Pediatricians may address barriers inadequately when referring low-income preschool-aged children to behavioral health services.
J Health Care Poor Underserved
; 25(1): 406-24, 2014 Feb.
Article
en En
| MEDLINE
| ID: mdl-24509035
BACKGROUND: Low-income parents often seek help from pediatricians for early childhood social-emotional problems but seldom follow through with referrals to behavioral health services. OBJECTIVE: We sought to understand low-income parents' experiences seeking help from pediatricians for social-emotional problems and how those experiences influenced decisions about accessing behavioral health services. METHODS: We conducted 20 semi-structured interviews with low-income parents with concerns about their children's behavior or emotions. Participants were asked about experiences seeking help from pediatricians and decision-making about accessing behavioral health services. RESULTS: Three themes emerged: (1) Participants described reluctance to recognize social-emotional problems, which was often reinforced by doctors' reassurance. (2) Participants reported pediatricians did not meet their expectations about testing, providing explanations/advice, or addressing behavior on-site. (3) Participants had unclear expectations of behavioral health services. CONCLUSIONS: Primary care mechanisms that reliably educate parents about behavioral trajectories and the role of behavioral health providers may improve follow-up rates.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Padres
/
Pediatría
/
Derivación y Consulta
/
Conducta Infantil
/
Servicios de Salud del Niño
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Implementation_research
Límite:
Adult
/
Child, preschool
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Health Care Poor Underserved
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2014
Tipo del documento:
Article
Pais de publicación:
Estados Unidos