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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
10858 Results
1949
Child and adolescent mental health care in Dutch general practice: time trend analyses
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: BACKGROUND: Because most children and adolescents visit their general practitioner (GP) regularly, general practice is a useful setting in which child and adolescent mental health problems can be identified, treated or referred to specialised care. Measures to strengthen Dutch primary mental health care have stimulated cooperation between primary and secondary mental health care and have led to an increase in the provision of social workers and primary care psychologists. These measures may have affected GPs' roles in child and adolescent mental health care. This study aims to investigate the identification and treatment of child and adolescent mental health problems in general practice over a five-year period (2004-2008). METHODS: Data of patients aged 0-18 years (N ranging from 37716 to 73432) were derived from electronic medical records of 42-82 Dutch general practices. Time trends in the prevalence of recorded mental health problems, prescriptions for psychotropic medication, and referrals to primary and secondary mental health care were analysed. RESULTS: In 2008, 6.6% of children and 7.5% of adolescents were recorded as having mental health problems; 15.2% of these children and 29.4% of these adolescents were prescribed psychotropic medication; 18.9% of these children and 22.9% of these adolescents were referred, mainly to secondary mental health care. Between 2004 and 2008, the percentages of children (chi-square: 22.06; p < 0.001) and adolescents (chi-square: 9.15; p = 0.003) who were diagnosed with mental health problems increased. An increase was also found in the percentage of children who were prescribed psychostimulants (chi-square: 8.29; p = 0.004). Prescriptions for antidepressants decreased over time in both age groups (children: chi-square: 6.80; p = 0.009; adolescents: chi-square: 13.52; p < 0.001). The percentages of children who were referred to primary (chi-square: 6.98; p = 0.008) and secondary mental health care (chi-square: 5.76; p = 0.02) increased over the years, whereas no significant increase was found for adolescents. CONCLUSIONS: Although GPs' identification of mental health problems and referrals to primary mental health care have increased, most referrals are still made to secondary care. To further strengthen primary mental health care, effective short-term interventions for child and adolescent mental health problems that can be applied in general practice need to be developed.
Topic(s):
HIT & Telehealth
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View the DOI record for Child and adolescent mental health care in Dutch general practice: time trend analyses
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View the PubMed citation for Child and adolescent mental health care in Dutch general practice: time trend analyses1952
Child and youth telepsychiatry in rural and remote primary care
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for Child and youth telepsychiatry in rural and remote primary care
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View the PubMed citation for Child and youth telepsychiatry in rural and remote primary care1955
Child maltreatment and the transition to adult-based medical and mental health care
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: BACKGROUND: Child maltreatment is a public health problem with lifelong health consequences for survivors. Each year, >29 000 adolescents leave foster care via emancipation without achieving family permanency. The previous 30 years of research has revealed the significant physical and mental health consequences of child maltreatment, yet health and well-being have not been a priority for the child welfare system. OBJECTIVES: To describe the health outcomes of maltreated children and those in foster care and barriers to transitioning these adolescents to adult systems of care. METHODS: We reviewed the literature about pediatric and adult health outcomes for maltreated children, barriers to transition, and recent efforts to improve health and well-being for this population. RESULTS: The health of child and adult survivors of child maltreatment is poor. Both physical and mental health problems are significant, and many maltreated children have special health care needs. Barriers to care include medical, child welfare, and social issues. Although children often have complex medical problems, they infrequently have a medical home, their complex health care needs are poorly understood by the child welfare system that is responsible for them, and they lack the family supports that most young adults require for success. Recent federal legislation requires states and local child welfare agencies to assess and improve health and well-being for foster children. CONCLUSIONS: Few successful transition data are available for maltreated children and those in foster care, but opportunities for improvement have been highlighted by recent federal legislation.
Topic(s):
Medical Home
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View the DOI record for Child maltreatment and the transition to adult-based medical and mental health care
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View the PubMed citation for Child maltreatment and the transition to adult-based medical and mental health care1956
Child mental health services: Cultural diversity training and its impact on practice
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: We are supportive of the desire to ensure that CAMHS staff provide appropriate care that is tailor made for each child and family they encounter, and would argue that this is a benchmark for quality. It is important to qualify that this is not just a case of giving the consumer what they want, but rather helping families think about the issues they present with, and then arriving collaboratively at a management plan that is coherent to all parties. However, we would be more cautious about what can be achieved through individual strategies such as cultural competence or diversity training, that are not linked to other strategies. There is a need to reflect on what we are doing rather than responding in a knee jerk fashion. We also need to consider the evidence we use to frame our interventions. Sometimes there is no evidence available and action is needed. In these situations we need to be transparent about our approaches and be prepared to change them in light of emerging evidence. Delivering appropriate services to diverse populations is so much more than having a checklist and sending the workforce to be superficially trained. Before we embark on training, we should ask what we anticipate the training to achieve. This has to be set within an educational rather than political -framework, if educational objectives are to be met. It is also inexcusable to fund or support any kind of intervention without building in evaluation processes. Finally, we need to find out what kind of training improves the patient experience and health care outcomes. Unless we take all these factors into account, paying attention to diverse populations may end up being nothing more than a passing fad.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Child mental health services: Cultural diversity training and its impact on practice
1957
Child Psychiatrists and Psychologists: Enhanced Collaboration in Primary Care
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Child Psychiatrists and Psychologists: Enhanced Collaboration in Primary Care
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View the PubMed citation for Child Psychiatrists and Psychologists: Enhanced Collaboration in Primary Care1960
Childhood anxiety in a diverse primary care population: Parent-child reports, ethnicity and SCARED factor structure
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: OBJECTIVE: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). METHOD: A consecutive sample of 515 children (8 to <13 years) and their parent presenting for primary care completed self-report (C) and parent-report (P) versions of the SCARED-41. RESULTS: Neither SCARED scores nor parent-child difference varied significantly with race/ethnicity. Predictors of higher SCARED scores were less parental education, younger child age and female gender. Exploratory factor analysis conducted separately for SCARED-C and SCARED-P yielded four factors. There was large variation in factor structure between SCARED-C and SCARED-P and across ethnic and gender subgroups, greatest for somatic/panic/generalized anxiety and Hispanic children. CONCLUSIONS: Primary care triage of anxious children requires data from both the parent and child and must go beyond cross-sectional symptom inventories. Clinicians must elicit from each family their perhaps culturally bound interpretation of the child's somatic and psychological symptoms.
Topic(s):
Healthcare Disparities
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, Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Childhood anxiety in a diverse primary care population: Parent-child reports, ethnicity and SCARED factor structure
View DOI Record
View the PubMed citation for Childhood anxiety in a diverse primary care population: Parent-child reports, ethnicity and SCARED factor structure