AB - BACKGROUND: Roughly 21% of youth in the United States meet criteria for a mental health diagnosis, but only one-fifth of those children obtain help. The Pediatric Behavioral Health Screen (PBHS) utilizes the Pediatric Symptom Checklist-17 (PSC-17) and functional impairment items to assess behavioral health concerns. METHODS: Data were obtained from a systematic chart review for children 6 to 16 years old. Descriptive analyses and a confirmatory factor analysis were used to evaluate the clinical performance and utility of the PBHS. RESULTS: A positive screen was endorsed for 26.7% of the sample, of whom 68% also experienced functional impairment. Clinicians appropriately administered the screen 73.5% of the time. The 3-factor model of the PSC-17 exhibited a good model fit. CONCLUSIONS: Prevalence rates of psychosocial concerns and functional impairment affirm the need for routine behavioral health screening in the pediatric primary care setting. The PBHS exhibited good psychometric performance and clinical utility.
BT - Clinical pediatrics
C5 - Education & Workforce; Healthcare Disparities
CP - 5
CY - United States
DO - 10.1177/0009922814527498
IS - 5
JF - Clinical pediatrics
N2 - BACKGROUND: Roughly 21% of youth in the United States meet criteria for a mental health diagnosis, but only one-fifth of those children obtain help. The Pediatric Behavioral Health Screen (PBHS) utilizes the Pediatric Symptom Checklist-17 (PSC-17) and functional impairment items to assess behavioral health concerns. METHODS: Data were obtained from a systematic chart review for children 6 to 16 years old. Descriptive analyses and a confirmatory factor analysis were used to evaluate the clinical performance and utility of the PBHS. RESULTS: A positive screen was endorsed for 26.7% of the sample, of whom 68% also experienced functional impairment. Clinicians appropriately administered the screen 73.5% of the time. The 3-factor model of the PSC-17 exhibited a good model fit. CONCLUSIONS: Prevalence rates of psychosocial concerns and functional impairment affirm the need for routine behavioral health screening in the pediatric primary care setting. The PBHS exhibited good psychometric performance and clinical utility.
PP - United States
PY - 2014
SN - 1938-2707; 0009-9228
SP - 449
EP - 455
EP - 
T1 - Pediatric behavioral health screening in primary care: a preliminary analysis of the pediatric symptom checklist-17 with functional impairment items
T2 - Clinical pediatrics
TI - Pediatric behavioral health screening in primary care: a preliminary analysis of the pediatric symptom checklist-17 with functional impairment items
U1 - Education & Workforce; Healthcare Disparities
U2 - 24647696
U3 - 10.1177/0009922814527498
VL - 53
VO - 1938-2707; 0009-9228
Y1 - 2014
ER -