Addressing behavioral health issues during well child visits by pediatric residents.

The study examined practices by pediatric residents (n = 61) concerning psychosocial care during well child visits. A random sample (n = 719) of well child visits was selected, and a medical record review was conducted. Results suggested that a behavioral health issue was discussed in 38% of the cas...

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Detalles Bibliográficos
Publicado en:Clinical Pediatrics Vol. 45; no. 8; pp. 734 - 741
Autores principales: Williams J, Burwell S, Foy CG, Foy JM
Formato: research Journal Article
Publicado: Sage Publications Inc. Oct2006
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:The study examined practices by pediatric residents (n = 61) concerning psychosocial care during well child visits. A random sample (n = 719) of well child visits was selected, and a medical record review was conducted. Results suggested that a behavioral health issue was discussed in 38% of the cases. The most frequent type of problem discussed involved a medical component, while problems with mood were rarely discussed (<1%). Residents treated 67% of the cases and referred 20% of the cases with behavioral health concerns. Logistic regression suggested that residents were significantly more likely to treat medically focused problems (P = 0.05), but more likely to refer children with social/environmental or learning problems (P = 0.05). Results suggested the need for further training in recognition of internalizing disorders.