Related Experiment Video
Updated: May 27, 2026
05:48
The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
Doctor-office collaborative care for pediatric behavioral problems: a preliminary clinical trial
David J Kolko1, John V Campo, Amy M Kilbourne
1Special Services Unit, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. kolkodj@upmc.edu
Archives of Pediatrics & Adolescent Medicine
|November 9, 2011
Summary
Doctor-office collaborative care (DOCC) improved child behavioral problems and goal achievement compared to enhanced usual care (EUC). This integrated mental health approach shows significant clinical benefits in primary care settings.
Area of Science:
- Pediatric primary care
- Mental health services research
- Child behavioral health
Background:
- Behavioral problems in children are a significant concern in pediatric primary care.
- Effective integration of mental health services into primary care is crucial for improving child outcomes.
- Current usual care models may not adequately address the complex needs of children with behavioral issues.
Purpose of the Study:
- To assess the feasibility and clinical benefits of doctor-office collaborative care (DOCC) compared to enhanced usual care (EUC) for children with behavioral problems.
- To evaluate the impact of integrated mental health interventions on service utilization, behavioral symptoms, and treatment goals.
- To gauge satisfaction levels among pediatricians and parents with the DOCC model.
Main Methods:
- A randomized controlled trial was conducted in four pediatric primary care practices.
- Children aged 5-12 years with behavioral problems were randomized to DOCC (n=55) or EUC (n=23) using a 2:1 ratio.
- Outcomes were measured using standardized diagnostic tools, parent-reported behavioral scales, and goal achievement ratings at preassessment and 6-month postassessment.
Main Results:
- Doctor-office collaborative care (DOCC) demonstrated significant improvements over enhanced usual care (EUC) in service use and completion rates.
- DOCC led to greater reductions in behavioral and emotional problems and higher achievement of individualized behavioral goals.
- Pediatricians and parents reported high satisfaction with the DOCC intervention.
Conclusions:
- The doctor-office collaborative care (DOCC) model is feasible and clinically beneficial for managing behavioral problems in children within primary care settings.
- Integrating collaborative mental health services into primary care is a promising strategy for addressing common mental health disorders in pediatric populations.
- DOCC enhances treatment adherence and clinical response, supporting its wider adoption in pediatric primary care.
Related Concept Videos
01:24Operant Conditioning Intervention
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
01:24Treatment Strategies for Psychological Disorders
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
01:22Behavior Therapy
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
01:26Modeling in Therapy
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
01:30Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
01:30Oppositional Defiant Disorder
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...