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AAP Policy Statement Stresses Pediatrician's Role in Mental Health [healio.com]

 

By Healio, October 21, 2019

An updated policy statement and a technical report issued by the AAP highlighted the need for increased involvement among pediatricians in their patients’ mental health care and increased mental health care training in medical education programs.

“Pediatricians — whether in primary care or subspecialty practice — typically have longitudinal, trusting relationships with their patients and families and, as a result, unique opportunities to promote social-emotional health and identify and address emerging mental health problems,” Jane Meschan Foy, MD, FAAP, a professor of pediatrics at Wake Forest University School of Medicine, told Infectious Diseases in Children.

“By enhancing practice systems, acquiring a set of universally applicable communication skills, developing the capacity to recognize and manage common mental health conditions, and establishing collaborative relationships with mental health professionals to comanage patients with psychiatric emergencies and severely impairing conditions, pediatricians can partner with patients and families to reduce the distress of mental health problems, improve patients’ functioning, and increase the likelihood of patients’ receiving the care they need.”

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I would say just getting them to do a complete psychosocial screening like we are supposed to do and supposedly trained to do - would be a good start.   I’ve seen too many docs just pull out the script pad and give some Adderrall or some Celexa and we have to do better than that. But I think it’s our job to demand better treatments that work too. Psychiatry departments have to let go of their egos. We serve patients not the other way around.   Studies on the best forms of treatment are desperately needed Like Neurofeedback (which could help a whole lot of mothers avoid passing on extreme emotional states to babies) and ways that peds can prevent mental health concerns in the first place are needed. We can show parents the importance of attachment  with the newborn in the nursery and in the first few office visits with our anticipatory guidance - especially for the highly at risk mom’s. We know who they are.   

I think that Alicia Lieberman might be working on some pilots to do this.  I know she is a member and at UCSF so very accessible to you all.   These are some of the ways to make the big changes to stop the transmission to the next generation. Thanks  

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