Children in rural areas experience health disparities above and beyond their urban and suburban counterparts. In order to explore the needs of children and their families in rural health care settings, two research articles were completed: (a) a systematic literature review used to explore brief interventions for use in pediatric primary care and (b) a descriptive cross-sectional study done to analyze the influence of parental biopsychosocial characteristics on child health care utilization. The systematic review revealed a considerable need for empirically supported biopsychosocial brief interventions designed for use with under-served, rural children and their families. The research study revealed a relationship between parent biopsychosocial characteristics (e.g., mental health quality of life) and child health care utilization (both acute and non-acute) in a rural southeastern community health clinic; relationships were also identified between child medical chart diagnoses (e.g., asthma, depression, obesity) and parental scores on biopsychosocial measures. Recommendations developed from both articles are extended for clinicians, researchers, and policy makers who care about the needs of the rural and under-served children and families. Specific recommendations are also made for those who employ a relational lens to their research and who practice from a Medical Family Therapy orientation.
In this issue of Pediatric Clinics of North America, guest editor Dr. Mary C. Ottolini brings her considerable expertise to the topic of Challenges of Pediatric Practice in Rural America. Nearly one in five children live in rural America, and children and adolescents living in rural communities experience significant health disparities compared to those in urban areas. This issue explores current, relevant topics related to the challenges of providing care to children and adolescents in rural locations. Contains 13 relevant, practice-oriented topics including rural community approaches to address childhood obesity; mental health challenges in rural environments; substance abuse and neonatal opiate withdrawal syndrome in rural environments; transport challenges; telemedicine; pediatric injuries; and more. Provides in-depth clinical reviews on the challenges of pediatric practice in rural America, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
In this issue of Pediatric Clinics of North America, guest editors Drs. Robert T. Ammerman and Craig Erickson bring their considerable expertise to the topic of Innovative Approaches to Addressing Pediatric Mental Health in Primary Care. Pediatric primary care is at the forefront of identification and referral to treatment for mental health problems in children and adolescents, and has recently taken a leading role in prevention and treatment of mental health problems. This issue covers the range of new strategies and interventions for pediatricians and pediatric health care professionals to support behavioral health in children and adolescents. Contains 12 relevant, practice-oriented topics including mental health screening and measurement in children and adolescents; pediatric mental health prevention programs in primary care; trauma-informed strategies in pediatric primary care; suicide prevention in children and adolescents; digital technologies in pediatric primary care; and more. Provides in-depth clinical reviews on innovative approaches to addressing pediatric mental health in primary care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This mid-sized reference is an essential guide for diagnosing and managing children's diseases in day-to-day practice. Provides quick access to diagnoses via presenting signs and symptoms and utilizes a problem-oriented format to focus on problems seen in practice. Focuses on primary care including the interface with specialists.
This issue of Physician Assistant Clinics, guest edited by Drs. Vincent Morelli, Roger Zoorob, and Joel J. Heidelbaugh, is devoted to Primary Care of the Medically Underserved. Articles in this issue include Primary Care Issues in Rural Populations; Primary Care Issues in Inner City America and Internationally; Medical Care for Undocumented Immigrants: National and International Issues; Pediatric and Adolescent Issues in Underserved Populations; Women’s Select Health Issues in Underserved Populations; Medical Care of the Homeless: An American and International Issue; Occupational Health and Sleep Issues in Underserved Populations; Infectious Disease Issues in Underserved Populations; Psychological Issues in Medically Underserved Patients; Substance Use Issues Among the Underserved: United States and International Perspectives; Diet and Obesity Issues in the Underserved; Exercise and Sports Medicine Issues in Underserved Populations; Environmental Justice and Underserved Communities; Climate Change and Underserved Communities; Geriatric Care Issues - An American and an International Perspective; Cardiovascular Health Disparities in Underserved Populations; Cancer in the Medically Underserved Population; and International Comparisons in Underserved Health - Issues, Policies, Needs and Projections. CME credits are also available to subscribers of this series.
The purpose of this book is to provide a children’s mental health resource tailored to the needs of physicians working with children. There are currently no such texts, despite the fact that there are patient care, healthcare systems, and workforce factors that indicate a strong need for such a resource. Approximately 1 in 5 children are diagnosed with a mental illness by the age of 18. Additionally, mental health conditions, including Attention Deficit Hyperactivity Disorder, are consistently among the most common chronic conditions in pediatric clinical populations. Delays in both diagnosis and treatment increase the morbidity associated with these conditions. These delays expose the child to negative ramifications of his/her illness and can impact rates of poor academic performance, substance use disorders and criminal justice system involvement – potentially impacting long-term life trajectories. Early identification of mental illness and appropriate intervention is critical to the healthy development of youth, though physicians in primary care and pediatrics are seldom trained to detect and treat such illnesses. The importance of recognizing mental illness is reflected in practice guidelines for pediatric primary care providers as well as in how service delivery is being structured, but this does not offer in-depth clinical guidelines. Additionally, integrated care and medical home models include mental health as key components, though yet again physicians are often not trained to work with these models. While clearly indicated clinically, these requirements do not come with significant increases in reimbursement and are added to an already demanding schedule. Increasingly, providers are also expected to use evidence based screening instruments without exposure to this body of literature. Some guidance on using those instruments in context will help them to use those tools more effectively. Finally, primary care providers and even some adult psychiatrists and psychologists are operating in a healthcare system with a severe, nationwide shortage of child and adolescent psychiatrists and mental healthcare providers. While a text certainly cannot single-handedly compensate for such a workforce shortage, it could potentially help to mitigate the negative impact on patients by facilitating early identification and treatment in the primary care setting. Additionally, with more effective treatment in pediatric settings, less complex cases may be addressed before specialty care is needed, and the expertise of child and adolescent psychiatrists can be more effectively used for more complex cases. Pediatric Psychiatry in Primary Care is the ultimate resource for clinicians working with children, including pediatricians, family physicians, general psychiatrists, psychologists, early career child psychiatrists, social workers, nurses, school counselors, and all clinical professionals who may encounter children struggling with psychiatric disorders.
Pediatric Primary Care Case Studies is a collection of pediatric case studies of common health problems of well, accutely ill, and chronically ill children. This text provides students with the opportunity to assess the scenario, differential diagnoses, treatment and educational plans. The cases include history and physical examination data and provide suggested case solutions. The cases include developmental, behavioral, and disease problems written to include family, cultural, and other contextual issues which must be considered to provide optimal care. Current guidelines and evidence-based research are used to support the care recommendations. Pediatric Primary Care Case Studies provides realistic ambulatory care cases that allows students to develop their critical thinking skills as they work through common situations faced by health care providers.
In this issue of Primary Care: Clinics in Office Practice, guest editors Luz M. Fernandez and Jonathan A. Becker bring their considerable expertise to the topic of Common Pediatric Issues. Provides in-depth, clinical reviews on Common Pediatric Issues, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
For many children and teens, primary care clinicians are the first to notice and help with mental health issues. This guide helps primary care pediatricians, family doctors, nurse practitioners, and other professionals identify, treat, and prevent mental health problems as well as promote good mental health in their patients. The authors come from different medical specialties but emphasize common factors and elements in approaching mental health care in the primary practice setting. Clinicians will gain insight into effective methods for helping patients and families share mental health concerns, learn about mental health issues, and develop positive attitudes about seeking treatment from specialty providers. They will also learn how to more effectively deal with issues that are below the level of a diagnosable disorder and use early, first-line therapeutic strategies for common mental health disorders. Also included are techniques for supporting patients and families in maintaining positive emotional and behavioral changes that resulted from specialty treatment with other providers.
