TY - JOUR AU - C. A. Hostutler AU - N. Wolf AU - K. Stallworth AU - R. Herbst AU - K. W. Hoffses AU - J. Pajek AU - D. Curtis AU - J. A. Mautone AU - A. R. Riley AU - J. D. Shahidullah A1 - AB - This study describes the frequency and comfort of pediatric primary care clinicians (PCCs) as it relates to initiating, continuing, and stopping medications for attention-deficit/hyperactivity disorder (ADHD), anxiety/depression, and sleep problems across age groups (≤5 years, 6-12, and 13+). Primary care clinicians (N = 148) within an integrated primary care national research consortium participated in an anonymous online survey including questions examining practice settings, provider characteristics, prescribing frequency, and prescribing comfort. Results indicate that comfort and prescribing practices vary by patient age, practice setting, provider experience, and presenting diagnoses. Primary care clinicians generally felt more comfortable prescribing for school-age children and older and prescribing for ADHD-related concerns. Primary care clinicians appeared similarly comfortable starting, maintaining, and stopping medications. Rural PCCs reported greater comfort initiating and managing medication. Results highlight the need for ongoing training and support for PCCs in managing common childhood mental health conditions. Implications for establishing collaborative infrastructure support and team-based care are discussed. AD - Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH, USA.; The Ohio State University, Columbus, OH, USA.; Children's National Hospital, Washington, DC, USA.; Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Nemours Children's Hospital, Wilmington, DE, USA.; MetroHealth Medical Center, Cleveland, OH, USA.; University of Houston, Houston, TX, USA.; The Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Oregon Health & Science University, Portland, OR, USA.; Dell Medical School, The University of Texas at Austin, Austin, TX, USA. AN - 40130609 BT - Clin Pediatr (Phila) C5 - Opioids & Substance Use; Education & Workforce; Healthcare Disparities DA - Mar 25 DO - 10.1177/00099228251328142 DP - NLM ET - 20250325 JF - Clin Pediatr (Phila) LA - eng N2 - This study describes the frequency and comfort of pediatric primary care clinicians (PCCs) as it relates to initiating, continuing, and stopping medications for attention-deficit/hyperactivity disorder (ADHD), anxiety/depression, and sleep problems across age groups (≤5 years, 6-12, and 13+). Primary care clinicians (N = 148) within an integrated primary care national research consortium participated in an anonymous online survey including questions examining practice settings, provider characteristics, prescribing frequency, and prescribing comfort. Results indicate that comfort and prescribing practices vary by patient age, practice setting, provider experience, and presenting diagnoses. Primary care clinicians generally felt more comfortable prescribing for school-age children and older and prescribing for ADHD-related concerns. Primary care clinicians appeared similarly comfortable starting, maintaining, and stopping medications. Rural PCCs reported greater comfort initiating and managing medication. Results highlight the need for ongoing training and support for PCCs in managing common childhood mental health conditions. Implications for establishing collaborative infrastructure support and team-based care are discussed. PY - 2025 SN - 0009-9228 SP - 99228251328142 ST - Primary Care Clinician Perspectives on Medication Prescribing for Child Mental Health Concerns T1 - Primary Care Clinician Perspectives on Medication Prescribing for Child Mental Health Concerns T2 - Clin Pediatr (Phila) TI - Primary Care Clinician Perspectives on Medication Prescribing for Child Mental Health Concerns U1 - Opioids & Substance Use; Education & Workforce; Healthcare Disparities U3 - 10.1177/00099228251328142 VO - 0009-9228 Y1 - 2025 ER -