Models of Consultation in Primary Care Settings

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Book Chapter

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Pediatric psychologists have a long and rich history in a variety of medical settings, including pediatric primary care. Pediatric primary care settings provide the opportunity to extend beyond traditional inpatient-based models and provide impactful consultation, assessment, and intervention strategies to a cross section of children, families, and integrated clinical team members. Consider this: at least half of mental health problems present initial symptoms by the age of 14 (Kessler et al., 2007), yet there are many barriers that can impede effective screening, assessment, and intervention in pediatric primary care settings. Children and families who are offered on-site behavioral health care are twice as likely to initiate treatment than those who are referred elsewhere for treatment (Kolko et al., Pediatrics 133:e981–e992, 2014).This chapter provides a brief overview of the variety of psychosocial issues, opportunities for prevention and intervention, and special considerations within the pediatric primary care setting. Additionally, the chapter discusses models of primary care consultation and integrated care application, essentials of clinical practice, workforce development considerations, and guidance for program development and resource navigation. (PsycInfo Database Record (c) 2022 APA, all rights reserved)