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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
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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.

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.