Abstract
Affective disorders are common among children and adolescents but may often remain
untreated. Primary care providers could help fill this gap because most children have
primary care. Yet rates of detection and treatment for mental disorders generally
are low in general health settings, owing to multiple child and family, clinician,
practice, and healthcare system factors. Potential solutions may involve 1) more systematic
implementation of programs that offer coverage for uninsured children; 2) tougher
parity laws that offer equity in defined benefits and application of managed care
strategies across physical and mental disorders; and 3) widespread implementation
of quality improvement programs within primary care settings that enhance specialty/primary
care collaboration, support use of care managers to coordinate care, and provide clinician
training in clinically and developmentally appropriate principles of care for affective
disorders. Research is needed to support development of these solutions and evaluation
of their impacts.
Keywords
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Article info
Publication history
Accepted:
February 7,
2001
Received in revised form:
February 5,
2001
Received:
November 11,
2000
Identification
Copyright
© 2001 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.
