The pediatric symptom checklist: support for a role in a managed care environment

Article Abstract:

The Pediatric Symptom Checklist (PSC) may help physicians detect psychosocial problems in at-risk children, particularly in a managed care environment. Researchers analyzed data from several PSC studies to evaluate the relationship between childhood risk factors and psychosocial problems. Low- income children and those from a single parent family were more likely than other children to exhibit psychosocial problems. The PSC accurately identified 80% of psychosocially disturbed low-income children and 95% of psychosocially disturbed middle-income children. The test incorrectly classified 32% of normal middle-class children as psychosocially impaired, but did not misclassify any normal low-income children. Pediatricians identified only six of 17 children with psychosocial problems from single-parent families and four of 11 low-income children with psychosocial problems.

Diagnosis, Emotional problems of children, Childhood emotional problems, Psychological tests for children, Childhood psychological tests

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Supporting child psychiatric services using current managed care approaches: you can't get there from here

Article Abstract:

The application of managed care to child mental health services threatens to place cost-control and profitability above the psychiatric needs of children and their families. Approximately 14% of children have an emotional disorder, and more than half of all people are enrolled in managed care mental health medical plans. Medicare and Medicaid mental health services are increasingly provided in a managed care environment. Managed care plans typically separate mental health care from pediatric services, decreasing access to services and shifting the cost burden to primary care providers.

Economic aspects, Managed care plans (Medical care), Child psychiatric services

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Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care

Article Abstract:

The Pediatric Symptom Checklist may effectively identify psychological problems in children. Researchers evaluated the checklist during doctor visits by 21,065 children aged 4 to 15 years, and found that 10-13% had some psychosocial disorder. Behavioral or emotional problems were more common in children from low-income families and children from single-parent homes. Boys had a 50% increased risk of psychosocial dysfunction, compared to girls.

United States, Methods, Demographic aspects, Health risk assessment

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