Mental Health
Depression Screening in Adolescents in the United States: A National Study of Ambulatory Office-Based Practice
To determine the frequency of depression screening during ambulatory, office-based visits for adolescents seen in general/family medicine or pediatric practices in the United States using nationally representative data; to determine the patient-, provider-, and visit-level factors associated with depression screening during ambulatory visits to inform recommendations to promote screening.Use of a Brief Standardized Screening Instrument in a Primary Care Setting to Enhance Detection of Social-Emotional Problems Among Youth in Foster Care
To determine whether systematic use of a validated social-emotional screening instrument in a primary care setting is feasible and improves detection of social-emotional problems among youth in foster care.Future of Academic General Pediatrics—Areas of Opportunity
The dynamic change in the United States occurring in the diversity of pediatric populations and in health care will dramatically influence many dimensions of care, teaching, research, and advocacy in academic general pediatrics. By 2025, the nonwhite and Hispanic pediatric population will increase to 50% (Figure 1),1,2 leading the demographic change that is projected to occur in the whole United States population by 2050. This shift in population demographics is occurring concurrently with significant changes in both health care funding and the sophistication and complexity of systems caring for children, accentuated by an explosion of information technology.Adolescents With Suicidal Ideation: Health Care Use and Functioning
To improve our understanding of the clinical needs among youth with suicidal ideation (SI), we examined health care utilization patterns, functional impairment, and comorbidity among youth who endorsed SI, compared with a control group of youth without SI.Acknowledgments
This special maternal and child health issue honors two leaders in the field of children with special health care needs. We honor Jim Perrin, founding editor of our journal and a leader in policy and care of children with special health care needs and their families. We also honor Polly Arango, a noted advocate for families of children with special care needs, one of the founders of Family Voices, and a leader in the field of family-centered care.Children With Special Health Care Needs and Changing Policy
The growth of chronic health conditions and special needs among children has been dramatic over the past few decades. Where parents reported fewer than 2% of children in the 1960s as having a chronic health condition that interfered on a regular basis with daily activities, this number had risen to almost 8% by the late 1990s. Some growth reflects real improvement in medical and surgical care, with better survival of many children (eg, with leukemia, cystic fibrosis, and congenital heart disease) who would have died in childhood in earlier years.The Family-Centered Medical Home: Specific Considerations for Child Health Research and Policy
Since the initial conceptualization of the medical home in the 1960s and 70s in pediatrics,1 its definition and principles have evolved. The addition of clinicians in family medicine and internal medicine, policymakers, payer groups, and consumer groups to medical home study and implementation has given tremendous positive momentum to the movement to create patient- and family-centered medical homes for children, adolescents and adults. While there is a great deal of similarity between medical home concepts and models for the care of adults and children, some principles should be emphasized in child and adolescent health, and a few health concepts are unique.The Wisdom, the Will, and the Wallet: Leadership on Behalf of Kids and Families
It has been a genuine pleasure to serve as the president of the Academic Pediatric Association (APA). The APA plays a critical leadership role in setting the agendas that shape clinical care, education, research, and advocacy on behalf of kids and families. Today, I wanted to reflect on leadership lessons I have learned and relate them to the challenges we face to improve the health and well-being of children and families. I refer to these challenges as “the wisdom,” “the will,” and “the wallet.”Factors Associated with Detection and Receipt of Treatment for Youth with Depression and Anxiety Disorders
Anxiety and depression are common among youth and are associated with significant morbidity. Few youth with depression are diagnosed and receive treatment for these disorders. The purpose of this study was to examine the rate of recognition and management among an insured population and the factors associated with evidence of detection among youth.Documentation Status and Parental Concerns About Development in Young US Children of Mexican Origin
To examine parent concerns about development, learning, and behavior for young children of Mexican origin, and to identify whether these reports differ by families' citizenship/documentation status.
