Literature Collection

281

Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions

Type: Journal Article

Year: 2014

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282

Neonatal Abstinence Syndrome: Presentation and Treatment Considerations

Type: Journal Article

Authors: H. E. Jones, K. Kaltenbach, E. Johnson, C. Seashore, E. Freeman, E. Malloy

Year: 2016

Abstract: This clinical case conference discusses the treatment of a pregnant woman with opioid use disorder in a comprehensive care program that includes buprenorphine pharmacotherapy. The presentation summarizes common experiences that pregnant women who receive buprenorphine pharmacotherapy face, and also what their prenatally opioid-exposed children confront in the immediate postpartum period. It describes the elements of a successful comprehensive care model and corollary neonatal abstinence syndrome treatment regimen. Expert commentary is included on issues that arise in the buprenorphine induction and maintenance throughout the prenatal and postpartum periods and in the treatment of co-occurring mental health problems during both the prenatal and postpartum periods, particularly the treatment of depression. There is also expert commentary on the care of opioid-exposed neonates, with attention to the treatment for neonatal abstinence syndrome.

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283

Nurses' knowledge about pharmacological and nonpharmacological pain management in children

Type: Journal Article

Authors: S. Salantera, S. Lauri, T. T. Salmi, H. Helenius

Year: 1999

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284

One-Year Follow-Up of Heroin-Dependent Adolescents Treated with Buprenorfine/Naloxone for the First Time in a Substance Treatment Unit

Type: Journal Article

Authors: C. Mutlu, A. C. Demirci, O. Yalcin, A. G. Kilicoglu, M. Topal, G. Karacetin

Year: 2016

Publication Place: United States

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285

Opioid substitution treatment and heroin dependent adolescents: reductions in heroin use and treatment retention over twelve months

Type: Journal Article

Authors: B. P. Smyth, K. Elmusharaf, W. Cullen

Year: 2018

Publication Place: England

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286

Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes: Executive Summary of a Joint Workshop by the Eunice Kennedy Shriver NICHHD, ACOG, AAP, SMFM, CDC, and the March of Dimes Foundation

Type: Journal Article

Authors: U. M. Reddy, J. M. Davis, Z. Ren, M. F. Greene, Opioid Use in Pregnancy, Neonatal Abstinence Syndrome, and Childhood Outcomes Workshop Invited Speakers

Year: 2017

Publication Place: United States

Abstract: In April 2016, the Eunice Kennedy Shriver National Institute of Child Health and Human Development invited experts to a workshop to address numerous knowledge gaps and to review the evidence for the screening and management of opioid use in pregnancy and neonatal abstinence syndrome. The rising prevalence of opioid use in pregnancy has led to a concomitant dramatic fivefold increase in neonatal abstinence syndrome over the past decade. Experts from diverse disciplines addressed research gaps in the following areas: 1) optimal screening for opioid use in pregnancy; 2) complications of pregnancy associated with opioid use; 3) appropriate treatments for pregnant women with opioid use disorders; 4) the best approaches for detecting, treating, and managing newborns with neonatal abstinence syndrome; and 5) the long-term effects of prenatal opioid exposure on children. Workshop participants identified key scientific opportunities to advance the understanding of opioid use disorders in pregnancy and to improve outcomes for affected women, their children, and their families. This article provides a summary of the workshop presentations and discussions.

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287

Optimizing scalable, technology-supported behavioral interventions to prevent opioid misuse among adolescents and young adults in the emergency department: A randomized controlled trial protocol

Type: Journal Article

Authors: E. E. Bonar, K. M. Kidwell, A. S. B. Bohnert, C. A. Bourque, P. M. Carter, S. J. Clark, M. D. Glantz, C. A. King, E. D. Losman, S. E. McCabe, M. L. Philyaw-Kotov, L. A. Prosser, T. Voepel-Lewis, K. Zheng, M. A. Walton

Year: 2021

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288

Organizational acceptability of implementing SBIRT for adolescents in primary care

Type: Journal Article

Authors: Laura B. Monico, Shannon Gwin Mitchell, Jan Gryczynski, Kristi Dusek, Marla Oros, Colleen Hosler, Barry S. Brown, Tyler Ross, Robert P. Schwartz

Year: 2021

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289

Overdose Risk in Young Children of Women Prescribed Opioids

Type: Journal Article

Authors: Yaron Finkelstein, Erin M. Macdonald, Alejandro Gonzalez, Marco L. A. Sivilotti, Muhammad M. Mamdani, David N. Juurlink, Canadian Drug Safety And Effectiveness Research Network

Year: 2017

Publication Place: United States

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290

Overweight prevention in pediatric primary care: a needs assessment of an urban racial/ethnic minority population

Type: Journal Article

Authors: P. A. Asante, J. Cox, K. Sonneville, R. C. Samuels, E. M. Taveras

Year: 2009

Publication Place: United States

Abstract: The authors studied the prevalence of overweight-related behaviors in an urban clinic population, parents' perceived willingness to change, and identified potential gaps in nutrition and physical activity promotion. A total of 324 parents of children aged 3 to 13 years were surveyed. Clinical heights and weights were used to calculate body mass index (BMI). Of the 324 children in the study, 55% were black and 28% were Hispanic. Approximately 151 (47%) children had a BMI > or =85th percentile, and overweight-related behaviors, such as TV viewing, were highly prevalent. Overall, parents reported a need for counseling to help their children eat healthier and be more active and seemed willing to make behavior changes in these areas. However, their willingness to change appeared lowest in areas that may improve their child's weight status such as decreasing sedentary time and portion sizes. Overweight prevention efforts in primary care should include strategies to help clinicians negotiate behavior change with families.

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291

Parental help-seeking in primary care for child and adolescent mental health concerns: qualitative study

Type: Journal Article

Authors: K. Sayal, V. Tischler, C. Coope, S. Robotham, M. Ashworth, C. Day, A. Tylee, E. Simonoff

Year: 2010

Publication Place: England

Abstract: BACKGROUND: Child and adolescent mental health problems are common in primary care. However, few parents of children with mental health problems express concerns about these problems during consultations. AIMS: To explore the factors influencing parental help-seeking for children with emotional or behavioural difficulties. METHOD: Focus group discussions with 34 parents from non-specialist community settings who had concerns about their child's mental health. All groups were followed by validation groups or semi-structured interviews. RESULTS: Most children had clinically significant mental health symptoms or associated impairment in function. Appointment systems were a key barrier, as many parents felt that short appointments did not allow sufficient time to address their child's difficulties. Continuity of care and trusting relationships with general practitioners (GPs) who validated their concerns were perceived to facilitate help-seeking. Parents valued GPs who showed an interest in their child and family situation. Barriers to seeking help included embarrassment, stigma of mental health problems, and concerns about being labelled or receiving a diagnosis. Some parents were concerned about being judged a poor parent and their child being removed from the family should they seek help. CONCLUSIONS: Primary healthcare is a key resource for children and young people with emotional and behavioural difficulties and their families. Primary care services should be able to provide ready access to health professionals with an interest in children and families and appointments of sufficient length so that parents feel able to discuss their mental health concerns.

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292

Partnering with primary care clinicians in your community to improve children's mental health

Type: Web Resource

Authors: Wisconsin Statewide Medical Home Initiative, Wisconsin Project LAUNCH, Wisconsin Surveillance of Autism and Other Developmental Disabilities

Year: 2013

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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293

Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems

Type: Journal Article

Authors: Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee

Year: 2014

Publication Place: United States

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294

Patient-Centered Medical Home Care for Adolescents in Need of Mental Health Treatment

Type: Journal Article

Authors: J. C. Yonek, N. Jordan, D. Dunlop, R. Ballard, J. Holl

Year: 2018

Publication Place: United States

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295

Patient-centered outcomes in an interdisciplinary clinic for complex children with autism

Type: Journal Article

Authors: Catherine G. Suen, Kathleen Campbell, Gregory Stoddard, Paul S. Carbone

Year: 2021

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296

Pediatric behavioral health screening in primary care: a preliminary analysis of the pediatric symptom checklist-17 with functional impairment items

Type: Journal Article

Authors: R. T. Blucker, D. Jackson, J. A. Gillaspy, J. Hale, M. Wolraich, S. R. Gillaspy

Year: 2014

Publication Place: United States

Abstract: BACKGROUND: Roughly 21% of youth in the United States meet criteria for a mental health diagnosis, but only one-fifth of those children obtain help. The Pediatric Behavioral Health Screen (PBHS) utilizes the Pediatric Symptom Checklist-17 (PSC-17) and functional impairment items to assess behavioral health concerns. METHODS: Data were obtained from a systematic chart review for children 6 to 16 years old. Descriptive analyses and a confirmatory factor analysis were used to evaluate the clinical performance and utility of the PBHS. RESULTS: A positive screen was endorsed for 26.7% of the sample, of whom 68% also experienced functional impairment. Clinicians appropriately administered the screen 73.5% of the time. The 3-factor model of the PSC-17 exhibited a good model fit. CONCLUSIONS: Prevalence rates of psychosocial concerns and functional impairment affirm the need for routine behavioral health screening in the pediatric primary care setting. The PBHS exhibited good psychometric performance and clinical utility.

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297

Pediatric depression: an evidence-based update on treatment interventions

Type: Journal Article

Authors: A. H. Cheung, N. Kozloff, D. Sacks

Year: 2013

Publication Place: United States

Abstract: Depression is a common condition among children and adolescents, with lasting detrimental effects on health, and social and occupational functioning. Despite being well-positioned to treat depression, primary care providers (PCPs) cite significant barriers. This review aims to summarize recent evidence to provide practical guidance to PCPs on the management of pediatric depression in their practices. Following identification and assessment, PCPs should provide general initial management. Children and adolescents with mild depression can be managed with active support and symptom monitoring, while those with moderate-to-severe depression can be treated with psychotherapy and/or antidepressants, which may involve referral to mental health specialty care. Less is known about the treatment of depression in children under the age of 12 years, who may be candidates for earlier referral to mental health specialty care. PCPs have the potential to improve the recognition and management of depression in young people, having lasting individual and societal benefits.

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298

Pediatric Primary-Care Integrated Behavioral Health: A Framework for Reducing Inequities in Behavioral Health Care and Outcomes for Children

Type: Journal Article

Authors: M. J. Arrojo, J. Bromberg, H. J. Walter, L. Vernacchio

Year: 2023

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299

Perception of primary care pediatricians of effectiveness, acceptability, and availability of mental health services

Type: Journal Article

Authors: N. R. Dempster, B. G. Wildman, J. Duby

Year: 2013

Abstract: Approximately 20% of children in the United States meet the criteria for a psychosocial disorder; however, less than 25% of these children receive psychosocial services. A questionnaire assessed primary care pediatricians' (PCPs) perceptions of effectiveness, availability, and burden of treatment options for children's psychosocial difficulties and parents' acceptance and adherence with these treatments. Repeated measures analysis of variance found that PCPs are more likely to refer children with psychosocial problems to a mental health professional than to prescribe medication. PCPs prescribe medications more than counseling parents themselves or watchful waiting. PCPs reported children's behavior is more likely to improve with mental health services than with medication, though medication is the most available treatment. PCPs believe parent training programs are very effective for treating children's behavior problems, but believe parents are more accepting and compliant with other treatments. Findings indicate PCPs' perceptions of availability and acceptability of treatment options drive their treatment recommendations of psychosocial problems.

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300

Perspectives on Integrated Behavioral Health in pediatric care with immigrant children and adolescents in a Federally Qualified Health Center in Texas

Type: Journal Article

Authors: Remoue Gonzales, J. Higgs

Year: 2020

Publication Place: England

Abstract:

The world's displaced population has reached a record high. Immigration is under the global lens and part of the public debate more than ever. The existing data on mental health disorders among displaced youth are alarming, and children and adolescents are disproportionately impacted by forces outside their control. In the United States, the recent border crisis has exponentially increased the needs for accessible mental health services for immigrant children, adolescents, and their families. As a result, implementation of integrated solutions for primary and behavioral health care has grown. In this article, we explore the application of an integrated model, the Primary Care Behavioral Health Consultation Model (PCBH) with Hispanic and Latino immigrant children and adolescents and their families in a Federally Qualified Health Center in Houston, Texas. PCBH holds great promise for increasing access to mental health services for immigrant and refugee populations.

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