Introduction

Foy, Jane Meschan

doi:10.1542/peds.2010-0788c

Cited by 97 publications

(26 citation statements)

References 37 publications

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“…1–4 Almost 12% of adolescents are diagnosed with major depression or dysthymia; 5 only one-third of those receive mental health care. 2 National organizations call on pediatric primary care settings to fill this gap of mental health care need 6 partly through depression screening and referral. 7 A recent primary care study shows that although half of adolescents with a positive mental health screen are referred for mental health services, one-third will refuse the referral, and less than 20% of those screening positive will be seen by a mental health professional.…”

mentioning

confidence: 99%

Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives

Radovic

Reynolds

McCauley

et al. 2015

The Journal of Pediatrics

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Objective To understand how primary care providers (PCPs) perceive barriers to adolescent depression care to inform strategies to increase treatment engagement. Study design We conducted semi-structured interviews with 15 PCPs recruited from community pediatric offices with access to integrated behavioral health services (i.e., low system-level barriers to care) who participated in a larger study on treating adolescent depression. Interviews addressed PCP perceptions of barriers to adolescents’ uptake of care for depression. Interviews were audio-recorded, transcribed, and coded for key themes. Results Although PCPs mentioned several adolescent barriers to care, they thought parents played a critical role in assisting adolescents in accessing mental health services. Important aspects of the parental role in accessing treatment included transportation, financial support, and social support. PCP’s perceived that parental unwillingness to accept the depression diagnosis, family dysfunction and trauma were common barriers. PCPs contrasted this with examples of good family support they believed would enable adolescents to attend follow-up appointments and have a “life coach” at home to help monitor for side effects and watch for increased suicidality when starting antidepressants. Conclusions In this PCP population, which had enhanced access to mental health specialists, PCPs primarily reported attitudinal barriers to adolescent depression treatment, focusing mainly on perceived parent barriers. The results of these qualitative interviews provide a framework for understanding PCP perceptions of parental barriers to care, identifying that addressing complex parental barriers to care may be important for future interventions.

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mentioning

confidence: 99%

Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives

Radovic

Reynolds

McCauley

et al. 2015

The Journal of Pediatrics

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“…These results are consistent with reports that suggest about 20% of children meet criteria for a mental health diagnosis. 2 Of the 146 records reviewed for 11-year-olds, 80 (55%) were female and 66 (45%) were male. The ethnicity of the group was consistent with the general ethnic make-up of the pediatric practice as 95 (65%) identified as Black/African American.…”

Section: Resultsmentioning

confidence: 99%

“…1 The American Academy of Pediatrics Task Force on Mental Health reported that 21% of children and adolescents in the United States meet diagnostic criteria for a mental health disorder while an additional 16% have impairment in functioning but no specific diagnosis. 2 A nationwide survey of youth in grades 9 to 12 in public and private schools in the United States reported that 29% of students felt sad and hopeless nearly every day for more than 2 weeks that they stopped doing normal activities. Furthermore, 16% reported that they seriously considered suicide, 13% reported creating a suicide plan, and 8% reported trying to commit suicide in the prior year.…”

Section: Introductionmentioning

confidence: 99%

“…National data samples suggest that only 20% of the children who need mental health services actually receive them. 2 This low rate of treatment is often attributed to a number of factors, including low rates of identification, lack of affordability and availability of treatment, and stigma associated with mental illness. 4,5 Fortunately, national statistics suggest about 75% of youth have had contact with a physician or health care professional within the past 6 months and almost all children (97%) have a usual place of health care.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Pediatric Mental Health Screening on Clinical Discussion and Referral for Services

Jonovich

Alpert-Gillis

2013

Clin Pediatr (Phila)

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“…Ideally, next steps would include incorporation of this model of care into a large academic pediatric practice in order to assess feasibility, outcomes, costs, and patient experiences. 11,32 Implications for Behavioral Health Pediatric providers have the opportunity to lead the changes in health care reform through novel care delivery approaches. The need for this change is recognized by the AAP as their Vision of Pediatrics 2020 noted a much greater emphasis on the provision of mental health care by pediatric providers, requiring change of the traditional practice model and development of new skills and capacity by an empowered pediatric workforce.…”

Section: Integration Into the Primary Care Settingmentioning

confidence: 99%

Brief, Rapid Response, Parenting Interventions Within Primary Care Settings

Bultas

McMillin

Broom

et al. 2015

J Behav Health Serv Res

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Opportunities created by the Patient Protection and Affordable Care Act along with the increased prevalence of pediatric behavioral and mental health concerns provide new challenges for pediatric health care providers. To address these matters, providers need to change the manner by which they provide health care to families. A novel approach is providing brief, rapid response, evidence-based parenting interventions within the pediatric primary care setting. Family-focused parenting programs support the American Academy of Pediatrics recommendations of improving mental health via supports in pediatric primary care to maximize the social and psychological well-being of families. A considerable body of research indicates that parenting interventions reduce the severity and frequency of disruptive behavior disorders in children and provide support to parent by bolstering parental resilience and improving overall family functioning. Providing these services within the pediatric primary care setting addresses the need for fully integrated health services that are family-centered and easily accessible.

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Introduction

Cited by 97 publications

References 37 publications

Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives

Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives

Impact of Pediatric Mental Health Screening on Clinical Discussion and Referral for Services

Brief, Rapid Response, Parenting Interventions Within Primary Care Settings

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