University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA.
Florida State University, Tallahassee, FL, USA.
Clin Pediatr (Phila). 2021 Jul;60(8):350-362. doi: 10.1177/00099228211015844. Epub 2021 May 19.
There is an urgent need for new clinical models to improve access to child mental health care. Pediatricians are tasked to care for youth with mild to moderate mental health problems, but require additional training. This article describes an outpatient child psychiatry consultation clinic (CPC) designed to empower pediatricians to care for youth with depression, anxiety, and attention deficit/hyperactivity disorder. Over a 2-year period, 40 primary care physicians (PCPs) referred 159 patients to the CPC. The most common primary diagnoses of patients seen for consultation were generalized anxiety disorder (35%), major depressive disorder (24%), and attention deficit/hyperactivity disorder (20%). Most patients (89%) had at least 2 psychiatric diagnoses. Nearly four fifths (79%) of these patients successfully returned to their PCP for ongoing care. PCPs reported that the CPC enhanced their skills and improved access to mental health care. Similar models are needed to facilitate early intervention for the millions of youth with mental health problems.
目前迫切需要新的临床模式来改善儿童心理健康服务的可及性。儿科医生的任务是照顾有轻度至中度心理健康问题的青少年,但他们需要额外的培训。本文介绍了一种门诊儿童精神病咨询诊所(CPC),旨在赋予儿科医生照顾患有抑郁症、焦虑症和注意力缺陷/多动障碍的青少年的能力。在两年的时间里,40 名初级保健医生(PCP)将 159 名患者转介到 CPC。接受咨询的患者最常见的主要诊断是广泛性焦虑症(35%)、重度抑郁症(24%)和注意缺陷/多动障碍(20%)。大多数患者(89%)至少有 2 种精神科诊断。其中近五分之四(79%)的患者成功返回其初级保健医生处进行持续治疗。PCP 报告说,CPC 增强了他们的技能,并改善了获得心理健康服务的机会。需要类似的模式来为数百万有心理健康问题的年轻人提供早期干预。