Phase I of the Detecting and Evaluating Childhood Anxiety and Depression Effectively in Subspecialties (DECADES) Study: Development of an Integrated Mental Health Care Model for Pediatric Gastroenterology

Autor:	Hullmann, Stephanie E, Keller, Stacy A, Lynch, Dustin O, Jenkins, Kelli, Moore, Courtney, Cockrum, Brandon, Wiehe, Sarah E, Carroll, Aaron E, Bennett Jr, William E
Rok vydání:	2018
Předmět:	medicine.medical_specialty Referral Biomedical Engineering Medicine (miscellaneous) Health Informatics Subspecialty 03 medical and health sciences 0302 clinical medicine Medicine 0501 psychology and cognitive sciences 030212 general & internal medicine Pediatric gastroenterology Depression (differential diagnoses) Original Paper business.industry 05 social sciences anxiety Mental health Card sorting patient-reported outcomes Family medicine depression Anxiety medicine.symptom business qualitative research 050104 developmental & child psychology Qualitative research
Zdroj:	Journal of Participatory Medicine
ISSN:	2152-7202
Popis:	Background Children with gastrointestinal symptoms have a very high rate of anxiety and depression. Rapid identification of comorbid anxiety and depression is essential for effective treatment of a wide variety of functional gastrointestinal disorders. Objective The objective of our study was to determine patient and parent attitudes toward depression, anxiety, and mental health screening during gastroenterology (GI) visits and to determine patient and parent preferences for communication of results and referral to mental health providers after a positive screen. Methods We augmented standard qualitative group session methods with patient-centered design methods to assess patient and parent preferences. We used a variety of specific design methods in these sessions, including card sorting, projective methods, experience mapping, and constructive methods. Results Overall, 11 families (11 patients and 14 parents) participated in 2 group sessions. Overall, patients and their parents found integrated mental health care to be acceptable in the subspecialty setting. Patients' primary concerns were for the privacy and confidentiality of their screening results. Patients and their parents emphasized the importance of mental health services not interfering with the GI visit and collaboration between the GI physician, psychologist, and primary care provider. Conclusions Patients and their families are open to integrated mental health care in the pediatric subspecialty clinic. The next phase of the DECADES study will translate patient and parent preferences into an integrated mental health care system and test its efficacy in the pediatric GI office.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::11404d9b6bae2a98428573cc2179f3a2 https://pubmed.ncbi.nlm.nih.gov/33052118 Zobrazit plný text záznamu Plný text ve formátu HTML
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