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Pediatric Primary Care Perspectives of Mental Health Services Delivery during the Covid-19 Pandemic

Bibliographic Data

ID15712399
AuthorsChuan Mei Lee (0000-0002-5563-0910, University of California, San Francisco, corresponding author), Jessica Lutz (University of California, San Francisco), Allyson Khau (University of California, San Francisco), Brendon Lin (0000-0002-9125-9469, University of California, San Francisco), Nathan Phillip (University of California, San Francisco), Sara Ackerman (0000-0003-3567-7698, University of California, San Francisco), Petra Steinbuchel (0000-0002-3057-9696, University of California, San Francisco), Christina Mangurian (0000-0002-9839-652X, San Francisco General Hospital)
Year2022
Volume9
Issue8
Pages1167-1167
Publication date2022-08-03
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9081167
PMID36010056
OpenAlexW4289704927
LanguageEN
Citations received3
References cited19

Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often intertwined with patients' social determinants of health. Clinicians discussed the burden of the pandemic their own wellness, and how the rapid shift to telehealth primary care and mental health services seemed to hinder the availability and effectiveness of many resources. The findings from this study can inform the creation of new supports for PCPs and clinical staff providing mental health care

Coronavirus disease 2019 (COVID-19 · Disease · Family medicine · Focus group · Health care · Mental health · Pandemic · Psychiatry · Qualitative research · Telehealth · Telemedicine · Telepsychiatry · Thematic analysis · Adolescent and Pediatric Healthcare · Child and Adolescent Health · Child and Adolescent Psychosocial and Emotional Development · Medicine · Nursing

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    Open Access•Chuan Mei Lee, Joan Jeung et al.•Frontiers in Psychiatry•2024

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    Open Access•Caick Bispo De Souza, Taliane Machado De Oliveira Leal et al.•Physis Revista de Saúde Coletiva•2025

  • An examination of the (dis)articulation of the child and adolescent psychosocial care network in pandemic times

    Open Access•Caick Bispo De Souza, Taliane Machado De Oliveira Leal et al.•Physis Revista de Saúde Coletiva•2025

  • Coronavirus Disease 2019 (Covid-19) and Mental Health for Children and Adolescents

    Open Access•Ezra Golberstein, Hefei Wen et al.•JAMA Pediatrics•2020

  • Consolidated criteria for reporting qualitative research (Coreq)

    A Jaure, A Tong et al.•International Journal for Quality…•2007

  • How is Covid-19 pandemic impacting mental health of children and adolescents

    Open Access•Débora Marques De Miranda, Bruno da Silva Athanasio et al.•International Journal of Disaster…•2020

Citations per year1.5
Citation span2024 - 2025 (2)
Highly citedNo

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