Development of pediatric secondary psychosocial care in a health maintenance organization

A pediatric secondary psychosocial service was developed to provide easy access to brief, focused, problem-oriented psychosocial care for children and their parents on referral from their primary care providers. The intent was to support parents' efforts at resolving their families' difficulties. Support was provided for patients with needs beyond the realm of primary care, so as to avoid deterioration in functioning and the need for tertiary care. During the first 6 months 243 children were seen for a wide range of behavioral, emotional, and social relationship difficulties. Evaluation revealed strong support by referring providers, parents, and psychosocial staff. Subsequent developments and plans are discussed.