Behavioral and developmental problems of children in primary care: Opportunities for psychologists.

Abstract

Almost 25 years ago, Regier, Goldberg, and Taube (1978) provided convincing evidence that most of the mental health care for children in the United States was provided in primary care facilities by providers trained in primary care and not in mental health clinics by providers trained in mental health. Although most of the mental health care they described consisted of brief counseling, prescriptions for psychotropic medications, and referrals for mental health services, this limited level of care was more than most children with behavioral or developmental problems received from mental health specialists (Kelleher & Long, 1994). Primary care providers are even more likely to assume responsibility for children's mental health services in today's health care delivery environment, especially in the current era of managed care with limited referral resources (Kelleher, Scholle, Feldman, &. Nace,

Primary care psychologists in the Netherlands: 30 years of experience.

“…Viewed from such a perspective, health promotion, diagnosis, and treatment lie along a single continuum. That is, the PCP adopts a "community approach" to the provision of mental health care and is therefore clearly visible within the community (Black & Nabors, 2004). Close cooperation with other primary care providers, careful coordination of services, and the formulation of joint treatment objectives and policies for the individual client are all advantages of such an approach.…”

Geïntegreerde psychologische zorg in de eerste lijn

“…Gezien vanuit dit perspectief vormen gezondheidsbevordering, diagnose en behandeling een continuü m. De ELP zorgt er idealiter voor dat de specifieke diensten worden afgestemd op de behoeften in de gemeenschap en dat hij duidelijk zichtbaar is in deze gemeenschap. 9 Psychologisch werk kan nog veel meer dan nu het geval is worden geïntegreerd in de eerste lijn. 10 Samenwerking met de huisarts en het algemeen maatschappelijk werk is noodzakelijk om het biopsychosociale model te kunnen waarmaken, maar is ook onvoldoende.…”

Children's Mental Health as a Primary Care and Concern: A System for Comprehensive Support and Service.

“…Another component of making mental health a primary care matter is to increase awareness of, attention to, and expertise in mental health issues among primary health care providers. The effect of doing so will be to provide many parents with brief, helpful direction and to expedite early identification and appropriate care for children with developing problems (Black & Nabors, 2003).…”

“…Further, evidence is emerging from education and psychology that helping teachers and others who are influential in children's lives to understand and recognize mental health issues and to improve their facility with child mental health principles can benefit youths (see, e.g., Greenberg et al, 2001; Webster-Stratton & Reid, in press). Similarly, considerable evidence is accumulating that training and consultation to increase attention to mental health needs and psychological aspects of other health care have positive effects (Black & Nabors, 2003). Each of these strains of empirical findings suggests that effective intervention can be implemented to treat disorder, prevent later problems, manage subclinical problems, and promote mental health as part of normal development.…”

“…The effect of doing so will be to provide many parents with brief, helpful direction and to expedite early identification and appropriate care for children with developing problems (Black & Nabors, 2003).…”