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A pediatric screening examination for psychosocial problems

J R Metz, C M Allen, G Barr

    Pediatrics
    |October 1, 1976
    PubMed
    Summary
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    This study introduces a cost-effective psychosocial screening for children in pediatric settings. It identifies at-risk youth for early intervention, improving social and school adjustment.

    Area of Science:

    • Pediatric Health
    • Child Psychology
    • Preventive Medicine

    Background:

    • Unresolved emotional problems negatively impact children's social and academic adjustment.
    • Early identification of psychosocial issues is crucial for effective intervention.
    • Existing pediatric examinations may not adequately address psychosocial development.

    Purpose of the Study:

    • To integrate a psychosocial screening into routine pediatric examinations.
    • To identify children at high risk for significant psychosocial problems.
    • To evaluate the validity and effectiveness of the screening and follow-up process.

    Main Methods:

    • A psychosocial phase was added to multiphasic pediatric examinations.
    • Screening involved parent questionnaires (child behavior, family stress) and child psychological tests.

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  • Specially trained paraprofessionals administered tests, with computerized results reported to pediatricians.
  • High-risk patients received follow-up from mental health counselors.

    • Main Results:

    • The semicomputerized screening is valid for identifying serious psychosocial problems in school-aged children.
    • The screening can be implemented routinely and cost-effectively by paraprofessionals.
    • Factors influencing screening scores and the effectiveness of clinical follow-up were analyzed.

    Conclusions:

    • Routine, low-cost psychosocial screening by paraprofessionals in pediatric settings is feasible and effective.
    • Early identification facilitates timely intervention, mitigating long-term negative effects.
    • Addressing barriers for healthcare providers and patients is essential for optimal utilization of screening results.