Psychology in primary health care: Effects of brief targeted therapy on children's medical care utilization

Research output: Contribution to journalArticle

Abstract

Evaluated the impact of psychological treatment for 93 children (ages 1-15) with common behavior, toilet, school, and psychosomatic problems. Children and parents, who were members of a health maintenance organization, had 1-6 visits to a primary care-based psychological consultation service. Individualized treatment was guided by problem-specific behavioral protocols. Parent outcome and behavior checklist ratings indicated improvement or resolution for 74% of children and high satisfaction with the psychological service. Children's use of medical services, especially acute primary care visits, was reduced during the year after treatment; a matched comparison group's use was unchanged. Addressing children's unmet mental health needs reduces medical care utilization. A primary health care model of psychological services provides an integrated system for serving the health and mental health needs of children.

Original languageEnglish (US)
Pages (from-to)447-461
Number of pages15
JournalJournal of Pediatric Psychology
Volume16
Issue number4
DOIs
StatePublished - Aug 1991

Fingerprint

Child Care
Health care
Healthcare
Therapy
Primary Health Care
Health
Psychology
Primary Care
Mental Health
Therapeutics
Psychological Models
Health Maintenance Organizations
Integrated System
Checklist
Acute
Children
Medical care
Primary health care
Maintenance
Research Design

Keywords

  • Behavioral pediatrics
  • Health maintenance organization
  • Medical care utilization
  • Pediatric psychology
  • Primary health care

ASJC Scopus subject areas

  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Genetics(clinical)
  • Biotechnology
  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychology(all)

Cite this

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abstract = "Evaluated the impact of psychological treatment for 93 children (ages 1-15) with common behavior, toilet, school, and psychosomatic problems. Children and parents, who were members of a health maintenance organization, had 1-6 visits to a primary care-based psychological consultation service. Individualized treatment was guided by problem-specific behavioral protocols. Parent outcome and behavior checklist ratings indicated improvement or resolution for 74{\%} of children and high satisfaction with the psychological service. Children's use of medical services, especially acute primary care visits, was reduced during the year after treatment; a matched comparison group's use was unchanged. Addressing children's unmet mental health needs reduces medical care utilization. A primary health care model of psychological services provides an integrated system for serving the health and mental health needs of children.",
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