childhood mental health: strategies for rural people

childhood mental health childhood mental health: strategies for rural people * rural challenge 1. making the diagnosis requires team of family, school, primary care physician and patient. pcps diagnose psycho-social problems in 19% of visits. specialty consult obtained for 50% of these cases. 2. urgent care usually the primary care office or the er. 3. continuity and maintenance care. requires integration of family, school, primary care physician, mental health specialty support. * rural need rural pediatric mental health visits 5% of child er visits are for mh (rural ~ urban). 10% of psychiatric er visits are children. childhood mental health er visits 102%. only 1 in 5 children receive definitive care. rural adolescent rates of anxiety, depression, thought problems, attention …

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