The pediatrician as gatekeeper to mental health care for children: do parents' concerns open the gate?

Journal Article (Journal Article)

Data from a study of children seen for pediatric care in a Health Maintenance Organization are used to examine factors which influence the likelihood that a pediatrician will identify a psychiatric problem and refer an identified child to a mental health specialist for further evaluation and treatment. Parental level of distress, family psychiatric history, and discussion of parental concerns with the pediatrician were found to be important. Characteristics of the service delivery system which may impede appropriate identification and referral are discussed. Implications for participation of child and adolescent psychiatrists in the training of pediatricians are presented.

Full Text

Duke Authors

Cited Authors

  • Dulcan, MK; Costello, EJ; Costello, AJ; Edelbrock, C; Brent, D; Janiszewski, S

Published Date

  • May 1990

Published In

Volume / Issue

  • 29 / 3

Start / End Page

  • 453 - 458

PubMed ID

  • 2347844

Electronic International Standard Serial Number (EISSN)

  • 1527-5418

International Standard Serial Number (ISSN)

  • 0890-8567

Digital Object Identifier (DOI)

  • 10.1097/00004583-199005000-00018


  • eng