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Richard R Dopp¹, Elizabeth Tengelitsch¹, Paresh Patel¹

¹Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.

Child and adolescent psychiatric clinics of North America

|March 5, 2025

概括

幼儿的行为健康问题往往被忽视. 与初级保健提供者 (PCP) 进行咨询对于早期诊断和治疗ADHD和焦虑等疾病至关重要.

科学领域:

儿科的行为健康.
儿童精神病学咨询儿童精神病学咨询
主要护理儿科医生小儿科

背景情况:

幼儿的行为健康状况往往未得到充分的认识和治疗.
儿童精神科医生短缺需要为初级保健提供者 (PCP) 提供有效的咨询模式.

研究的目的:

通过密歇根州临床咨询和护理计划,分析幼儿行为健康咨询的特点.
确定幼儿中常见的诊断和治疗参与情况,并将其转诊进行行为健康咨询.

主要方法:

对密歇根州6岁及以下儿童临床咨询和护理计划973次咨询的回顾性分析.
审查咨询数据,包括药物使用,心理治疗参与和诊断查询.

主要成果:

超过一半的孩子已经在服用药物,近一半的孩子没有接受心理治疗.
常见的咨询原因包括注意力缺陷多动症 (ADHD),焦虑和自闭症谱系障碍.
与精神病医生的评估相比,PCP诊断创伤和与压力相关的疾病的可能性较低.

结论:

初级保健提供者经常遇到有行为健康需求的幼儿,通常已经在药物治疗中,但没有在心理治疗中.
对于PCP来说,准确诊断诸如创伤相关疾病等疾病可能是一个挑战,强调需要加强咨询支持.

关键词:

心理健康心理健康创伤和儿科精神卫生保健护理获取计划.小孩子幼儿幼儿

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