Barriers to the Identification and Management of Psychosocial Problems: Changes from 2004 to 2013

Sarah McCue Horwitz, Amy Storfer-Isser, Bonnie D. Kerker, Moira Szilagyi, Andrew Garner, Karen G. O'Connor, Kimberly E. Hoagwood, Ruth E. K. Stein

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

Objective Pediatricians 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. Methods In 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. Results Lack 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

Original languageEnglish (US)
Pages (from-to)613-620
Number of pages8
JournalAcademic Pediatrics
Volume15
Issue number6
DOIs
StatePublished - Nov 1 2015

Keywords

  • access
  • barriers
  • child mental health
  • child psychosocial problems
  • primary care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Horwitz, S. M., Storfer-Isser, A., Kerker, B. D., Szilagyi, M., Garner, A., O'Connor, K. G., Hoagwood, K. E., & Stein, R. E. K. (2015). Barriers to the Identification and Management of Psychosocial Problems: Changes from 2004 to 2013. Academic Pediatrics, 15(6), 613-620. https://doi.org/10.1016/j.acap.2015.08.006