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CURRENT Diagnosis & Treatment: Pediatrics, 20e Chapter 6. Child & Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics Sections: Child & Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics: Introduction, Models of Care Encompassing Mental Health in the Primary Care Setting, Early Identification & Prevention of Developmental & Socioemotional Problems, Identification & Assessment during Health Maintenance Visits, Consultation-Liaison Psychiatry, The Chronically Ill Child, The Terminally Ill Child, Psychiatric Disorders of Childhood & Adolescence, Mood Disorders, Suicide in Children & Adolescents, Adjustment Disorders, Schizophrenia, Conduct Disorders, Anxiety Disorders, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorder, Somatoform Disorders, Other Psychiatric Condtions, Overview of Pediatric Psychopharmacology, Medications for Attention-Deficit/Hyperactivity Disorder, Antidepressants, Antipsychotics, Adrenergic Agonists. Excerpt:"Mental illness affects between 14% and 20% of children and adolescents. The prevalence is higher for those juveniles living in poor socioeconomic circumstances. Unfortunately, the shortage of mental health providers, stigma attached to receiving mental health services, chronic underfunding, institutional barriers of the public mental health system, and disparate insurance benefits have contributed to the fact that only 2% of these children are actually seen by mental health specialists. About 75% of children with psychiatric disturbances are seen in primary care settings, and half of all pediatric office visits involve behavioral, psychosocial, or educational concerns. Parents and children often prefer discussing these issues with someone they already know and trust. As a result, pediatric primary care physicians and providers are compelled to play an important role in the prevention, identification, initiation, management, and coordination of mental health care in children and adolescents...."
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