ArticleAcademic pediatrics
Barriers to the Identification and Management of Psychosocial Problems: Changes From 2004 to 2013.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
56 citing papers in PubMed, 1 synthesis or guideline pooled it, 201 citations in OpenAlex.
- Factors associated with the identification of child mental health problems in primary care-a systematic review.The European journal of general practice · 2019Pooled it
- Effects of Training on Use of Stimulant Diversion Prevention Strategies by Pediatric Primary Care Providers: Results from a Cluster-Randomized Trial.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- Use of Stimulant Diversion Prevention Strategies in Pediatric Primary Care and Associations With Provider Characteristics.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Trial
- Effects of Primary Care Provider Characteristics on Changes in Behavioral Health Delivery During a Collaborative Care Trial.Academic pediatrics · 2020Trial
- Providers of ADHD Care for Children: Factors Associated With Coordination of ADHD Services With Schools.Journal of attention disorders · 2026Article
- Knowledge and Attitudes of Pediatricians and Pediatric Residents Towards Postpartum Depression Screening of Women in Lebanon.Maternal and child health journal · 2026Article
- Physician Preferences for Universal Routine Depression Screening for Adolescents in Primary Care.JAMA network open · 2025Article
- Addressing Access to Child Mental Health Services in Primary Care: Implementation and Feasibility of the Colorado Pediatric Psychiatry Consultation and Access Program.Children (Basel, Switzerland) · 2025Article
- Impact of a continuing medical education program on primary care providers - an analysis of a child psychiatry education program in Saskatchewan.BMC primary care · 2025Article
- Practice-Based Models of Pediatric Mental Health Care.Pediatric clinics of North America · 2024Review
- Pediatric clinicians' perspectives on assessing concerns about young children's social-emotional wellbeing in primary care.Journal of child health care : for professionals working with children in the hospital and community · 2024Article
- Linking Primary Care to Community-Based Mental Health Resources via Family Navigation and Phone-Based Care Coordination.Journal of clinical psychology in medical settings · 2024Article
- A Case-Based, Longitudinal Curriculum in Pediatric Behavioral and Mental Health.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Duchenne Muscular Dystrophy-Associated Neurobehavioral Difficulties: Insights from Clinical Practice.Journal of neuromuscular diseases · 2024Article
- Expanding Developmental and Behavioral Health Capacity in Pediatric Primary Care.Clinical pediatrics · 2023Article
- State of the Evidence for Use of Psychotropic Medications in School-Age Youth.Children (Basel, Switzerland) · 2023Review
- Specialized Instructional Support Personnel (SISP): A Promising Solution for North Carolina's Youth Mental Health Crisis.North Carolina medical journal · 2023Article
- Closing the gap between screening and depression prevention: a qualitative study on barriers and facilitators from the perspective of public health professionals in a school-based prevention approach.BMC public health · 2023Article
- Anxiety and Depression Treatment in Primary Care Pediatrics.Pediatrics · 2023Review
- Evaluating a Project Extension for Community Health Outcomes Pediatric Behavioral Health Series in a Rural and Frontier State: An Exploratory Investigation.Telemedicine reports · 2023Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
objectivePediatricians report many barriers to caring for children with mental health (MH) problems. The American Academy of Pediatrics (AAP) has focused attention on MH problems, but the impact on perceived barriers is unknown. We examined whether perceived barriers and their correlates changed from 2004 to 2013.
methodsIn 2004, 832 (52%) of 1600 and in 2013, 594 (36.7%) of 1617 of randomly selected AAP members surveyed responded to periodic surveys, answering questions about sociodemographics, practice characteristics, and 7 barriers to identifying, treating/managing, and referring child/adolescent MH problems. To reduce nonresponse bias, weighted descriptive and logistic regression analyses were conducted.
resultsLack of training in treatment of child MH problems (∼66%) and lack of confidence treating children with counseling (∼60%) did not differ across surveys. Five barriers (lack of training in identifying MH problems, lack of confidence diagnosing, lack of confidence treating with medications, inadequate reimbursement, and lack of time) were less frequently endorsed in 2013 (all P < .01), although lack of time was still endorsed by 70% in 2013. In 2004, 34% of pediatricians endorsed 6 or 7 barriers compared to 26% in 2013 (P < .005). Practicing general pediatrics exclusively was associated with endorsing 6 or 7 barriers in both years (P < .001).
conclusionsAlthough fewer barriers were endorsed in 2013, most pediatricians believe that they have inadequate training in treating child MH problems, a lack of confidence to counsel children, and limited time for these problems. These findings suggest significant barriers still exist, highlighting the need for improved developmental and behavioral pediatrics training.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.