TY - CHAP M1 - Book, Section TI - Child & Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics A1 - Kelsay, Kimberly A1 - Talmi, Ayelet A1 - Burstein, Adam A2 - Hay Jr., William W. A2 - Levin, Myron J. A2 - Abzug, Mark J. A2 - Bunik, Maya Y1 - 2020 N1 - T2 - Current Diagnosis & Treatment: Pediatrics, 25e AB - Pediatric primary care settings are often the first points of identification of mental and behavioral health issues and entry into behavioral health systems for the 14%–20% of children and adolescents affected. Beyond addressing identified and diagnosable mental health conditions, pediatric primary care settings are tasked with (1) screening and surveillance, (2) early identification, (3) triage and initiate treatment for uncomplicated issues, and (4) referral around complex behavioral health issues for the child, their family, and the environments with which the child interacts. Primary care providers see approximately 75% of children with psychiatric disturbances, and half of all pediatric office visits involve behavioral, psychosocial, or educational concerns. Parents and children often prefer discussing these issues with pediatric providers who they already know and trust. As a result, pediatric primary care providers play an important role in the prevention, identification, initiation, management, and coordination of mental health issues, in addition to providing behavioral and development care for children and adolescents. Unfortunately, the shortage of mental health providers, stigma attached to receiving mental health services, chronic underfunding for behavioral/mental health services, institutional barriers within the public mental health system, and disparate insurance benefits contribute to the fact that only 2% of children with diagnosable disorders are seen by mental health specialists. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1172101290 ER -