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Integrated behavioral health services: A collaborative care model for pediatric patients in a low-income setting

机译:整合的行为健康服务:低收入环境中的儿科患者协作医疗模型

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Introduction: Almost 50% of Americans will meet the criteria for a DSM-IV(Diagnostic and Statistical Manual of Mental Disorders, 4th ed) disorder in their lifetime, with most cases starting in childhood and adolescence.Approximately 25% of adolescents meet criteria for a disorder with severe impairment across their lifetime. With common mental disorders emerging in childhood and adolescence, there is growing recognition of the need for prevention and early treatment. Yet there is tremendous unmet need among children and adolescents, particularly among Latinos and the uninsured. This shortfall is exacerbated by the shortage of child and adolescent psychiatrists, particularly in counties with a high percentage of children and adolescents living in poverty. The relationship of mental disorders with increased morbidity and decreased economic success heighten the importance of improving services. Increasingly, the integration of pediatrics and child and adolescent psychiatry is seen as a means to providing more and higher-quality care. Across the United States, pediatricians, psychiatrists, and other clinicians, are developing collaborative care models for delivering behavioral health services to children and adolescents.
机译:简介:几乎有50%的美国人一生中都符合DSM-IV(精神疾病诊断和统计手册,第4版)疾病的标准,大多数病例始于儿童和青少年期,约25%的青少年符合一生中严重受损的疾病。随着儿童和青少年期出现常见的精神障碍,人们日益认识到需要预防和早期治疗。然而,儿童和青少年,尤其是拉丁裔和未受保险者中,仍存在巨大的未满足需求。儿童和青少年精神科医生的短缺加剧了这一短缺,特别是在儿童和青少年生活在贫困中的百分比很高的县。精神障碍与发病率增加和经济成功率下降之间的关系提高了改善服务水平的重要性。越来越多地,儿科与儿童和青少年精神病学的融合被视为提供更多和更高质量的护理的手段。在整个美国,儿科医生,精神病医生和其他临床医生正在开发协作式护理模型,以向儿童和青少年提供行为健康服务。

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