Chapter 64. Collaborating With Primary Care

L. Read Sulik, M.D.; Jon Dennis, M.D., M.P.H.
DOI: 10.1176/appi.books.9781585623921.480675



Child and adolescent psychiatrists are in great demand in every community throughout the United States as the number of children and adolescents requiring access to care for mental health needs continues to increase, while the number of child and adolescent psychiatrists practicing in the United States has grown little in the last two decades. A recent report identifies great disparity across the United States of child psychiatrists available, with rural and poor populations clearly having the greatest shortage and therefore the worst access to care (Thomas and Holzer 2006). The shortage of child mental health professionals is a likely contributing factor to the Surgeon General's estimate that only 20% of the children with a mental illness obtain any care at all (U.S. Public Health Service 2000).

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FIGURE 64–1. CentraCare Integrative Behavioral HealthCare Initiative.


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Sample questions:
Optimal mental health care requires collaboration between the primary care physician and mental health specialists. Collaborative mental health care can be considered along a spectrum encompassing all of the following levels except
For the physician treating a child with attention-deficit/hyperactivity disorder (ADHD) who has been unresponsive to ADHD medications or who experiences exacerbation of a previously controlled depression, which level of collaborative mental health care is warranted?
What kind of "primary" mental health care services can primary care physicians provide?
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Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 4.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 5.  >
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