Behavioral health needs in pediatric medicine and the acceptability of behavioral solutions: Implications for behavioral psychologists

Arndorfer, Richard E.; Allen, Keith D.; Aljazireh, Laureen

doi:10.1016/s0005-7894(99)80050-1

Cited by 49 publications

(33 citation statements)

References 26 publications

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“…Acceptability influences the extent to which clients are likely to seek treatment, adhere to treatment once they begin, and perceive barriers to participation in that treatment (e.g., Kazdin & Whitley, 2006;Reimers et al, 1992). Acceptability also influences the likelihood that mental health professionals will refer cases to a given treatment as well as the quality and fidelity with which they implement a particular treatment (e.g., Allinder & Oats, 1997;Arndorfer, Allen & Aljazireh, 1999). The acceptability of alternative ways of administering treatments using technology is not well studied.…”

Section: New Ways To Deliver Treatmentmentioning

confidence: 99%

Technology-Based Interventions and Reducing the Burdens of Mental Illness: Perspectives and Comments on the Special Series

Kazdin

2015

Cognitive and Behavioral Practice

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Section: New Ways To Deliver Treatmentmentioning

confidence: 99%

Technology-Based Interventions and Reducing the Burdens of Mental Illness: Perspectives and Comments on the Special Series

Kazdin

2015

Cognitive and Behavioral Practice

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“…Pediatricians rate behavior problems, including ADHD, as the most common presenting concern. 1 Specialists in developmental and behavioral pediatrics estimate that referrals for ADHD comprise 50% to 75% of their practices. 2 Moreover, a recent study of 2 national surveys indicated that primary care diagnostic assessment services for children with ADHD increased threefold between 1989 and 1996.…”

mentioning

confidence: 99%

The Assessment of Attention-Deficit/Hyperactivity Disorder in Rural Primary Care: The Portability of the American Academy of Pediatrics Guidelines to the “Real World”

et al. 2005

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ABSTRACT. Objective. To examine the implementation of a protocol for the assessment of attention-deficit/ hyperactivity disorder (ADHD) in rural pediatric practices. The protocol was designed to provide an efficient means for pediatricians to learn and use the ADHD guidelines put forth by the American Academy of Pediatrics (AAP).Methods. Primary care staff (physicians, nurses, etc) from 2 rural pediatric practices were trained to use the ADHD-assessment protocol. Medical records for 101 patients were reviewed from 1 to 2 years before the introduction of the protocol and for 86 patients during the subsequent 2 to 3 years to assess compliance with the AAP guidelines. In addition, 34% of the scales scored by the staff were rescored to check for scoring accuracy.Results. Before the availability of the AAP guidelines and the implementation of the assessment protocol, neither primary care site was consistently collecting the comprehensive information that is now recommended for an ADHD assessment. Parent and/or teacher rating scales were collected for only 0% to 21% of assessments across sites. When provided with brief training and supporting materials, medical records reflected significant improvement in the ascertainment of clinically necessary ADHD information, with parent and teacher rating scales present 88% to 100% of the time. Staff demonstrated an ability to score rating scales with a high degree of accuracy. The integrity of protocol collection and management was maintained 2 to 3 years after training.Conclusions. An efficient system for conducting ADHD assessments according to AAP guidelines in rural pediatrics clinics can be initiated and maintained with integrity. Additional research is needed to determine if this system improves diagnostic decision-making and patient outcomes. P hysicians have generally been identified as the gatekeepers of behavioral health services, and in pediatric primary care, attention-deficit/hyperactivity disorder (ADHD) has become an important focus. Pediatricians rate behavior problems, including ADHD, as the most common presenting concern. 1 Specialists in developmental and behavioral pediatrics estimate that referrals for ADHD comprise 50% to 75% of their practices. 2 Moreover, a recent study of 2 national surveys indicated that primary care diagnostic assessment services for children with ADHD increased threefold between 1989 and 1996. 3 To assist physicians in meeting this growing clinical demand, the American Academy of Pediatrics (AAP) has made a substantial effort to develop bestpractice guidelines for ADHD. In particular, a series of articles was published to describe specific empirically supported recommendations for assessment and treatment. 4 These guidelines were established by a panel of experts across a variety of relevant disciplines and underwent an extensive peer-review process both within the AAP and by outside organizations. The published guidelines provide recommendations, detail their application, and describe the strength of evidence for their use.With r...

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“…Collectively, externalizing disorders are the most common child psychiatric issues encountered in primary care settings [73]. Although etiologically and clinically distinct, these disorders are discussed together because of the similarity and overlap of empirically supported treatment options and the high comorbidity among them.…”

Section: Externalizing Disordersmentioning

confidence: 99%

Evidence-Based Psychological Treatments of Pediatric Mental Disorders

Hamblin

Storch

2015

Advances in Pediatrics

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Behavioral health needs in pediatric medicine and the acceptability of behavioral solutions: Implications for behavioral psychologists

Cited by 49 publications

References 26 publications

Technology-Based Interventions and Reducing the Burdens of Mental Illness: Perspectives and Comments on the Special Series

Technology-Based Interventions and Reducing the Burdens of Mental Illness: Perspectives and Comments on the Special Series

The Assessment of Attention-Deficit/Hyperactivity Disorder in Rural Primary Care: The Portability of the American Academy of Pediatrics Guidelines to the “Real World”

Evidence-Based Psychological Treatments of Pediatric Mental Disorders

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