Not exact matches
Research has shown that medical patients who develop
emotional health
problems cost more to treat and respond less well to treatment; as a result, says Ahern, «it behooves the medical system to do a better job in
detection and treatment
of behavioral health because it drives outcomes and drives the costs.»
Community clergymen can therefore move into action in the prevention
of mental and
emotional disturbances in each
of these three areas: (1) by using the mental health center resources to make their total pastoral ministry more effective in the early
detection of problems; (2) by becoming more comfortable in the use
of their own style
of helping troubled people so that some crisis situations can be contained; (3) by using the rich resources
of social concern in the churches to attack the wider
problems out
of which so many individual cases
of emotional disturbance arise.
Even when a child or adolescent is well known in a pediatric practice, only 50 %
of those with clinically significant behavioral and
emotional problems are detected.23 Other investigators have found similarly high failure
of detection rates ranging from 14 % to 40 %.22, 24 Surveyed pediatricians, however, overwhelmingly endorse that they should be responsible for identifying children with ADHD, eating disorders, depression, substance abuse, and behavior
problems.26
This report also (1) reviews the prevalence
of behavioral and
emotional disorders, (2) describes factors affecting the emergence
of behavioral and
emotional problems, (3) articulates the current state
of detection of these
problems in pediatric primary care, (4) describes barriers to screening and means to overcome those barriers, and (5) discusses potential changes at a practice and systems level that are needed to facilitate successful behavioral and
emotional screening.
There is increasing recognition
of the importance
of early
detection and provision
of intervention services for infants and toddlers with significant social -
emotional and / or behavioral
problems (AAP, 2001; U.S. Public Health Service, 2000).
Development during the prenatal period, infancy and childhood is known to influence lifelong health, 1 — 4 and the link between early - life health and adult outcomes is strong and economically meaningful.5 Promotion
of optimal child development and well - being comprises early
detection and treatment
of whole families, and it can potentially prevent the development
of behavioural and
emotional problems in children and adolescents.6
The Child Behavior Checklist 1.5 — 5 (CBCL1.5 — 5)[14] and Infant - Toddler Social and
Emotional Assessment (ITSEA)[15,16] are early
detection instruments that are well - validated and measure a broad range
of psychosocial
problems, and in the case
of the ITSEA also delays in competencies.
Its applicability and screening qualities for the
detection of early social —
emotional difficulties and development
problems were compared with those
of other available tools, namely, the CBCL 1 1/2 — 5 (Achenbach & Rescorla, 2000) and the Parenting Stress Index — Short Form (PSI - SF; Abidin, 1995).