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Partnership in the Treatment of Childhood Mental Health Problems: A Pediatric Perspective

School Mental Health volume 2, pages 93–101 (2010)Cite this article

Abstract

Pediatricians understand their role as promoting both the physical and mental health of children from birth until adulthood. Within the context of this long-term relationship, parents approach clinicians to address a full range of behavioral concerns ranging from variations of normal development to major mental illness. In this commentary that builds upon the earlier manuscripts in this collection, we explore the pediatrician’s role in mental health care through the example of attention-deficit hyperactivity disorder (ADHD). ADHD is an ideal prototype for the exploration of partnership in mental health care because ADHD is the most common neurobehavioral disorder in childhood, it is commonly treated in primary care settings, multiple evidence-based treatments exist, personal values strongly influence the acceptability of treatment, treatment adherence is often poor, and effective treatment relies on the collaboration of pediatricians with families, schools, and the mental health system. Through the use of the Chronic Care Model for Child Health that emphasizes the importance of optimizing and coordinating systems of care for effective partnership, the following manuscript reviews the challenges and opportunities for pediatricians partnering with families and schools to address mental health problems. Strategies highlighted in the preceding papers are discussed within the context of this model.

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Acknowledgments

We thank Cayce Hughes, MPH for his help in assembling this manuscript.

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Authors and Affiliations

  1. The Pediatric Generalist Research Group & Center for Biomedical Informatics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Alexander G. Fiks

  2. Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Alexander G. Fiks

  3. The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104, USA

    Alexander G. Fiks

  4. Aligning Researchers and Communities for Health, Boston, MA, USA

    Laurel K. Leslie

  5. Tufts Medical Center/Floating Hospital for Children, Boston, MA, USA

    Laurel K. Leslie

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  1. Alexander G. Fiks
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  2. Laurel K. Leslie
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Correspondence to Alexander G. Fiks.

Additional information

This paper was written with the support from Award Number K23HD059919 from the Eunice Kennedy Shriver National Institute of Children Health & Human Development (Dr. Fiks) and Award Number RC1 HL100546 from the National Heart Lung & Blood Institute (Dr. Leslie). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Fiks, A.G., Leslie, L.K. Partnership in the Treatment of Childhood Mental Health Problems: A Pediatric Perspective. School Mental Health 2, 93–101 (2010). https://doi.org/10.1007/s12310-010-9037-2

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Keywords

  • Pediatrics
  • Partnership
  • Mental health