Survey to child/adolescent psychiatry and developmental/behavioral pediatric training directors to expand psychiatric‐mental health training to nurse practitioners

Abstract

Background There is an ongoing shortage of child mental health professionals. Nurse practitioners (NPs) who completed behavioral and mental health training have proven that they can diagnose and manage many pediatric problems. Purpose To ask the training directors of both child/adolescent psychiatry (CAP) and developmental/behavioral pediatric (DBP) programs about their receptivity and willingness to give additional training for NPs who provide care to children with behavioral and mental health issues and examine the main obstacles to the development of such programs. Methods A survey was sent to 151 CAP and DBP training directors in the United States. Results The return rate was 67% (N = 101). Only 12% expressed objection to the concept of additional NP training in CAP or DBP, but only 53% of training directors currently reported having sufficient faculty to do so. Some training directors reported already having advanced behavioral and mental health training programs for NPs (31%) and most (82%) would consider expanding, if funded. Conclusions There is support for advanced training for NPs, but funding is needed to make this a reality. Implications for practice Expansion of such programs might rapidly improve accessibility and reduce waiting time of mental health providers for children and adolescents.

Effects of sandplay therapy in reducing emotional and behavioural problems in school‐age children with chronic diseases: A randomized controlled trial

“…Several studies have examined the effects of sandplay on children with cerebral palsy (Wang et al, 2015 ) and on children with separation anxiety (Hamideh & Zohreh, 2015 ), but there is still insufficient research on the effectiveness of sandplay at reducing emotional–behavioural problems in children with chronic diseases in China. Due to the shortage of paediatric psychologists, filling the gap with nursing practitioners has been proposed (Schwartz et al., 2017 ). Therefore, integrating emotional and behavioural treatments into traditional nursing care is a priority.…”