OBJECTIVE: To seek clues to the enhancement of primary care management by (i) Determining how often and in whom primary care clinicians in the United States, Puerto Rico, and Canada identify pediatric mood or @entity148 ; (ii) Determining which clinical and demographic features predict higher rates of identification; (iii) Describing assessment methods used. METHODS: This report uses the database of the multi-site @entity1 Behavior Study. This cross-sectional study involved 206 primary care practices in the United States, Puerto Rico, and Canada; 395 clinicians and 20,861 primary care attenders aged 4-15 years. Clinicians completed a visit questionnaire addressing presence and type of psychosocial problems and how assessed. Parents completed a questionnaire addressing family demographics, @entity1 symptoms (Pediatric Symptom Checklist) and functioning, and @entity1 service use. RESULTS: Clinicians identified psychosocial problems on 17.9% of visits, but mood or @entity148 on only 3.3%, most commonly in @entity1 judged to have co-morbid behavioral syndromes, of whom the majority (66.7%) already had contact with specialized mental health. Neither parental concerns about mood and @entity148 nor clinician familiarity with the @entity1 were major predictors of identification. When making a diagnosis of a pure internalizing syndrome (i.e., without a co-morbid @entity146 ) clinicians rarely used standardized tools or school reports. CONCLUSIONS: Neither screening for nor diagnosis of mood and @entity148 is a routine part of primary care of @entity1 and adolescents. Efforts to improve care must include practical, validated screening procedures to enhance assessment for mood and @entity148 , particularly among @entity1 in whom primary care clinicians identify psychosocial problems.

Pediatric mood and XXXX in primary care: who gets identified?.

@entity1 :: ('9606', 'Species') :: ['Child', 'children', 'patient', 'child'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety symptoms', 'anxiety syndromes'] @entity146 :: ('MESH:D001523', 'Disease') :: ['behavioral syndrome']
@entity148 :: (MESH:D001008,Disease) :: ['anxiety syndromes']
