TY - JOUR
KW - Clinical Competence/standards
KW - Family Health
KW - Forecasting
KW - Humans
KW - Mental Health Services/organization & administration/standards
KW - Pediatrics/organization & administration/standards/trends
KW - Primary Health Care/organization & administration/standards
AU - Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health
A1 - 
AB - Pediatric primary care clinicians have unique opportunities and a growing sense of responsibility to prevent and address mental health and substance abuse problems in the medical home. In this report, the American Academy of Pediatrics proposes competencies requisite for providing mental health and substance abuse services in pediatric primary care settings and recommends steps toward achieving them. Achievement of the competencies proposed in this statement is a goal, not a current expectation. It will require innovations in residency training and continuing medical education, as well as a commitment by the individual clinician to pursue, over time, educational strategies suited to his or her learning style and skill level. System enhancements, such as collaborative relationships with mental health specialists and changes in the financing of mental health care, must precede enhancements in clinical practice. For this reason, the proposed competencies begin with knowledge and skills for systems-based practice. The proposed competencies overlap those of mental health specialists in some areas; for example, they include the knowledge and skills to care for children with attention-deficit/hyperactivity disorder, anxiety, depression, and substance abuse and to recognize psychiatric and social emergencies. In other areas, the competencies reflect the uniqueness of the primary care clinician's role: building resilience in all children; promoting healthy lifestyles; preventing or mitigating mental health and substance abuse problems; identifying risk factors and emerging mental health problems in children and their families; and partnering with families, schools, agencies, and mental health specialists to plan assessment and care. Proposed interpersonal and communication skills reflect the primary care clinician's critical role in overcoming barriers (perceived and/or experienced by children and families) to seeking help for mental health and substance abuse concerns.
BT - Pediatrics
C5 - Education & Workforce; Financing & Sustainability; Healthcare Disparities; Healthcare Policy; Medical Home
CP - 1
CY - United States
DO - 10.1542/peds.2009-1061
IS - 1
JF - Pediatrics
N2 - Pediatric primary care clinicians have unique opportunities and a growing sense of responsibility to prevent and address mental health and substance abuse problems in the medical home. In this report, the American Academy of Pediatrics proposes competencies requisite for providing mental health and substance abuse services in pediatric primary care settings and recommends steps toward achieving them. Achievement of the competencies proposed in this statement is a goal, not a current expectation. It will require innovations in residency training and continuing medical education, as well as a commitment by the individual clinician to pursue, over time, educational strategies suited to his or her learning style and skill level. System enhancements, such as collaborative relationships with mental health specialists and changes in the financing of mental health care, must precede enhancements in clinical practice. For this reason, the proposed competencies begin with knowledge and skills for systems-based practice. The proposed competencies overlap those of mental health specialists in some areas; for example, they include the knowledge and skills to care for children with attention-deficit/hyperactivity disorder, anxiety, depression, and substance abuse and to recognize psychiatric and social emergencies. In other areas, the competencies reflect the uniqueness of the primary care clinician's role: building resilience in all children; promoting healthy lifestyles; preventing or mitigating mental health and substance abuse problems; identifying risk factors and emerging mental health problems in children and their families; and partnering with families, schools, agencies, and mental health specialists to plan assessment and care. Proposed interpersonal and communication skills reflect the primary care clinician's critical role in overcoming barriers (perceived and/or experienced by children and families) to seeking help for mental health and substance abuse concerns.
PP - United States
PY - 2009
SN - 1098-4275; 0031-4005
SP - 410
EP - 421
EP - 
T1 - The future of pediatrics: Mental health competencies for pediatric primary care
T2 - Pediatrics
TI - The future of pediatrics: Mental health competencies for pediatric primary care
U1 - Education & Workforce; Financing & Sustainability; Healthcare Disparities; Healthcare Policy; Medical Home
U2 - 19564328
U3 - 10.1542/peds.2009-1061
VL - 124
VO - 1098-4275; 0031-4005
Y1 - 2009
ER -