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首页> 外文期刊>Journal of public health management and practice: JPHMP >Integration of Mental and Behavioral Health in Pediatric Health Care Clinics
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Integration of Mental and Behavioral Health in Pediatric Health Care Clinics

机译：小儿医疗保健诊所精神和行为健康的整合

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Objective: Integrating behavioral health services into primary and pediatric health care settings is important to increase availability and access to quality mental and behavioral health care for children and adolescents. The Mental and Behavioral Health Capacity Project implemented models of pediatric integrated health care at Federally Qualified Health Clinics covering largely rural communities in Louisiana and impacted communities on the Florida Panhandle. The objectives of this article are to describe the programs and demonstrate sustainability and effectiveness of services provided. Design: A subsample from the Louisiana clinics collected data at intake and follow-up at 1, 3, and 6-month intervals. The hypotheses were that child behavior problems and parenting stress would significantly decrease over the course of treatment. Setting: This study was conducted at 2 Federally Qualified Health Clinics in rural southeast Louisiana that provide pediatric primary health care. Participants: Sample parameters were child patients younger than 18 years presenting at primary health care clinics in Southeast Louisiana (N = 177); the mean age was 9.8 years (standard deviation = 4.3 years). Intervention: Brief behavioral health services included parental education, medication management, stress management, empowerment, and psychodynamic interventions. Main Outcome Measure: The main outcome measures were the Pediatric Symptom Checklist and the Parenting Stress Index. Results: Statistically significant decreases in child behavior problems and parenting stress were revealed, with 87% reporting satisfaction with services. Conclusions: Utilizing community-based and culturally sensitive approaches, mental and behavioral health integrated into pediatric health care clinics can be sustainable and effective at improving child behavior problems, parenting stress, and overall family functioning.
机译：目的：将行为卫生服务纳入小儿和儿科医疗保健环境，这对于增加儿童和青少年的优质心理和行为医疗保健非常重要。精神和行为健康能力项目在联邦合格的健康诊所实施了儿科综合保健模式，覆盖了路易斯安那州的大部分农村社区，并影响了佛罗里达州帕金尔的影响。本文的目标是描述该计划并证明提供的服务的可持续性和有效性。设计：路易斯安那州诊所的子样本在摄入量和6个月间隔内收集数据。假设是，在治疗过程中，儿童行为问题和养育压力会显着降低。环境：本研究于乡村东南地区的2个联邦合格的健康诊所进行，提供儿科初级保健。参与者：样本参数是在东南路易斯安那州东南部的原发性医疗诊所（N = 177）中的18岁儿童患者;平均年龄为9.8岁（标准差= 4.3岁）。干预：短暂的行为保健服务包括父母教育，药物管理，压力管理，赋权和心理学干预措施。主要结果措施：主要结果措施是小儿症状清单和养育应力指数。结果：揭示了儿童行为问题和育儿压力的统计上显着降低，87％的服务与服务报告满意度。结论：利用基于社区和文化敏感的方法，融入儿科医疗保健诊所的精神和行为健康可以可持续，有效地改善儿童行为问题，养育压力和整体家庭运作。

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