Journal of Pediatric Psychology 16(4) pp. 447-461, 1991
© 1991 Society of Pediatric Psychology
research-article |
Psychology in Primary Health Care: Effects of Brief Targeted Therapy on Children's Medical Care Utilization1
Virginia Polytechnic Institute and State University, Johns Hopkins University School of Medicine and The Kennedy Institute
2All correspondence should be sent to Jack W. Finney, Child Study Center, Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061-0436. (Bitnet address: FINNEY at VTVM1.)
Evaluated the impact of psychological treatment for 93 children (ages 1–15) with common behavior, toilet, school, and psychosomatic problems. Children and parents, who were members of a health maintenance organization, had 1–6 visits to a primary care-based psychological consultation service. Individualized treatment was guided by problem-specific behavioral protocols. Parent outcome and behavior checklist ratings indicated improvement or resolution for 74% of children and high satisfaction with the psychological service. Children's use of medical services, especially acute primary care visits, was reduced during the year after treatment; a matched comparison group's use was unchanged. Addressing children's unmet mental health needs reduces medical care utilization. A primary health care model of psychological services provides an integrated system for serving the health and mental health needs of children.
Key words: primary health care; medical care utilization; pediatric psychology; behavioral pediatrics; health maintenance organization.
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