Evaluating pediatric psychology consultation services in a medical setting: An example
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We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.
- American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: American Psychiatric Association.
- Brown, R. T., Buchanan, I., Doepke, K., Eckman, J. R., Baldwin, K., Goonan, B., & Schoenherr, S. (1993). Cognitive and academic functioning in children with sickle cell disease.Journal of Clinical Child Psychology, 22, 207–218.
- Butler, R. W., & Copeland, D. R. (1993). Neuropsychological effects of central nervous system prophylactic treatment in childhood leukemia: Methodological considerations.Journal of Pediatric Psychology, 18, 319–338.
- Charlop, M. H., Parrish, J. M., Fenton, L. R., & Cataldo, M. F. (1987). Evaluation of hospital-based outpatient pediatric psychology services.Journal of Pediatric Psychology, 12, 485–503.
- Costello, E. J. (1986). Primary care pediatrics and child psychopathology: A revision of diagnostic, treatment and referral practices.Pediatrics, 78, 1044–1051.
- Drotar, D. (1977). Clinical psychological practice in the pediatric hospital.Professional Psychology, 10, 72–80.
- Drotar, D. (1989). Psychological research in pediatric settings: Lessons from the field.Journal of Pediatric Psychology, 14, 63–74.
- Drotar, D. (1993). Influences on collaborative activities among psychologists and pediatricians: Implications for practice, training, and research.Journal of Pediatric Psychology, 18, 159–172.
- Drotar, D., & Malone, C. A. (1982). Psychological consultation on a pediatric infant division.Journal of Pediatric Psychology, 7, 23–32.
- Drotar, D., Sturm, L., Eckerle, D., & White, S. (1993). Pediatric psychologists' perceptions of their work environments.Journal of Pediatric Psychology, 18, 237–248.
- Friedman, S. B. (1985). Behavioral pediatrics: Interaction with other disciplines.Journal of Developmental and Behavioral Pediatrics, 6, 202–206.
- Geist, R. (1977). Consultation on a pediatric surgical ward: Creating an empathic climate.American Journal of Orthopsychiatry, 47, 432–444.
- Goodman, J. F., & Cecil, H. S. (1987). Referral practices and attitudes of pediatricians toward young mentally retarded children.Journal of Developmental and Behavioral Pediatrics, 8, 97–105.
- Kanoy, K. H., & Schroeder, C. S. (1985). Suggestions to parents about common behavior problems in a pediatric primary care office: Five years of follow-up.Journal of Pediatric Psychology, 10, 15–30.
- Kelleher, K. J., Taylor, J. L., & Rickert, V. I. (1992). Mental health services for rural children and adolescents.Clinical Psychology Review, 12, 841–852. CrossRef
- Koocher, G., Sourkes, B. M., & Keane, W. M. (1979). Pediatric oncology consultations: A generalizable model for medical settings.Professional Psychology, 10, 467–474. CrossRef
- Krahn, G. L., Eisert, D., & Fifield, B. (1990). Obtaining parental perceptions of the aulity of services for children with special health needs.Journal of Pediatric Psychology, 15, 761–774.
- Loveland, K. A., Stehbens, J., Contant, C., Bordeaux, J. D., Sirois, P., Bell, T. S., Hill, S., Scott, A., Bowman, M., Schiller, M., Watkins, J., Olson, R., Moylan, P., Cool, V., & Belden, B. (1994). Hemophilia growth and development study: Baseline neurodevelopmental findings.Journal of Pediatric Psychology, 19, 223–239.
- Olson, R. A., Holden, E. W., Friedman, A., Faust, J., Kenning, M., & Mason, P. J. (1988). Psychological consultation in a children's hospital: An evaluation of services.Journal of Pediatric Psychology, 13, 479–492.
- Perrin, E. C., Stein, R. E. K., & Drotar, D. (1991). Cautions in using the Child Behavior Checklist: Observations based on research about children with a chronic illness.Journal of Pediatric Psychology, 16, 411–421.
- Peterson, L., & Harbeck, C. (1988).The pediatric psychologist: Issues in professional development and practice. Champaign, IL: Research Press.
- Petti, T. A., & Leviton, L. C. (1986). Re-thinking rural mental health services for children and adolescents.Journal of Public Health Policy, 7, 58–77.
- Roberts, M. L. (1986).Pediatric psychology: Psychological interventions and strategies for pediatric problems. New York: Pergamon.
- Roberts, M. C., & Wallander, J. L. (1992).Family issues in pediatric psychology. Hillsdale, NJ: Lawrence Erlbaum Associates.
- Schroeder, C. S. (1979). Psychologists in a private pediatric practice.Journal of Pediatric Psychology, 4, 5–18.
- Stabler, B. (1988). Pediatric consultation-liaison. In D. K. Routh (Ed.),Handbook of pediatric psychology (pp. 538–566). New York: Guilford.
- Stabler, B., & Mesibov, G. B. (1984). Role functions of pediatric and health psychologists in health care settings.Professional Psychology, 15, 142–151. CrossRef
- Walker, C. E. (1979). Behavioral intervention in a pediatric setting. In J. R. McNamara (Ed.),Behavioral approaches to medicine: Application and analysis (pp. 227–266). New York: Plenum Press.
- Wertlieb, D. (1993). Toward a family-centered pediatric psychology: Challenge and opportunity in the International Year of the Family.Journal of Pediatric Psychology, 18, 541–547.
- Wills, K. E. (1993). Neuropsychological functioning in children with spina bifida and/or hydrocephalus.Journal of Clinical Child Psychology, 22, 247–265.
- Evaluating pediatric psychology consultation services in a medical setting: An example
Journal of Clinical Psychology in Medical Settings
Volume 2, Issue 1 , pp 89-107
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- services evaluation
- pediatric consultation
- health psychology
- Author Affiliations
- 1. Center for Pediatric Psychology Research, University of Florida Health Sciences Center, P.O. Box 100165, 32610-0165, Gainesville, Florida