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Barriers to mental health referral from pediatric primary care settings.
Am J Manag Care. 2003 Oct; 9(10):677-83.AJ

Abstract

OBJECTIVE

To examine the frequency of barriers to mental health referral according to pediatric primary care physician (PCP) report and to identify factors related to perceptions of referral barriers for patients with managed care coverage.

DESIGN AND METHODS

Data from a national sample of 319 PCPs were examined. Comparisons were made concerning the frequency of PCP-reported barriers to mental health referrals for patients with fee-for-service versus managed care coverage. The relationship between relevant factors (eg, practice structure, interdisciplinary office staff, availability of community mental health resources) and perceived barriers was examined for managed care coverage.

RESULTS

Barriers to mental heath referrals were more commonly reported for those with managed care versus fee-for-service coverage for 11 of the 12 barriers assessed (P < .0001). For patients with managed care coverage a high availability of community mental health resources was associated with fewer perceived barriers among physicians (P < .0001).

CONCLUSIONS

Our findings suggest that PCPs perceive barriers to mental health referrals as common challenges when addressing psychosocial concerns. Referral barriers were more commonly reported for patients with managed care coverage. Increasing the availability of community mental health resources was identified as an important variable in facilitating appropriate referrals.

Authors+Show Affiliations

Brown University, Providence, RI, USA. waldersn@njc.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14572178

Citation

Walders, Natalie, et al. "Barriers to Mental Health Referral From Pediatric Primary Care Settings." The American Journal of Managed Care, vol. 9, no. 10, 2003, pp. 677-83.
Walders N, Childs GE, Comer D, et al. Barriers to mental health referral from pediatric primary care settings. Am J Manag Care. 2003;9(10):677-83.
Walders, N., Childs, G. E., Comer, D., Kelleher, K. J., & Drotar, D. (2003). Barriers to mental health referral from pediatric primary care settings. The American Journal of Managed Care, 9(10), 677-83.
Walders N, et al. Barriers to Mental Health Referral From Pediatric Primary Care Settings. Am J Manag Care. 2003;9(10):677-83. PubMed PMID: 14572178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers to mental health referral from pediatric primary care settings. AU - Walders,Natalie, AU - Childs,George E, AU - Comer,Diane, AU - Kelleher,Kelly J, AU - Drotar,Dennis, PY - 2003/10/24/pubmed PY - 2003/12/16/medline PY - 2003/10/24/entrez SP - 677 EP - 83 JF - The American journal of managed care JO - Am J Manag Care VL - 9 IS - 10 N2 - OBJECTIVE: To examine the frequency of barriers to mental health referral according to pediatric primary care physician (PCP) report and to identify factors related to perceptions of referral barriers for patients with managed care coverage. DESIGN AND METHODS: Data from a national sample of 319 PCPs were examined. Comparisons were made concerning the frequency of PCP-reported barriers to mental health referrals for patients with fee-for-service versus managed care coverage. The relationship between relevant factors (eg, practice structure, interdisciplinary office staff, availability of community mental health resources) and perceived barriers was examined for managed care coverage. RESULTS: Barriers to mental heath referrals were more commonly reported for those with managed care versus fee-for-service coverage for 11 of the 12 barriers assessed (P < .0001). For patients with managed care coverage a high availability of community mental health resources was associated with fewer perceived barriers among physicians (P < .0001). CONCLUSIONS: Our findings suggest that PCPs perceive barriers to mental health referrals as common challenges when addressing psychosocial concerns. Referral barriers were more commonly reported for patients with managed care coverage. Increasing the availability of community mental health resources was identified as an important variable in facilitating appropriate referrals. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/14572178/Barriers_to_mental_health_referral_from_pediatric_primary_care_settings_ L2 - https://www.ajmc.com/pubMed.php?pii=2481 DB - PRIME DP - Unbound Medicine ER -