Academic Pediatrics
Volume 10, Issue 4 , Pages 252-259 , July 2010

Is Developmental and Behavioral Pediatrics Training Related to Perceived Responsibility for Treating Mental Health Problems?

Presented in part at the Pediatric Academic Societies' Annual Meeting, Honolulu, Hawaii, May 2008, and at the Academy Health Annual Research Meeting, Washington, DC, June 2008.

Received 29 September 2009 ,Accepted 10 March 2010.

References 

  1. US Department of Health and Human Services . Mental Health: A Report to the Surgeon General. Rockville, Md: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institute of Mental Health; 2000;
  2. Blanchard L, Gurka MJ, Blackman JA. Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health. Pediatrics. 2006;117:e1202–e1212
  3. Kelleher KJ, McInerny TK, Gardner WP, et al. Increasing identification of psychosocial problems: 1979–1996. Pediatrics. 2000;105:1313–1321
  4. Moreno C, Laje G, Blanco C, et al. National trends in the outpatient diagnosis and treatment of bipolar disorder in youth. Arch Gen Psychiatry. 2007;64:1032–1039
  5. Gardner W, Kelleher KJ, Wasserman R, et al. Primary care treatment of pediatric psychosocial problems: a study from pediatric research in office settings and ambulatory sentinel practice network. Pediatrics. 2000;106:e44–e52
  6. Horwitz SM, Leaf PJ, Leventhal JM, et al. The identification and management of psychosocial and developmental problems in community-based, primary care pediatrics. Pediatrics. 1992;89:400–485
  7. Coker TR, Elliott MN, Kataoka S, et al. Racial/ethnic disparities in the mental health care utilization of fifth grade children. Acad Pediatr. 2009;9:89–96
  8. Haggerty R. The changing role of the pediatrician in child health care. Am J Dis Child. 1974;127:545–549
  9. Haggerty RJ. Child health 2000: new pediatrics in the changing environment of children's needs in the 21st century. Pediatrics. 1995;96:804–812
  10. Haggerty RJ. Behavioral pediatrics: a time for research. Pediatrics. 1988;81:179–185
  11. Cheung AH, Zuckerbrot RA, Jensen PS, et al. Expert survey for the management of adolescent depression in primary care. Pediatrics. 2008;121:e101–e107
  12. Wissow LS, Gadomski A, Roter D, et al. Improving child and parent mental health in primary care: a cluster-randomized trial of communication skills training. Pediatrics. 2008;121:266–275
  13. Stein RE, Zitner LE, Jensen PS. Interventions for adolescent depression in primary care. Pediatrics. 2006;118:669–682
  14. Stein REK, Horwitz SM, Storfer-Isser A, et al. Do pediatricians think they are responsible for identification and management of child mental health problems? Results of the AAP Period Survey. Ambul Pediatr. 2008;8:11–17
  15. Thomas CR, Holzer CE. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry. 2006;45:1023–1031
  16. Sturm R, Ringel JS, Andreyeva T. Geographic disparities in children's mental health care. Pediatrics. 2003;112:e308–e315
  17. Flores G, Tomany-Korman SC. Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children. Pediatrics. 2008;121:e286–e298
  18. Report of the Task Force on Pediatric Education: the future of pediatric education. Evanston, Ill: American Academy of Pediatrics; 1978;
  19. The future of pediatric education II . Organizing pediatric education to meet the needs of infants, children, adolescents and young adults in the 21st century. A collaborative project of the pediatric community. Task Force on the Future of Pediatric Education. Pediatrics. 2000;105(1 pt 2):157–212
  20. Leslie L, Rappo P, Abelson H, et al. Final report of the FOPE II Pediatric Generalists of the Future Workgroup. Pediatrics. 2000;106:1199–1223
  21. Coury DL, Berger SP, Stancin T, Tanner JL. Curricular guidelines for residency training in developmental-behavior pediatrics. J Dev Behav Pediatr. 1999;20(2 suppl):S1–S38
  22. Learman LA, Gerrity MS, Field DR, et al. Effects of a depression education program on residents' knowledge, attitudes and clinical skills. Obstet Gynecol. 2003;101:167–174
  23. Stein REK, Horwitz SM, Storfer-Isser A, et al. Attention-deficit/hyperactivity disorder: how much responsibility are pediatricians taking?. Pediatrics. 2009;123:248–255
  24. Horwitz SM, Kelleher KJ, Stein RE, et al. Barriers to the identification and management of psychosocial issues in children and maternal depression. Pediatrics. 2007;119:e208–e218
  25. Olson AL, Kelleher KJ, Kemper KJ, et al. Primary care pediatricians' roles and perceived responsibilities in the identification and management of depression in children and adolescents. Ambul Pediatr. 2001;1:91–98
  26. Williams J, Klinepeter K, Palmes G, et al. Diagnosis and treatment of behavioral health disorders in pediatric practice. Pediatrics. 2004;114:601–606
  27. Rushton JL, Clark SJ, Freed GL. Primary care role in the management of childhood depression: a comparison of pediatricians and family physicians. Pediatrics. 2000;105:957–962
  28. Hofler M, Pfister H, Lieb R, Wittchen HU. The use of weights to account for non-response and drop-out. Soc Psychiatry Psychiatr Epidemiol. 2005;40:291–299
  29. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th edition, Text Revision Washington, DC: American Psychiatric Association; 2000;
  30. Paulhus DL, Reid DB. Enhancement and denial in socially desirable responding. J Pers Soc Psychol. 1991;60:307–317
  31. Payne SL. The Art of Asking Questions. Princeton, NJ: Princeton University Press; 1973;
  32. Bandura A. Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall; 1977;
  33. Thompson SC, Schwankovsky L, Pitts J. Counselling patients to make lifestyle changes: the role of physician self-efficacy, training and beliefs about causes. Fam Pract. 1993;10:70–75
  34. van Gerwen M, Franc C, Rosman S, et al. Primary care physicians' knowledge, attitudes, beliefs and practices regarding childhood obesity: a systematic review. Obes Rev. 2009;10:227–236
  35. American Academy of Pediatrics. American Academy of Pediatrics Task Force on Mental Health. Available at: http://www.aap.org/commpeds/dochs/mentalhealth/docs/TFOMH%20Fact%20sheet%202%2008.pdf. Accessed July 6, 2009.

 Dr Caspary was in the Division of Health Services Research at the American Academy of Pediatrics and managed the survey as part of her professional responsibilities at the AAP.

PII: S1876-2859(10)00055-0

doi: 10.1016/j.acap.2010.03.003

Academic Pediatrics
Volume 10, Issue 4 , Pages 252-259 , July 2010