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Referral by Pediatricians of Children with Behavioral Health Disorders

Department of Pediatrics, Northwest Area Health Education Center, Wake Forest University Health Sciences, Winston-Salem, NC

Guy Palmes, MD

Department of Psychiatry, Northwest Area Health Education Center, Wake Forest University Health Sciences, Winston-Salem, NC

Kurt Klinepeter, MD

Department of Pediatrics, Northwest Area Health Education Center, Wake Forest University Health Sciences, Winston-Salem, NC

Anita Pulley, MSN, RN

Northwest Area Health Education Center, Wake Forest University Health Sciences, Winston-Salem, NC

Jane Meschan Foy, MD

Department of Pediatrics, Northwest Area Health Education Center, Wake Forest University Health Sciences, Winston-Salem, NC

A standard interview guide focused on behavioral health referral practices and communication patterns was developed and administered to 47 pediatricians in private practice. Results suggested that the most frequent reasons for referral to a mental health provider were diagnostic uncertainty, failure to respond to treatment, presence of severe affective symptoms, and need for ongoing psychotherapy. Only a third of the providers indicated that their patients frequently followed through with recommendations to receive mental health care. More than half of the pediatricians wanted more information regarding their patients referred for mental health services, and they expressed a strong interest in colocation with a mental health provider.

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				M. Goodfriend, T. Bryant III, W. Livingood, and J. Goldhagen A Model for Training Pediatricians to Expand Mental Health Services in the Community Practice Setting Clinical Pediatrics, September 1, 2006; 45(7): 649 - 654. [Abstract] [PDF]