TY - JOUR
AU - E. M. Fallucco
AU - C. Moneymaker
AU - J. Santos
AU - M. M. Gleason
A1 - 
AB - OBJECTIVE: The purpose of the study was to evaluate pediatric residents' self-reported comfort in screening, assessment, and treatment of common child mental health problems before and 1 year after piloting an integrated mental health (IMH) rotation. METHODS: Residents evaluated patients with mental health problems in their continuity clinic. Residents were supervised remotely by a child psychiatrist. Residents rated their comfort in mental health skills on a scale from 1 = very uncomfortable to 5 = very comfortable before and 1 year after the rotation was implemented. Changes in mean comfort in screening, assessment, and treatment of child mental health problems were calculated. RESULTS: Baseline pediatric resident (n = 62) comfort in providing IMH care was low, with modestly higher rates for screening and assessment than treatment. Fewer than half of the residents at baseline were comfortable with any of the aspects of treatment. At 1 year follow-up, resident (n = 64) overall comfort in treatment significantly increased from baseline (3.3 ± 0.8 versus 2.8 ± 0.8, p ≤ 0.003). There was a significant increase in the proportion of residents who reported comfort screening for attention-deficit/hyperactivity disorder (ADHD) (63.9% vs. 79.7%, p ≤ 0.050), educating families about mental health problems (33.3% vs. 51.6%, p ≤ 0.041), and starting a medication for ADHD (36.2% vs. 54.0%, p < 0.05) from baseline to follow-up. CONCLUSION: This IMH rotation allowed residents to improve their comfort in treating children with mental health conditions. Remote supervision by a child psychiatrist for IMH may be practical for dissemination given the limited workforce of child psychiatrists.
AD - Children's Hospital of the King's Daughters, Norfolk, VA, USA. efallucco@gmail.com.; Children's Hospital of the King's Daughters, Norfolk, VA, USA.
AN - 40128493
BT - Acad Psychiatry
C5 - Healthcare Disparities; Education & Workforce
DA - Mar 24
DO - 10.1007/s40596-025-02133-7
DP - NLM
ET - 20250324
JF - Acad Psychiatry
LA - eng
N2 - OBJECTIVE: The purpose of the study was to evaluate pediatric residents' self-reported comfort in screening, assessment, and treatment of common child mental health problems before and 1 year after piloting an integrated mental health (IMH) rotation. METHODS: Residents evaluated patients with mental health problems in their continuity clinic. Residents were supervised remotely by a child psychiatrist. Residents rated their comfort in mental health skills on a scale from 1 = very uncomfortable to 5 = very comfortable before and 1 year after the rotation was implemented. Changes in mean comfort in screening, assessment, and treatment of child mental health problems were calculated. RESULTS: Baseline pediatric resident (n = 62) comfort in providing IMH care was low, with modestly higher rates for screening and assessment than treatment. Fewer than half of the residents at baseline were comfortable with any of the aspects of treatment. At 1 year follow-up, resident (n = 64) overall comfort in treatment significantly increased from baseline (3.3 ± 0.8 versus 2.8 ± 0.8, p ≤ 0.003). There was a significant increase in the proportion of residents who reported comfort screening for attention-deficit/hyperactivity disorder (ADHD) (63.9% vs. 79.7%, p ≤ 0.050), educating families about mental health problems (33.3% vs. 51.6%, p ≤ 0.041), and starting a medication for ADHD (36.2% vs. 54.0%, p < 0.05) from baseline to follow-up. CONCLUSION: This IMH rotation allowed residents to improve their comfort in treating children with mental health conditions. Remote supervision by a child psychiatrist for IMH may be practical for dissemination given the limited workforce of child psychiatrists.
PY - 2025
SN - 1042-9670
ST - Pediatric Resident Comfort in Mental Health Management Before and After an Integrated Clinic Rotation
T1 - Pediatric Resident Comfort in Mental Health Management Before and After an Integrated Clinic Rotation
T2 - Acad Psychiatry
TI - Pediatric Resident Comfort in Mental Health Management Before and After an Integrated Clinic Rotation
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1007/s40596-025-02133-7
VO - 1042-9670
Y1 - 2025
ER -