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Clinical Pediatrics
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Addressing Behavioral Health Issues During Well Child Visits by Pediatric Residents

Jane Williams, PhD

Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, North Carolina

Stephanie Burwell, PhD

Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina

Capri G. Foy, PhD, MS

Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina

Jane Meschan Foy, MD

Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, North Carolina

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.

Clinical Pediatrics, Vol. 45, No. 8, 734-740 (2006)
DOI: 10.1177/0009922806292790
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