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Evaluating pediatric psychology consultation services in a medical setting: An example

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Abstract

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.

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References

  • American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Costello, E. J. (1986). Primary care pediatrics and child psychopathology: A revision of diagnostic, treatment and referral practices.Pediatrics, 78, 1044–1051.

    PubMed  Google Scholar 

  • Drotar, D. (1977). Clinical psychological practice in the pediatric hospital.Professional Psychology, 10, 72–80.

    Google Scholar 

  • Drotar, D. (1989). Psychological research in pediatric settings: Lessons from the field.Journal of Pediatric Psychology, 14, 63–74.

    PubMed  Google Scholar 

  • Drotar, D. (1993). Influences on collaborative activities among psychologists and pediatricians: Implications for practice, training, and research.Journal of Pediatric Psychology, 18, 159–172.

    PubMed  Google Scholar 

  • Drotar, D., & Malone, C. A. (1982). Psychological consultation on a pediatric infant division.Journal of Pediatric Psychology, 7, 23–32.

    PubMed  Google Scholar 

  • Drotar, D., Sturm, L., Eckerle, D., & White, S. (1993). Pediatric psychologists' perceptions of their work environments.Journal of Pediatric Psychology, 18, 237–248.

    PubMed  Google Scholar 

  • Friedman, S. B. (1985). Behavioral pediatrics: Interaction with other disciplines.Journal of Developmental and Behavioral Pediatrics, 6, 202–206.

    PubMed  Google Scholar 

  • Geist, R. (1977). Consultation on a pediatric surgical ward: Creating an empathic climate.American Journal of Orthopsychiatry, 47, 432–444.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Kelleher, K. J., Taylor, J. L., & Rickert, V. I. (1992). Mental health services for rural children and adolescents.Clinical Psychology Review, 12, 841–852.

    Article  Google Scholar 

  • Koocher, G., Sourkes, B. M., & Keane, W. M. (1979). Pediatric oncology consultations: A generalizable model for medical settings.Professional Psychology, 10, 467–474.

    Article  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Peterson, L., & Harbeck, C. (1988).The pediatric psychologist: Issues in professional development and practice. Champaign, IL: Research Press.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Roberts, M. L. (1986).Pediatric psychology: Psychological interventions and strategies for pediatric problems. New York: Pergamon.

    Google Scholar 

  • Roberts, M. C., & Wallander, J. L. (1992).Family issues in pediatric psychology. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Schroeder, C. S. (1979). Psychologists in a private pediatric practice.Journal of Pediatric Psychology, 4, 5–18.

    Google Scholar 

  • Stabler, B. (1988). Pediatric consultation-liaison. In D. K. Routh (Ed.),Handbook of pediatric psychology (pp. 538–566). New York: Guilford.

    Google Scholar 

  • Stabler, B., & Mesibov, G. B. (1984). Role functions of pediatric and health psychologists in health care settings.Professional Psychology, 15, 142–151.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Wills, K. E. (1993). Neuropsychological functioning in children with spina bifida and/or hydrocephalus.Journal of Clinical Child Psychology, 22, 247–265.

    Google Scholar 

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Rodrigue, J.R., Hoffmann, R.G., Rayfield, A. et al. Evaluating pediatric psychology consultation services in a medical setting: An example. J Clin Psychol Med Settings 2, 89–107 (1995). https://doi.org/10.1007/BF01988629

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