TY - JOUR
T1 - Beyond ADHD
T2 - How Well Are We Doing?
AU - Stein, Ruth E.K.
AU - Storfer-Isser, Amy
AU - Kerker, Bonnie D.
AU - Garner, Andrew
AU - Szilagyi, Moira
AU - Hoagwood, Kimberly E.
AU - O'Connor, Karen G.
AU - McCue Horwitz, Sarah
N1 - Publisher Copyright:
© 2016 Academic Pediatric Association.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Background and Objective There has been increasing emphasis on the role of the pediatrician with respect to behavioral, learning, and mental health (MH) issues, and developmental behavioral rotations are now required in pediatric residency programs. We sought to examine whether this newer emphasis on MH is reflected in pediatricians' reports of their current practices. Methods Data from 2 periodic surveys conducted in 2004 and 2013 by the American Academy of Pediatrics were examined to see whether there were differences in self-reported behaviors of usually inquiring/screening, treating/managing/comanaging, or referring patients for attention-deficit/hyperactivity disorder (ADHD), anxiety, depression, behavioral problems, or learning problems. We examined patterns for all practicing members and for those who practiced general pediatrics exclusively. Results There were few changes over the decade in the percentage who inquired or screened among all clinicians; among those exclusively practicing general pediatrics, the percentage who inquired or screened increased about 10% for ADHD and depression. ADHD remained the only condition for which the majority of respondents treated/managed/comanaged (57%). While there was some increase in the percentages who treated other conditions, the other conditions were usually treated by <30% of respondents. A similar pattern of results was observed in analyses adjusted for physician, practice, and patient characteristics. Conclusions Despite the changing nature of pediatric practice and increased efforts to emphasize the importance of behavior, learning, and MH, the pediatric community appears to be making little progress toward providing for the long-term behavioral, learning, and MH needs of children and adolescents in its care.
AB - Background and Objective There has been increasing emphasis on the role of the pediatrician with respect to behavioral, learning, and mental health (MH) issues, and developmental behavioral rotations are now required in pediatric residency programs. We sought to examine whether this newer emphasis on MH is reflected in pediatricians' reports of their current practices. Methods Data from 2 periodic surveys conducted in 2004 and 2013 by the American Academy of Pediatrics were examined to see whether there were differences in self-reported behaviors of usually inquiring/screening, treating/managing/comanaging, or referring patients for attention-deficit/hyperactivity disorder (ADHD), anxiety, depression, behavioral problems, or learning problems. We examined patterns for all practicing members and for those who practiced general pediatrics exclusively. Results There were few changes over the decade in the percentage who inquired or screened among all clinicians; among those exclusively practicing general pediatrics, the percentage who inquired or screened increased about 10% for ADHD and depression. ADHD remained the only condition for which the majority of respondents treated/managed/comanaged (57%). While there was some increase in the percentages who treated other conditions, the other conditions were usually treated by <30% of respondents. A similar pattern of results was observed in analyses adjusted for physician, practice, and patient characteristics. Conclusions Despite the changing nature of pediatric practice and increased efforts to emphasize the importance of behavior, learning, and MH, the pediatric community appears to be making little progress toward providing for the long-term behavioral, learning, and MH needs of children and adolescents in its care.
KW - ADHD
KW - anxiety
KW - behavior problems
KW - depression
KW - developmental behavioral pediatrics
KW - learning problems
KW - mental health
KW - screening
UR - http://www.scopus.com/inward/record.url?scp=84960807112&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84960807112&partnerID=8YFLogxK
U2 - 10.1016/j.acap.2015.08.012
DO - 10.1016/j.acap.2015.08.012
M3 - Article
C2 - 26514649
AN - SCOPUS:84960807112
SN - 1876-2859
VL - 16
SP - 115
EP - 121
JO - Academic Pediatrics
JF - Academic Pediatrics
IS - 2
ER -