Screening for Behavioral Health Issues in Primary Care

Screening for Behavioral Health Issues in Primary Care Purpose of review Over the past several decades, pediatricians and other primary care providers have recognized the need for greater implementation of screening for emotional and behavioral health (BH) problems, yet only a minority screen for BH issues. Recent findings We summarized guidelines from Bright Futures/American Academy of Pediatrics (AAP), the US Preventive Services Task Force (USPSTF), and the AAP Task Force on Mental Health (TFOMH) regarding screening for BH disorders in the pediatric primary care setting. We provide information on validated screening tools that a pediatrician might use in practice, listed by age range. We also present the recent literature on screening for behavioral health issues in primary care focusing on screening initiatives and their impact, models of screening, feasibility, and clinician and caregiver attitudes. Summary We recommend that pediatricians develop a process to implement general BH screening, as well as targeted screening for specific disorders, ac- cording to the guidelines. Although initiatives have resulted in increased screen- ing, children are still missed. Initiatives are variable in how they report clinical outcomes with many but not all reporting increases in identification and referral. More research is needed on how to best implement BH screening in primary care and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Treatment Options in Pediatrics Springer Journals

Screening for Behavioral Health Issues in Primary Care

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Pediatrics; General Practice / Family Medicine; Intensive / Critical Care Medicine; Maternal and Child Health
eISSN
2198-6088
D.O.I.
10.1007/s40746-018-0118-z
Publisher site
See Article on Publisher Site

Abstract

Purpose of review Over the past several decades, pediatricians and other primary care providers have recognized the need for greater implementation of screening for emotional and behavioral health (BH) problems, yet only a minority screen for BH issues. Recent findings We summarized guidelines from Bright Futures/American Academy of Pediatrics (AAP), the US Preventive Services Task Force (USPSTF), and the AAP Task Force on Mental Health (TFOMH) regarding screening for BH disorders in the pediatric primary care setting. We provide information on validated screening tools that a pediatrician might use in practice, listed by age range. We also present the recent literature on screening for behavioral health issues in primary care focusing on screening initiatives and their impact, models of screening, feasibility, and clinician and caregiver attitudes. Summary We recommend that pediatricians develop a process to implement general BH screening, as well as targeted screening for specific disorders, ac- cording to the guidelines. Although initiatives have resulted in increased screen- ing, children are still missed. Initiatives are variable in how they report clinical outcomes with many but not all reporting increases in identification and referral. More research is needed on how to best implement BH screening in primary care and

Journal

Current Treatment Options in PediatricsSpringer Journals

Published: Mar 28, 2018

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