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Screening, management, and appropriate referral for pediatric behavior problems

B Herman-Staab1

  • 1Southern Illinois University, Belleville Family Practice Residency Program.

The Nurse Practitioner
|July 1, 1994
PubMed
Summary

This article provides guidance for primary care providers on assessing and managing common pediatric behavior problems. It details diagnostic methods and effective parenting strategies to support child development and well-being.

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Area of Science:

  • Pediatrics
  • Child Psychology
  • Behavioral Science

Background:

  • Pediatric behavior problems are prevalent yet frequently undiagnosed in primary care settings.
  • Early identification and intervention are crucial for addressing developmental and psychological well-being.

Purpose of the Study:

  • To outline comprehensive assessment strategies for pediatric behavior problems within primary care.
  • To provide evidence-based guidance on positive parenting and discipline techniques.
  • To establish criteria for referral and emphasize the primary care provider's role.

Main Methods:

  • Utilizing parent and child interviews, medical history, and physical assessments.
  • Incorporating direct observation of parent-child interactions.
  • Employing validated behavior rating scales such as the Preschool Children's Behavior Checklist, Pediatric Symptom Checklist, and Eyberg Child Behavior Inventory.

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Main Results:

  • Discusses the comorbidity of behavioral issues with psychological disorders.
  • Differentiates between mild and severe behavioral difficulties.
  • Highlights effective positive parenting and discipline strategies, including praise, active listening, and time-out.

Conclusions:

  • Primary care providers can effectively screen for and manage pediatric behavior problems.
  • Implementing positive parenting strategies supports healthy child development.
  • Clear referral criteria ensure timely specialist consultation when needed.