Use of an Online Clinical Process Support System as an Aid to Identification and Management of Developmental and Mental Health Problems


Purpose of Review

The purpose of this review was to describe benefits and problems with screening and addressing developmental and behavioral problems in primary care and using an online clinical process support system as a solution.

Recent Findings

Screening has been found to have various implementation barriers including time costs, accuracy, workflow, and knowledge of tools. In addition, training of clinicians in dealing with identified issues is lacking. Patients disclose more to and prefer computerized screening. An online clinical process support system (CHADIS) shows promise in addressing these issues.


Use of a comprehensive panel of online pre-visit screens; linked decision support to provide moment-of-care training; and post-visit activities and resources for patient-specific education, monitoring, and care coordination is an efficient way to make the entire process of screening and follow-up care feasible in primary care. CHADIS fulfills these requirements and provides Maintenance of Certification credit to physicians as well as added income for screening efforts.

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Corresponding author

Correspondence to Barbara J. Howard.

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Conflict of Interest

The authors declare that they have a conflict of interest as employee (Howard) and consultant (Sturner) to the distributor of CHADIS (total Child Health), conflicts have been managed by IRB's for all research conducted.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors without IRB approval.

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This article is part of the Topical Collection on Screening

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Howard, B.J., Sturner, R. Use of an Online Clinical Process Support System as an Aid to Identification and Management of Developmental and Mental Health Problems. Curr Dev Disord Rep 4, 108–117 (2017).

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  • Developmental screening
  • Pediatrics
  • Mental health screening
  • Clinical decision support
  • Care coordination
  • Maintenance of Certification