Providing psychological services in a private pediatric setting: Development of a model.

Wersh, Joanne; Tritt, Sharon Goszer; Stambrook, Michael; Dushenko, Terrance W.

doi:10.1037/h0081275

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…Demographic characteristics There were almost twice as many boys as girls in the sample studied, and the study of sex distribution according to age revealed that the predominance of boys was ac centuated for latency age children. This represents-the typical sex ratio of children seen at child guidance centers in the country, especially in the latency or school ages as has been indicated by previous research (Adams & Kagnoff, 1983;Beltchman, Bell, & Simeon, 1978;Hunt, 1961;Lurie, 1974;Marine & Cohen, 1975;Ramsey-Klee & Elduson, 1969;Roach et al, 1958;Wersh et al, 1982). However, unlike previous studies, it was found that there was an equal number of boys and girls in the infancy stage and also for the group of adolescent clients.…”

Section: Description Of the Dmcgcsupporting

confidence: 56%

“…However, Simonds and Aston (1982) and Wolff (1961) did not find such a trend in family size among families seen at a child guidance clinic. Wersh et al (1982) conducted a descriptive study of a pediatric setting in Canada. These authors found a significant relationship between family structure and presenting problem, i.e., the majority of children who came from single-parent families were experiencing general neurotic or somatic symptoms.…”

Section: Family Psychiatric Historymentioning

confidence: 99%

“…In other words, preschoolers may have needed special arrangements for treatment, such as activity group, rather than the traditional oneto-one therapy model. As a matter of fact, literature suggests that there is a trend for younger children to be treated with short consultative or direct intervention strategies than for older children who are treated with more traditionally oriented therapy modalities (Wersh et al, 1982).…”

Section: Recommended and Received Treatment Modalitymentioning

confidence: 99%

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Therapy success in a child guidance center as a function of intake and treatment variables

Joffe

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Prior contact with the DMCGC 59 Presence of a man in the home, his relationship with the client, and his employment status 59 Presence of a woman in the home, her relationship with the client, and her employment status 61 Marital status of clients' natural parents 63 Presence and number of siblings in the client's family 63 Income distribution 65 Religious preference of the sample 65 Racial distribution 66 Medication 66 Characteristics of services sought and provided in the Center 66 Frequency of service requests 66 Preintake waiting time: Time.between the first call and the initial interview Family members who had been seen at the DMCGC before the 1983 interview Who made the initial contact seeking services? Who referred children to the DMCGC? Presence of parents at the intake interview 71 Clients' levels of psychological functioning assessed at the time of the initial interview Coded diagnosis at the time of the initial inter view Frequency of overcontrolled behavior clusters at the time of the initial interview 71 Intake worker characteristics Location of proposed service 74 Treatment modalities recommended at the time of the intake interview 75 Compliance with treatment recommendations 75 Waiting time between the initial interview and the first therapy visit 76 Therapists' characteristics 77 Location where therapy was delivered 77 Treatment modalities implemented 77 Duration of therapy in months 79 Number of therapy visits 79 Appointments missed 81 Clients' levels of psychological functioning at the time of termination of services with the DMCGC 81 Reason for termination of contact with the DMCGC 82 V Change in the diagnostic category after inter vention Overcontrolled and undercontrolled behavior clusters Treatment Modality Recommended 84 Age group 85 Other demographic variables 85 Previous contact Referral Family constellation Clients' psychological characteristics Intake worker characteristics Proposed treatment and received treatment Treatment Received Age group Income Clients' psychological characteristics 91 Place where service was received 91 Therapist characteristics 92 Treatment variables 94 Summary 94 Compliance to Treatment Recommendations 97 • Demographic variables 97 Family constellation 97 Referral and previous contact 97 Clients' psychological characteristics 98 Intake worker characteristics 100 .. Intake variables 100 Presence of father (or father figure) in the initial interview 100 Location of proposed service 101 Waiting time between the intake interview and the first therapy session scheduled 101 Summary 102 Treatment Outcome 102 Change in the child's diagnostic classification from the time of the first interview at the DMCGC to the occasion of termination of contact with the DMCGC 104 Location where service was provided Received treatment 104 105 vi Compliance 105 Therapy length (number of visits) 106 Reason for termination of contact with the DMCGC 106 Clients' psychological levels of functioning 107 Summary 108 Reason for termination of contact with the DMCGC 109 Clients' psychological ...

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Section: Description Of the Dmcgcsupporting

confidence: 56%

Section: Family Psychiatric Historymentioning

confidence: 99%

Section: Recommended and Received Treatment Modalitymentioning

confidence: 99%

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Therapy success in a child guidance center as a function of intake and treatment variables

Joffe

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“…Services offered in the pediatric setting allow the pediatrician to maintain a greater sense of proximity and management of care; these are important to the doctorpatient relationship and can help to establish one's value to the pediatrician. Outpatient services offered in the pediatrician's clinic also avoid the stigma associated with attending a psychologist's office or clinic (Wersh, Tritt, Stambrook, & Dushenko, 1982) and can be less costly (Morrison, 1976). In addition, pediatricians (or residents) may ask to sit in and observe during treatment sessions.…”

Section: Enter the Pediatric-medical Culturementioning

confidence: 99%

A Behavioral Prescription for Promoting Applied Behavior Analysis Within Pediatrics

Allen

Barone

Kuhn

1993

J of App Behav Analysis

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In recent decades, pediatric medicine has undergone a shift in focus from infectious diseases to the effects of behavior on the health and development of children. At the same time, behavior analysts have increasingly evaluated the direct application of their technology to the development and maintenance of child health behavior. Unfortunately, applied behavior analysts have developed their technology parallel to, rather than collaboratively with, pediatricians and, as a result, are not recognized as experts in the treatment of child health behavior. In addition, behavioral technology is not widely recognized as the treatment of choice by pediatricians. This paper provides a behavioral prescription for behavior analysts who wish to enter pediatrics as expert scientists and technicians. Specific recommendations are provided for stimulating collaborative rather than parallel development between applied behavior analysis and pediatrics in the promotion and maintenance of child health behavior. Strategies for maintaining this collaborative relationship and for strengthening the social relevance of behavior analysis are discussed.

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“…How the child health service responds to the needs of parents and infants in this situation is thus an urgent question for preventive paediatrics (18,19). Studies have shown that psychological support and counselling for parents of young children with behavioural problems can reduce their future demand for therapy and are an efficient use of therapists' time (20).…”

mentioning

confidence: 99%

Child health service's response to early feeding and behaviour problems: changes in parental perceptions 1970–93

Magnusson

Sundelin

1999

Acta Paediatrica

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Objective: This health systems study was done to measure changes over time concerning parents' perceptions of feeding and behavioural problems in children 6–18 mo of age, parents' willingness to use child health services and their evaluation of the advice received. Method: The study had a repetitive cross‐sectional design. Three largely identical surveys were performed in 1970, 1988 and 1993. Questionnaires were sent to a random sample of all parents of children 6‐18 mo living in Uppsala, Sweden. Results and conclusions: The frequency of different perceived feeding and/or behavioural problems was stable or declined between 1970 and 1988, but increased in 1993. For most problems, inclination to seek help and perceived benefit of advice decreased between 1970 and 1988, but increased again in 1993. The parents sought more help and perceived the advice they received as more beneficial when the service was in the hands of paediatric nurses (1970) or of district nurses focusing on the care of infants and preschool children (1993) than when the district nurses also had responsibilities for adults and the elderly (1988). No correlation was seen with societal and sociodemographic trends. Although the cross‐sectional (hence non‐experimental) design of the study makes it impossible to prove causality, the findings suggest that parents' willingness to use the child health service and their evaluation of that service may depend in part on organization, including the degree to which nurses with “first‐line” contacts are focused on paediatric services.

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Providing psychological services in a private pediatric setting: Development of a model.

Cited by 7 publications

References 17 publications

Therapy success in a child guidance center as a function of intake and treatment variables

Therapy success in a child guidance center as a function of intake and treatment variables

A Behavioral Prescription for Promoting Applied Behavior Analysis Within Pediatrics

Child health service's response to early feeding and behaviour problems: changes in parental perceptions 1970–93

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