Receiving Advice About Child Mental Health From a Primary Care Provider

Brown, J.; Wissow, Lawrence S.; Zachary, Ciara; Cook, Benjamin Lê

doi:10.1097/mlr.0b013e31812da7fd

Cited by 28 publications

(17 citation statements)

References 42 publications

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“…Inservice education of primary care staff should include how to talk to parents about such issues in ways that result in successful referrals. This is important, especially considering that Hispanic parents are generally favorable to receiving advice from primary care doctors about mental health treatment, assuming that the advice is given in a sensitive manner (Brown, Wissow, Zachary, & Cook, 2007). Health plans administering these benefits should also prioritize follow-up tracking procedures to ensure that referrals were made by primary care to appropriate specialty providers, the parent was able to receive a timely appointment, and that the appointment actually occurred.…”

Section: Discussionmentioning

confidence: 97%

Parents' Perspectives on Access to Child and Adolescent Mental Health Services

Cohen

Calderon²,

Salinas

et al. 2012

Social Work in Mental Health

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This article reports parents' perspectives on access to mental health services for their children enrolled in a state children's health insurance program (CHIP). Little has been published about mental health services utilization in states' CHIP programs. Focus groups with parents yielded many contextual factors, confirming previous reports about the importance of the primary care interface and cultural competence. In addition, the findings pointed to the importance of taking seriously parents' perception of severity of the child's problem, reducing administrative barriers to accessing treatment, promoting education about mental health to the community, and eliciting regular input from parents about system performance.

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Section: Discussionmentioning

confidence: 97%

Parents' Perspectives on Access to Child and Adolescent Mental Health Services

Cohen

Calderon²,

Salinas

et al. 2012

Social Work in Mental Health

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show abstract

“…Prevention education could also teach parents how internalizing symptoms might not be immediately apparent, but that symptoms can spiral downward with worsened impact on child functioning, if appropriate help is not sought early. Additional strategies to help parents initiate and maintain service utilization have included: providing therapeutic services at primary care provider offices (Brown, Wissow, Zachary, & Cook, 2007), offering high quality clinical services at schools (Owens & Murphy, 2004), and utilizing clergy to refer and/or initiate therapeutic services (Milstein, Manierre, Susman, & Bruce, 2008). Further research is needed to determine effectiveness of these strategies at all stages of help-seeking.…”

Section: Discussionmentioning

confidence: 99%

Child Problem Recognition and Help-Seeking Intentions Among Black and White Parents

Thurston

Phares

Coates

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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Objective Parents play a central role in utilization of mental health services by their children. This study explored the relationship between parents’ recognition of child mental health problems and their decisions to seek help. Method Participants included 251 parents (49% Black, 51% White; 49% fathers, 51% mothers) recruited from community settings. Parents ranged in age from 20–66 years-old with at least one child between ages 2–21. Parents read three vignettes that described a child with an anxiety disorder, ADHD, and no clinically-significant diagnosis. Parents completed measures of problem recognition, perception of need, willingness to seek help, and beliefs about causes of mental illness. Results Findings from Generalized Estimating Equations revealed that parents were more likely to report intentions to seek help when they recognized a problem (OR = 41.35, p < .001, 95% CI [14.81, 115.49]), when it was an externalizing problem (OR = 1.85, p < .05, 95% CI [1.14, 3.02]), and when parents were older (OR = 1.04, p < .05, 95% CI [1.01, 1.08]). Predictors of parental problem recognition included perceived need, prior experience with mental illness, and belief in trauma as a cause of mental illness. Predictors of help-seeking intentions included problem recognition, perceived need, externalizing problem type, and being female. Conclusions Given the relationship between parental problem recognition and willingness to seek help, findings suggest that efforts to address disparities in mental health utilization could focus on problem-specific, gender-sensitive, mutable factors such as helping parents value help-seeking for internalizing as well as externalizing problems.

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“…In one CCMbased study of adult depression that focused on use of antidepressants, the intervention was thought to be highly cost-effective for patients who were receptive to medications, but it showed no advantage over usual care (and may have been detrimental) for patients with negative attitudes toward medication (Pyne et al 2005). In pediatrics, parents vary considerably in their attitudes toward different types of therapy for common childhood mental health problems, particularly towards diagnostic labels and medication (Bussing et al 2005;Brown et al 2007c).…”

Section: Introductionmentioning

confidence: 99%

A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care

Wissow

Anthony

Brown

et al. 2008

Adm Policy Ment Health

107

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To expand the mental health service capacity of pediatric primary care, we ask whether there are evidence-based skills to allow providers to 1) immediately begin treatment for children with emotional and behavioral problems while diagnostic procedures are being pursued, and 2) offer evidence-based care to children who do not meet criteria for a specific diagnosis. We discuss why the epidemiology of child mental health problems poses difficulties for disorder-specific mental health interventions, and review evidence that "common factors" contributing to the outcome of mental health treatments define a core set of skills that primary care providers might use to complement disorder-specific interventions.

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Receiving Advice About Child Mental Health From a Primary Care Provider

Abstract: Race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from a PCP. Primary care may be a good point of intervention for Hispanic youth with mental health needs.

Cited by 28 publications

References 42 publications

Parents' Perspectives on Access to Child and Adolescent Mental Health Services

Parents' Perspectives on Access to Child and Adolescent Mental Health Services

Child Problem Recognition and Help-Seeking Intentions Among Black and White Parents

A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care

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