Evaluating pediatric psychology consultation services in a medical setting: An example
- 118 Downloads
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.
Key wordsservices evaluation pediatric consultation survey health psychology
Unable to display preview. Download preview PDF.
- 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
- Drotar, D. (1977). Clinical psychological practice in the pediatric hospital.Professional Psychology, 10, 72–80.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.PubMedGoogle Scholar
- Peterson, L., & Harbeck, C. (1988).The pediatric psychologist: Issues in professional development and practice. Champaign, IL: Research Press.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
- 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
- Wills, K. E. (1993). Neuropsychological functioning in children with spina bifida and/or hydrocephalus.Journal of Clinical Child Psychology, 22, 247–265.Google Scholar