TY - JOUR
KW - behavioral health
KW - pediatric primary care
KW - Pediatric Symptom Checklist-17
KW - universal screening
AU - A. B. Shellman
AU - A. C. Meinert
AU - D. F. Curtis
A1 - 
AB - This study evaluated physicians' utilization of a universal psychosocial screening protocol within a pediatric primary care setting. Pediatricians (n = 20) adopted a multitiered screening algorithm using the Pediatric Symptom Checklist-17 (PSC-17) within well-child checkups (WCC) for children, ages 7 and 11 years. Descriptive analyses were performed to evaluate the initial 3 years of physician screening protocol implementation to: (1) determine frequency and proportion of use and (2) examine patient outcomes associated with accessing behavioral health care. Physicians frequently initiated the protocol, administering the PSC-17 within 3678 WCC encounters, with frequency progressively increasing over the 3-year period. Results highlighted elements of screener utilization, cost-effectiveness, screening algorithm fidelity, and prevalence of psychosocial concerns identified. Secondary implementation challenges were observed after initial screening, specific to implementation of prescribed follow-up procedures. Primary care behavioral health collaborations appear helpful for improving universal screening utilization and cost-effectiveness, and for ensuring children with psychosocial problems are identified early and directed to follow-up care as needed.
BT - Clinical pediatrics
C5 - Measures
CP - 9
CY - United States
DO - 10.1177/0009922819845878
IS - 9
JF - Clinical pediatrics
N2 - This study evaluated physicians' utilization of a universal psychosocial screening protocol within a pediatric primary care setting. Pediatricians (n = 20) adopted a multitiered screening algorithm using the Pediatric Symptom Checklist-17 (PSC-17) within well-child checkups (WCC) for children, ages 7 and 11 years. Descriptive analyses were performed to evaluate the initial 3 years of physician screening protocol implementation to: (1) determine frequency and proportion of use and (2) examine patient outcomes associated with accessing behavioral health care. Physicians frequently initiated the protocol, administering the PSC-17 within 3678 WCC encounters, with frequency progressively increasing over the 3-year period. Results highlighted elements of screener utilization, cost-effectiveness, screening algorithm fidelity, and prevalence of psychosocial concerns identified. Secondary implementation challenges were observed after initial screening, specific to implementation of prescribed follow-up procedures. Primary care behavioral health collaborations appear helpful for improving universal screening utilization and cost-effectiveness, and for ensuring children with psychosocial problems are identified early and directed to follow-up care as needed.
PP - United States
PY - 2019
SN - 1938-2707; 0009-9228
SP - 957
EP - 969
EP - 
T1 - Physician Utilization of a Universal Psychosocial Screening Protocol in Pediatric Primary Care
T2 - Clinical pediatrics
TI - Physician Utilization of a Universal Psychosocial Screening Protocol in Pediatric Primary Care
U1 - Measures
U2 - 31030553
U3 - 10.1177/0009922819845878
VL - 58
VO - 1938-2707; 0009-9228
Y1 - 2019
ER -