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Promoting optimal development: screening for behavioral and emotional problems.

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    This summary is machine-generated.

    Many US children experience behavioral or emotional disorders, yet identification and treatment in the health system are insufficient. This report emphasizes the critical need for enhanced behavioral screening in pediatric care.

    Keywords:
    attention-deficit/hyperactivity disorderbehavioral screeningemotional problemspediatricsprimary care

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Developmental Psychology
    • Pediatric Health Services

    Background:

    • Approximately 11-20% of children in the US have a diagnosed behavioral or emotional disorder at any given time.
    • Between 37-39% of children receive a diagnosis by age 16, indicating a significant public health concern.
    • Current identification and treatment of these disorders within the US health system are unreliable and inadequate.

    Purpose of the Study:

    • To highlight the urgent need for increased behavioral screening in pediatric primary care.
    • To review the prevalence, contributing factors, and current detection status of behavioral and emotional disorders in children.
    • To identify barriers to screening and propose solutions at practice, health system, and societal levels.

    Main Methods:

    • Review of current prevalence data for behavioral and emotional disorders in children and adolescents.
    • Analysis of factors influencing the development of these disorders.
    • Assessment of the current state of detection within pediatric primary care settings.
    • Identification of barriers to effective screening and potential strategies for overcoming them.
    • Discussion of necessary practice and health system changes to facilitate screening.

    Main Results:

    • Behavioral and emotional disorders are highly prevalent in children and adolescents.
    • Significant gaps exist in the reliable identification and treatment of these disorders within the US healthcare system.
    • Multiple barriers at practice, health system, and societal levels impede effective screening.

    Conclusions:

    • Enhanced behavioral screening is crucial for improving the identification and management of childhood behavioral and emotional disorders.
    • Systemic changes in pediatric practice and healthcare delivery are necessary to overcome screening barriers.
    • Further research is needed to support the implementation of effective screening protocols and interventions.