Print Email Facebook Twitter Identification and management of psychosocial problems among toddlers in Dutch preventive child health care Title Identification and management of psychosocial problems among toddlers in Dutch preventive child health care Author Reijneveld, S.A. Brugman, E. Verhulst, F.C. Verloove-Vanhorick, S.P. Publication year 2004 Abstract Objectives: To assess the degree to which preventive child health professionals (CHPs) identify and manage psychosocial problems among preschool children in the general population and to determine the association with parent-reported behavioral and emotional problems, sociodemographic factors, and mental health history of children. Design: The CHPs examined the child and interviewed the parents and child during their routine health assessments. The Child Behavior Checklist (CBCL) was completed by the parents. Setting: Sixteen child health care services across the Netherlands that routinely provided well-child care to nearly all preschool children. Patients: Of 2354 children aged 21 months to 4 years who were eligible for a routine health assessment, 2229 (94.7%) participated. Main Outcome Measures: Identification and management of psychosocial problems by CHPs. Results: In 9.4% of all children, CHPs identified psychosocial problems. Two in 5 of the CHP-identified children were referred for additional diagnosis and treatment. Identification of psychosocial problems and subsequent referral were much more likely in children with a clinical CBCL total problems score than in others (identification: 29% vs 7%; odds ratio [95% confidence interval], 5.40 [3.45-8.47]; referral: 15% vs 3%; odds ratio [95% confidence interval], 6.50 [3.69-11.46]). Conclusions: The CHPs frequently identify psychosocial problems in preschool children, although less than among school-aged children, but they miss many cases of parent-reported problems as measured by a clinical CBCL score. This general population study shows substantial room for improvement in the early identification of psychosocial problems. Subject HealthBehavior disorderChild behaviorChild psychiatryDemographyEmotional disorderParentPatient referralPreschool childPsychosocial disorderAffective SymptomsAge DistributionChild Behavior DisordersChild Health ServicesChild, PreschoolEducational StatusFamily CharacteristicsFemaleHealth Care SurveysHumansInfantLogistic ModelsMaleNetherlandsOdds RatioPopulation SurveillancePreventive Health ServicesReferral and ConsultationRisk Factors To reference this document use: http://resolver.tudelft.nl/uuid:bcab3631-2dd1-4d51-b235-9840f8a2c888 DOI https://doi.org/10.1001/archpedi.158.8.811 TNO identifier 237930 ISSN 1072-4710 Source Archives of Pediatrics and Adolescent Medicine, 158 (8), 811-817 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.