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Clinical Pediatrics
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Screening for Psychosocial Problems in 4-5-Year-Olds During Routine EPSDT Examinations: Validity and Reliability in a Mexican-American Sample

Maria Pagano

Child Psychiatry Service, Massachusetts General Hospital

J. Michael Murphy

Child Psychiatry Service, Massachusetts General Hospital

Maren Pedersen

Fair Oaks Public Health Clinic, San Mateo

Dee Mosbacher

San Mateo County Mental Health

Janet Crist-Whitzel

San Mateo County Mental Health

Pat Jordan

San Mateo County Mental Health

Carla Rodas

Fair Oaks Public Health Clinic, San Mateo

Michael S. Jellinek

Child Psychiatry Service, Massachusetts General Hospital

The effectiveness of the Pediatric Symptom Checklist (PSC) as a psychosocial screening measure to meet Federal Medicaid/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) requirements was examined in 117 low-income preschool (aged 4—5 years old) Hispanic children during well-child examinations in three clinics over an 8-month period. The PSC identified 7% of the sample as at risk for psychosocial problems. The PSC was significantly associated with parental ratings of the children's problems in functioning, with pediatric clinicians' decisions to make mental health referrals, with degrees of associations similar to those found between PSC scores, and with the same measures with school-aged children in the same clinics. Cronbach's alpha was high (r=.87) and virtually identical in English, Spanish, oral, and written formats. Although it identified a slightly lower rate of psychosocial problems in 4-5-year-olds than it had in school-aged children, the PSC appeared to provide an effective method of screening for psychosocial problems during EPSDT examinations.

Clinical Pediatrics, Vol. 35, No. 3, 139-146 (1996)
DOI: 10.1177/000992289603500305
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Home page
 Arch Pediatr Adolesc MedHome page
M. S. Jellinek, J. M. Murphy, M. Little, M. E. Pagano, D. M. Comer, and K. J. Kelleher
Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study
Arch Pediatr Adolesc Med, March 1, 1999; 153(3): 254 - 260.
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