TY - JOUR
AU - E. Berger-Jenkins
AU - M. McCord
AU - T. Gallagher
AU - M. Olfson
A1 - 
AB - OBJECTIVE: Despite evidence for its feasibility, the usage of mental health screening in primary care practices with overburdened providers and few referral options remains unclear. This study explores the effects of routine screening on mental health problem identification and management in a low-resource setting. METHODS: Medical records of 5 to 12 year-old children presenting for well visits before and after screening was implemented were reviewed. Multivariate logistic regression was used to explore associations between study period and identification/management practices. Changes in the number of visits and wait times for a co-located referral service were assessed post hoc. RESULTS: Parents disclosed more mental health problems, and providers initiated more workups but referred fewer patients after screening was implemented. The proportion of new visits and wait times for the referral service did not change. CONCLUSIONS: Even in low-resource settings, screening may facilitate parental disclosure and increase clinical attention to mental health problems without overburdening referral services.
BT - Clinical pediatrics
C5 - Healthcare Disparities
CP - 4
CY - United States
DO - 10.1177/0009922811427582
IS - 4
JF - Clinical pediatrics
N2 - OBJECTIVE: Despite evidence for its feasibility, the usage of mental health screening in primary care practices with overburdened providers and few referral options remains unclear. This study explores the effects of routine screening on mental health problem identification and management in a low-resource setting. METHODS: Medical records of 5 to 12 year-old children presenting for well visits before and after screening was implemented were reviewed. Multivariate logistic regression was used to explore associations between study period and identification/management practices. Changes in the number of visits and wait times for a co-located referral service were assessed post hoc. RESULTS: Parents disclosed more mental health problems, and providers initiated more workups but referred fewer patients after screening was implemented. The proportion of new visits and wait times for the referral service did not change. CONCLUSIONS: Even in low-resource settings, screening may facilitate parental disclosure and increase clinical attention to mental health problems without overburdening referral services.
PP - United States
PY - 2012
SN - 1938-2707; 0009-9228
SP - 359
EP - 365
EP - 
T1 - Effect of routine mental health screening in a low-resource pediatric primary care population
T2 - Clinical pediatrics
TI - Effect of routine mental health screening in a low-resource pediatric primary care population
U1 - Healthcare Disparities
U2 - 22157425
U3 - 10.1177/0009922811427582
VL - 51
VO - 1938-2707; 0009-9228
Y1 - 2012
ER -