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Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic

Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavior...

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Autores principales: Lee, Chuan Mei, Lutz, Jessica, Khau, Allyson, Lin, Brendon, Phillip, Nathan, Ackerman, Sara, Steinbuchel, Petra, Mangurian, Christina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406881/
https://www.ncbi.nlm.nih.gov/pubmed/36010056
http://dx.doi.org/10.3390/children9081167
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author Lee, Chuan Mei
Lutz, Jessica
Khau, Allyson
Lin, Brendon
Phillip, Nathan
Ackerman, Sara
Steinbuchel, Petra
Mangurian, Christina
author_facet Lee, Chuan Mei
Lutz, Jessica
Khau, Allyson
Lin, Brendon
Phillip, Nathan
Ackerman, Sara
Steinbuchel, Petra
Mangurian, Christina
author_sort Lee, Chuan Mei
collection PubMed
description Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often intertwined with patients’ social determinants of health. Clinicians discussed the burden of the pandemic their own wellness, and how the rapid shift to telehealth primary care and mental health services seemed to hinder the availability and effectiveness of many resources. The findings from this study can inform the creation of new supports for PCPs and clinical staff providing mental health care.
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spelling pubmed-94068812022-08-26 Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic Lee, Chuan Mei Lutz, Jessica Khau, Allyson Lin, Brendon Phillip, Nathan Ackerman, Sara Steinbuchel, Petra Mangurian, Christina Children (Basel) Article Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often intertwined with patients’ social determinants of health. Clinicians discussed the burden of the pandemic their own wellness, and how the rapid shift to telehealth primary care and mental health services seemed to hinder the availability and effectiveness of many resources. The findings from this study can inform the creation of new supports for PCPs and clinical staff providing mental health care. MDPI 2022-08-03 /pmc/articles/PMC9406881/ /pubmed/36010056 http://dx.doi.org/10.3390/children9081167 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Chuan Mei
Lutz, Jessica
Khau, Allyson
Lin, Brendon
Phillip, Nathan
Ackerman, Sara
Steinbuchel, Petra
Mangurian, Christina
Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title_full Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title_fullStr Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title_full_unstemmed Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title_short Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic
title_sort pediatric primary care perspectives of mental health services delivery during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406881/
https://www.ncbi.nlm.nih.gov/pubmed/36010056
http://dx.doi.org/10.3390/children9081167
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