Department of Pediatrics, Baylor College of Medicine.
Department of Public Health Sciences, University of Miami Miller School of Medicine.
Fam Syst Health. 2024 Mar;42(1):1-5. doi: 10.1037/fsh0000887.
Leading national health organizations have declared pediatric mental health an urgent public health issue. Pediatric primary care is an ideal setting to improve mental health in young children; however, various existing barriers limit the effective identification of social-emotional risk among toddlers. This special section of Families, Systems, & Health includes four articles that identify multilevel barriers and facilitators to population-level early childhood mental health screening, identification, and referral and describe implementation strategies that may be used to improve pediatric mental health. In the first article, authors describe clinicians' concerns regarding the social-emotional screening of young children. In the second article, authors highlight the potential for a transdiagnostic screening tool for assessing toddler irritability that may support clinical decision making. In the third article, authors use information gathered from clinicians to generate a logic model that can guide the implementation of screening and referral for toddlers with elevated social-emotional risk. In the fourth article, authors explore caregivers' perceptions of other factors, such as effectiveness, demand, and cost, of the proposed intervention, that may impact their service engagement. Together, these articles outline a plan for facilitating early childhood mental health screening, identification, and referral that has the potential for reducing the prevalence of pediatric mental health diagnoses. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
主要的国家卫生组织已经宣布儿科心理健康是一个紧急的公共卫生问题。儿科初级保健是改善幼儿心理健康的理想环境;然而,各种现有的障碍限制了对幼儿社会情感风险的有效识别。《家庭、系统与健康》这一特刊包括四篇文章,确定了在人群层面进行幼儿心理健康筛查、识别和转介的多层次障碍和促进因素,并描述了可能用于改善儿科心理健康的实施策略。在第一篇文章中,作者描述了临床医生对幼儿社会情感筛查的担忧。在第二篇文章中,作者强调了一种用于评估幼儿烦躁情绪的跨诊断筛查工具的潜力,该工具可能支持临床决策。在第三篇文章中,作者使用从临床医生那里收集的信息生成一个逻辑模型,该模型可以指导对有较高社会情感风险的幼儿进行筛查和转介。在第四篇文章中,作者探讨了照顾者对拟议干预措施的其他因素(如有效性、需求和成本)的看法,这些因素可能会影响他们对服务的参与。这些文章共同概述了促进幼儿心理健康筛查、识别和转介的计划,有可能降低儿科心理健康诊断的流行率。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。