Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study

摘要: Background Routine use of a brief psychosocial screening instrument has been proposed as means improving recognition, management, and referral children's morbidity in primary care. Objective To assess the feasibility routine using Pediatric Symptom Checklist (PSC) pediatrics by version checklist large sample representative full range pediatric practice settings United States Canada. We evaluated large-scale performance PSC detecting problems (1) determining whether prevalence dysfunction identified was consistent with findings previous, smaller samples; (2) assessing positive scores varied population subgroups; (3) completed significant proportion parents from all subgroups settings. Patients Methods Twenty-one thousand sixty-five children between ages 4 15 years were seen 2 care networks: Ambulatory Sentinel Practice Network Research Office Settings network, involving 395 family clinicians 44 states, Puerto Rico, Canadian provinces. Parents asked to complete questionnaire that included demographic information, history mental health services, 35-item PSC, number visits within past 6 months. Results The overall rates measured school-aged preschool-aged outpatients (13% 10%, respectively) nearly identical had reported several samples (12%-14% among 7%-14% preschoolers). Consistent previous findings, low-income families twice likely be scored dysfunctional on than higher-income families. Similarly, single-parent opposed those 2-parent services showed an elevated risk impairment. current study first demonstrate 50% increase impairment for male children. rate forms 97%, well acceptable range, at least 94% each sociodemographic subgroup form. Conclusions Use offers approach recognition is sufficiently across groups locales become part comprehensive virtually outpatient In addition its clinical utility, consistency widespread acceptability make it suited next generation research, which can address earlier intervention will lead cost-effective outcomes.