TY - JOUR
T1 - Psychology in primary health care
T2 - Effects of brief targeted therapy on children's medical care utilization
AU - Finney, Jack W.
AU - Riley, Anne W.
AU - Cataldo, Michael F.
N1 - Funding Information:
'This research was supported in pan by grants from the Division of Maternal and Child Health (MCJ243270 and MCH917) and the National Institute of Mental Health (MH43883). Portions of these data were presented at the Society of Behavioral Medicine, Washington, DC, March 1987, and at the NIMH Research Conference on Mental Disorders in General Health Care Settings, Seattle, WA, June 1987. We thank Harvey P. Katz, Jon P. Shematek, and the staff and patients of the Columbia Medical Plan, Columbia, Maryland, for their cooperation; Janet R. Hanktn, John M. Parrish, E. David Mellits, and Barbara H. Starfield for research consultation; and the Project HEALTH staff and trainees: C. J. Brophy, R. Cargo, M. Depazza Cataldo, L. Charping, P. C. Friman, R. W. Fuqua, K. L. Lemanek, J. A. Maldonado, J. A. McCosh, P. A. Nau, and A. F. Ross. 2A11 correspondence should be sent to Jack W. Finney, Child Study Center, Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061-0436. (Bitnet address: FINNEY at VTVM1.)
Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 1991/8
Y1 - 1991/8
N2 - 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.
AB - 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.
KW - Behavioral pediatrics
KW - Health maintenance organization
KW - Medical care utilization
KW - Pediatric psychology
KW - Primary health care
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U2 - 10.1093/jpepsy/16.4.447
DO - 10.1093/jpepsy/16.4.447
M3 - Article
C2 - 1941425
AN - SCOPUS:0025779151
SN - 0146-8693
VL - 16
SP - 447
EP - 461
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 4
ER -