Training Clinicians in Mental Health Communication Skills: Impact on Primary Care Utilization

Gadomski, Anne; Wissow, Lawrence S.; Slade, Eric P.; Jenkins, Paul

doi:10.1016/j.acap.2010.06.012

Cited by 16 publications

(11 citation statements)

References 36 publications

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“…These models of care, described in greater detail below, can decrease stigma, allow easier access to services in a trusted setting, and facilitate better communication and collaboration between medical and behavioral health providers, 34,53,54 addressing many of the barriers that children and families experiencing poverty face in accessing care. 53 -57 Families with children who have behavioral problems tend to use pediatric services more than other families, 58 thus increasing the opportunity for primary care to serve as an entryway into mental health care. Moreover, parents who discuss their children's social-emotional or behavioral problems with their pediatrician are more likely to obtain mental health services for their children than those who do not discuss these issues.…”

Section: Strategies To Improve Mental Health Access and Outcomes In Pmentioning

confidence: 99%

Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting

et al. 2017

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Poverty is a common experience for many children and families in the United States. Children <18 years old are disproportionately affected by poverty, making up 33% of all people in poverty. Living in a poor or low-income household has been linked to poor health and increased risk for mental health problems in both children and adults that can persist across the life span. Despite their high need for mental health services, children and families living in poverty are least likely to be connected with high-quality mental health care. Pediatric primary care providers are in a unique position to take a leading role in addressing disparities in access to mental health care, because many low-income families come to them first to address mental health concerns. In this report, we discuss the impact of poverty on mental health, barriers to care, and integrated behavioral health care models that show promise in improving access and outcomes for children and families residing in the contexts of poverty. We also offer practice recommendations, relevant to providers in the primary care setting, that can help improve access to mental health care in this population.

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Section: Strategies To Improve Mental Health Access and Outcomes In Pmentioning

confidence: 99%

Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting

et al. 2017

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“…A comparable study in which primary care pediatricians were trained to address children’s behavior problems did not find significant increases for any of the four levels of office visits or for health maintenance visits. 42 …”

Section: Discussionmentioning

confidence: 99%

The SEEK Model of Pediatric Primary Care: Can Child Maltreatment Be Prevented in a Low-Risk Population?

Dubowitz

Lane

Semiatin

et al. 2012

Academic Pediatrics

144

116

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Objective To examine the effectiveness of the Safe Environment for Every Kid (SEEK) model of enhanced pediatric primary care to help reduce child maltreatment in a relatively low-risk population. Methods A total of 18 pediatric practices were assigned to intervention or control groups, and 1119 mothers of children ages 0 to 5 years were recruited to help evaluate SEEK by completing assessments initially and after 6 and 12 months. Children’s medical records and Child Protective Services data were reviewed. The SEEK model included training health professionals to address targeted risk factors (eg, maternal depression), the Parent Screening Questionnaire, parent handouts, and a social worker. Maltreatment was assessed 3 ways: 1) maternal self-report, 2) children’s medical records, and 3) Child Protective Services reports. Results In the initial and 12-month assessments, SEEK mothers reported less Psychological Aggression than controls (initial effect size = −0.16, 95% confidence interval [95% CI] −0.27, −0.05, P = .006; 12-month effect size = −0.12, 95% CI −0.24, −0.002, P =.047). Similarly, SEEK mothers reported fewer Minor Physical Assaults than controls (initial effect size = −0.16, 95% CI −0.29, −0.03, P = .019; 12-month effect size = −0.14, 95% CI −0.28, −0.005, P =.043). There were trends in the same positive direction at 6 months, albeit not statistically significant. There were few instances of maltreatment documented in the medical records and few Child Protective Services reports. Conclusions The SEEK model was associated with reduced maternal Psychological Aggression and Minor Physical Assaults. Although such experiences may not be reported to protective services, ample evidence indicates their potential harm. SEEK offers a promising and practical enhancement of pediatric primary care.

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“…All these findings are compatible with ours. On the contrary, Gadomski et al (2010) studied the effect of communication skills training to mental health professionals and its effect on children (5 -16 years old) receiving primary care (screening mental health problems). They did not find a significant difference between the case and the control groups for the frequency and continuity of their visits.…”

Section: Discussionmentioning

confidence: 99%

Effect of the Communication Skill Training of Mothers Using Multimedia on the Anxiety Levels of Primary School Students

Mohamadi¹,

Hajiamini²,

Ebadi³

et al. 2014

PSYCH

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Training Clinicians in Mental Health Communication Skills: Impact on Primary Care Utilization

Cited by 16 publications

References 36 publications

Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting

Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting

The SEEK Model of Pediatric Primary Care: Can Child Maltreatment Be Prevented in a Low-Risk Population?

Effect of the Communication Skill Training of Mothers Using Multimedia on the Anxiety Levels of Primary School Students

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