{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Page A6"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 64-78"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 56-63"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 44-55"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.pedhc.2025.10.002
Lily Stavisky BA, Grace S. McIlmoyle MPH, Rebecca A. Ferro MA, Meghan Crosby Budinger LCPC, Rheanna Platt MD, Antonia Girard PsyD, Sarah Edwards DO, Dena Appleby LMSW, Shauna P. Reinblatt MD, Kelly Coble LCSW-C, Amie F. Bettencourt PhD
Introduction
Child Psychiatry Access Programs (CPAPs), like Maryland Behavioral Health Integration in Pediatric Primary Care (BHIPP), help address the behavioral health treatment gap. This study examined demographic and clinical characteristics of children aged 0–5 years for whom primary care providers (PCPs) and/or families sought BHIPP services, and recommendations provided by BHIPP.
Method
Descriptive and chi-square statistics were used to examine BHIPP services received, patient demographics, presenting problems, diagnostic impressions, clinical severity, treatments the patient was receiving before BHIPP contact, and BHIPP’s treatment recommendations and referrals from 1,671 unique patient-specific contacts between October 2012 and June 2023.
Results
Older children in this sample presented to BHIPP as more complex and severe. The most common treatment recommendation and referral made by BHIPP were referral to a community behavioral health provider and outpatient psychotherapy, respectively.
Discussion
This study highlights the important role of PCPs in addressing early childhood behavioral health concerns and CPAPs’ role in supporting PCPs and improving access to early childhood behavioral health care.
{"title":"Managing Behavioral Health Concerns in Early Childhood: The Role of Child Psychiatry Access Programs","authors":"Lily Stavisky BA, Grace S. McIlmoyle MPH, Rebecca A. Ferro MA, Meghan Crosby Budinger LCPC, Rheanna Platt MD, Antonia Girard PsyD, Sarah Edwards DO, Dena Appleby LMSW, Shauna P. Reinblatt MD, Kelly Coble LCSW-C, Amie F. Bettencourt PhD","doi":"10.1016/j.pedhc.2025.10.002","DOIUrl":"10.1016/j.pedhc.2025.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Child Psychiatry Access Programs (CPAPs), like Maryland Behavioral Health Integration in Pediatric Primary Care (BHIPP), help address the behavioral health treatment gap. This study examined demographic and clinical characteristics of children aged 0–5 years for whom primary care providers (PCPs) and/or families sought BHIPP services, and recommendations provided by BHIPP.</div></div><div><h3>Method</h3><div>Descriptive and chi-square statistics were used to examine BHIPP services received, patient demographics, presenting problems, diagnostic impressions, clinical severity, treatments the patient was receiving before BHIPP contact, and BHIPP’s treatment recommendations and referrals from 1,671 unique patient-specific contacts between October 2012 and June 2023.</div></div><div><h3>Results</h3><div>Older children in this sample presented to BHIPP as more complex and severe. The most common treatment recommendation and referral made by BHIPP were referral to a community behavioral health provider and outpatient psychotherapy, respectively.</div></div><div><h3>Discussion</h3><div>This study highlights the important role of PCPs in addressing early childhood behavioral health concerns and CPAPs’ role in supporting PCPs and improving access to early childhood behavioral health care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 4-14"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Page 3"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Page A7"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 32-43"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 153-157"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147077501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.pedhc.2025.08.010
Alice Boria MD, Ilaria Acquaviva MD, Alessio Correani MSc, PhD, Chiara Monachesi MSc, PhD, Simona Gatti MD, PhD, Elisabetta Fabiani MD, Maria Elena Lionetti MD, PhD
Introduction
From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.
Methods
We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.
Results
Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0–5 years and rose among adolescents.
Conclusions
Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.
{"title":"COVID-19 Pandemic Restrictions and Pediatric Emergency Department Attendance for Accidents","authors":"Alice Boria MD, Ilaria Acquaviva MD, Alessio Correani MSc, PhD, Chiara Monachesi MSc, PhD, Simona Gatti MD, PhD, Elisabetta Fabiani MD, Maria Elena Lionetti MD, PhD","doi":"10.1016/j.pedhc.2025.08.010","DOIUrl":"10.1016/j.pedhc.2025.08.010","url":null,"abstract":"<div><h3>Introduction</h3><div>From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.</div></div><div><h3>Results</h3><div>Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0–5 years and rose among adolescents.</div></div><div><h3>Conclusions</h3><div>Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 1","pages":"Pages 15-21"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号