The Pediatrician as Gatekeeper to Mental Health Care for Children: Do Parents' Concerns Open the Gate?

Mina K. Dulcan*, Elizabeth J. Costello, Anthony J. Costello, Craig Edelbrock, David Brent, Susan Janiszewski

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

148 Scopus citations

Abstract

Data from a study of children seen for pediatric care in a Health Maintenance Organization are used to examine factors which influence the likelihood that a pediatrician will identify a psychiatric problem and refer an identified child to a mental health specialist for further evaluation and treatment. Parental level of distress, family psychiatric history, and discussion of parental concerns with the pediatrician were found to be important. Characteristics of the service delivery system which may impede appropriate identification and referral are discussed. Implications for participation of child and adolescent psychiatrists in the training of pediatricians are presented.

Original languageEnglish (US)
Pages (from-to)453-458
Number of pages6
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume29
Issue number3
DOIs
StatePublished - 1990

Keywords

  • diagnosis
  • pediatrician
  • screening

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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