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

doi:10.1097/00004583-199005000-00018

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

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

152 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 language	English (US)
Pages (from-to)	453-458
Number of pages	6
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	29
Issue number	3
DOIs	https://doi.org/10.1097/00004583-199005000-00018
State	Published - 1990

Keywords

diagnosis
pediatrician
screening

ASJC Scopus subject areas

Developmental and Educational Psychology
Psychiatry and Mental health

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10.1097/00004583-199005000-00018

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

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.",

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AU - Edelbrock, Craig

AU - Brent, David

AU - Janiszewski, Susan

PY - 1990

Y1 - 1990

N2 - 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.

AB - 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.

KW - diagnosis

KW - pediatrician

KW - screening

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

Abstract

Keywords

ASJC Scopus subject areas

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