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Screening Measures in Integrated Behavioral Health and Primary Care Settings

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Integrated Behavioral Health in Primary Care

Abstract

Screening is the process of measuring and detecting the signs and symptoms of a disorder before the disorder has progressed. While the evidence on the effectiveness and quality of mental health screening tools is advancing, the application of these tools into standard clinical practice has lagged behind due to implementation barriers in primary care settings. The goal of this chapter is to address the range of screening tools for specific patient populations and to address the barriers for incorporating these standardized tools into primary care. This chapter provides descriptions of reliable and valid screening tools for preschoolers, school-age children, adolescents, adults and older adults—men and women—and older adults. There are also descriptions of how screening tools are used in a clinical setting by defining roles and responsibilities for team members, identifying practice management and financial considerations, and describing relevant opportunities for quality improvement.

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References

  • American Academy of Family Physicians. (2012). Retrieved from http://www.aafp.org/online/en/home.html

  • American Association of Pediatricians. (2001). Retrieved from http://www.aap.org/

  • Ansseau, M., Dierick, M., Buntinkx, F., Cnockaert, P., De Smedt, J., Van Den Haute, M., et al. (2004). High prevalence of mental disorders in primary care. Journal of Affective Disorders, 78(1), 49–55.

    Article  PubMed  Google Scholar 

  • Arnau, R. C., Meagher, M. W., Norris, M. P., & Bramson, R. (2001). Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients. Health Psychology, 20(2), 112–119.

    Article  PubMed  Google Scholar 

  • Arroll, B., Khin, N., & Kerse, N. (2003). Screening for depression in primary care with two verbally asked questions: Cross sectional study. British Medical Journal, 327, 1144–1146. doi:10.1136/bmj.327.7424.1144.

    Article  PubMed  Google Scholar 

  • Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. A., Ahmed, K., & Bray, J. (2007). Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28, 7–30. doi:10.1300/J465v28n03_03.

    Article  PubMed  Google Scholar 

  • Badger, L., Robinson, H., & Farley, T. (1999). Management of mental disorders in rural primary care: A proposal for integrated psychosocial services. The Journal of Family Practice, 48, 813–818.

    PubMed  Google Scholar 

  • Baird, G., Charman, T., Baron-Cohen, S., Cox, A., Swettenham, S., Wheelwright, S., et al. (2000). A screening instrument for autism at 18 months of age: A 6-year follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 694–702. doi:10.1097/00004583-200006000-00007.

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Cox, A., Baird, G., Charman, T., Swettenham, J., et al. (2000). Early identification of autism by the Checklist for Autism in Toddlers (CHAT). Journal of the Royal Society of Medicine, 93, 521–525.

    PubMed  Google Scholar 

  • Bauer, A. M., Azzone, V., Goldman, H., Alexander, L., Unutzer, J., Coleman-Beattie, B., et al. (2011). Implementation of integrated depression management at community-based primary care clinics: An evaluation. Psychiatric Services, 62, 1047–1053. doi:10.1176/appi.ps.62.9.1047.

    Article  PubMed  Google Scholar 

  • Bischof, G., Reinhardt, S., Grothues, J., Meyer, C., John, U., & Rumpf, H. (2007). Development and evaluation of a screening instrument for alcohol-use disorders and at-risk drinking: The brief alcohol screening instrument for medical care (BASIC). Journal of Studies on Alcohol and Drugs, 68, 607–614.

    PubMed  Google Scholar 

  • Blanchard, L. T., Gurka, M., & Blackman, J. (2006). Emotional, developmental, and behavioral health of American children and their families: A report from the 2003 National Survey of Children’s Health. Pediatrics, 117, e1202–e1212. doi:10.1542/peds.2005-2606.

    Article  PubMed  Google Scholar 

  • Borner, I., Braunstein, J., St Victor, R., & Pollack, J. (2010). Evaluation of a 2-question screening tool for detecting depression in adolescents in primary care. Clinical Pediatrics, 49, 947–953. doi:10.1177/0009922810370203.

    Article  PubMed  Google Scholar 

  • Borowsky, I., Mozayeny, S., & Ireland, M. (2003). Brief psychosocial screening at health supervision and acute care visits. Pediatrics, 112, 129–133.

    Article  PubMed  Google Scholar 

  • Borson, S., Scanlan, J., Brush, M., Vitaliano, P., & Dokmak, A. (2000). The mini-cog: A cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. International Journal of Geriatric Psychiatry, 15, 1021–1027.

    Article  PubMed  Google Scholar 

  • Borson, S., Scanlan, J., Chen, P., & Ganguli, M. (2003). The mini-cog as a screen for dementia: Validation in a population-based sample. Journal of the American Geriatrics Society, 51, 1451–1454.

    Article  PubMed  Google Scholar 

  • Brickman, A., Garrity, C., & Shaw, J. (2002). Risk factors for psychosocial dysfunction among enrollees in the State Children’s Health Insurance Program. Psychiatric Services, 53, 614–619.

    Article  PubMed  Google Scholar 

  • Brodaty, H., Kemp, N., & Low, L. (2004). Characteristics of the GPCOG, a screening tool for cognitive impairment. International Journal of Geriatric Psychiatry, 19, 870–874. doi:10.1002/gps.1167.

    Article  PubMed  Google Scholar 

  • Center for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov

  • Cook, C., Freedman, J., Freedman, L., Arick, R., & Miller, M. (1996). Screening for social and environmental problems in a VA primary care setting. Health & Social Work, 21, 41–47.

    Google Scholar 

  • Davis, S., Whitworth, J., & Rickett, K. (2009). Clinical inquiries. What are the most practical primary care screens for post-traumatic stress disorder? The Journal of Family Practice, 58, 100–101.

    PubMed  Google Scholar 

  • Delgadillo, J., Payne, S., Gilbody, S., Godfrey, C., Gore, S., Jessop, D., et al. (2011). How reliable is depression screening in alcohol and drug users? A validation of brief and ultra-brief questionnaires. Journal of Affective Disorders, 134, 266–271. doi:10.1016/j.jad.2011.06.017.

    Article  PubMed  Google Scholar 

  • Donker, T., van Straten, A., Marks, I., & Cuijpers, P. (2011). Quick and easy self-rating of generalized anxiety disorder: Validity of the Dutch web-based GAD-7, GAD-2 and GAD-SI. Psychiatry Research, 188, 58–64. doi:10.1016/j.psychres.2011.01.016.

    Article  PubMed  Google Scholar 

  • Drotar, D., Stancin, T., Dworkin, P., Sices, L., & Wood, S. (2008). Selecting developmental surveillance and screening tools. Pediatrics in Review, 29, e52–e58. doi:10.1542/pir.29-10-e52.

    Article  PubMed  Google Scholar 

  • Earls, M., & Hay, S. (2006). Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice–the North Carolina Assuring Better Child Health and Development (ABCD) Project. Pediatrics, 118, e183–e188. doi:10.1542/peds.2006-0475.

    Article  PubMed  Google Scholar 

  • Ebell, M. H. (2008). Diagnosis of anxiety disorders in primary care. American Family Physician, 78, 501–502.

    PubMed  Google Scholar 

  • Edlund, M., Unutzer, J., & Wells, K. (2004). Clinician screening and treatment of alcohol, drug, and mental problems in primary care: Results from healthcare for communities. Medical Care, 42, 1158–1166.

    Article  PubMed  Google Scholar 

  • Engel, C. C., Oxman, T., Yamamoto, C., Gould, D., Barry, S., Stewart, P., et al. (2008). RESPECT-­Mil: Feasibility of a systems-level integrated care approach to depression and post-traumatic stress disorder in military primary care. Military Medicine, 173, 935–940.

    PubMed  Google Scholar 

  • Fiellin, D., Reid, M., & O’Connor, P. (2000). Screening for alcohol problems in primary care: A systematic review. Archives of Internal Medicine, 160, 1977–1989.

    Article  PubMed  Google Scholar 

  • Filipek, P., Accardo, P., Ashwal, S., Baranek, G., Cook, E., Dawson, G., et al. (2000). Practice parameter: Screening and diagnosis of autism: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. Neurology, 55, 468–479.

    Article  PubMed  Google Scholar 

  • Folstein, M., Folstein, S., & McHugh, P. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.

    Article  PubMed  Google Scholar 

  • Forgey, M., Badger, L., & Krase, K. (2011). The development of an evidence based assessment protocol for intimate partner violence in the U.S. Army. Journal of Evidence-Based Social Work, 8, 323–348. doi:10.1080/15433714.2011.533946.

    Article  PubMed  Google Scholar 

  • Freedy, J., & Brock, C. (2010). Spotting-and treating-PTSD in primary care. The Journal of Family Practice, 59, 75–80.

    PubMed  Google Scholar 

  • Garcia-Esteve, L., Torres, A., Navarro, P., Ascaso, C., Imaz, M., Herreras, Z., et al. (2011). Validation and comparison of four instruments to detect partner violence in health-care setting. Medicina Clinica, 137, 390–397. doi:10.1016/j.medcli.2010.11.038.

    Article  PubMed  Google Scholar 

  • Gardner, W., Kelleher, K., & Pajer, K. (2002). Multidimensional adaptive testing for mental health problems in primary care. Medical Care, 40, 812–823. doi:10.1097/01.MLR.0000025436.30093.77.

    Article  PubMed  Google Scholar 

  • Gardner, W., Kelleher, K., Pajer, K., & Campo, J. (2003). Primary care clinicians’ use of standardized tools to assess child psychosocial problems. Ambulatory Pediatrics, 3, 191–195.

    Article  PubMed  Google Scholar 

  • Gardner, W., Lucas, A., Kolko, D., & Campo, J. (2007). Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 611–618. doi:10.1097/chi.0b013e318032384b.

    Article  PubMed  Google Scholar 

  • Gardner, W., Nutting, P., Kelleher, K., Werner, J., Farley, T., Stewart, L., et al. (2001). Does the family APGAR effectively measure family functioning? The Journal of Family Practice, 50, 19–25.

    PubMed  Google Scholar 

  • Gavin, N., Gaynes, B., Lohr, K., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106, 1071–1083. doi:10.1097/01.AOG.0000183597.31630.db.

    Article  PubMed  Google Scholar 

  • Gaynes, B., Gavin, N., Meltzer-Brody, S., Lohr, K., Swinson, T., Gartlehner, G., et al. (2005). Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment, 119, 1–8.

    PubMed  Google Scholar 

  • Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. (2006). Integrated care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166, 2314–2321. doi:10.1001/archinte.166.21.2314.

    Article  PubMed  Google Scholar 

  • Glascoe, F. P. (2005). Screening for developmental and behavioral problems. Mental Retardation Developmental Disabilities Research Review, 11, 173–179. doi:10.1002/mrdd.20068.

    Article  Google Scholar 

  • Hacker, K., Williams, S., Myagmarjav, E., Cabral, H., & Murphy, M. (2009). Persistence and change in pediatric symptom checklist scores over 10 to 18 months. Academic Pediatrics, 9, 270–277. doi:10.1016/j.acap. 2009.03.004.

    Article  PubMed  Google Scholar 

  • Hamrin, V., Antenucci, M., & Magorno, M. (2012). Evaluation and management of pediatric and adolescent depression. The Nurse Practitioner, 37, 22–30.

    Article  PubMed  Google Scholar 

  • Hayutin, L., Reed-Knight, B., Blount, R., Lewis, J., & McCormick, M. (2009). Increasing parent-­pediatrician communication about children’s psychosocial problems. Journal of Pediatric Psychology, 34, 1155–1164. doi:10.1093/jpepsy/jsp012.

    Article  PubMed  Google Scholar 

  • Heisel, M., Duberstein, P., Lyness, J., & Feldman, M. (2010). Screening for suicide ideation among older primary care patients. Journal of the American Board of Family Medicine, 23, 260–269. doi:10.3122/jabfm.2010.02.080163.

    Article  PubMed  Google Scholar 

  • Herman-Staab, B. (1994). Screening, management, and appropriate referral for pediatric behavior problems. The Nurse Practitioner, 19, 40–49.

    Article  PubMed  Google Scholar 

  • Hirschfeld, R., Holzer, C., Calabrese, J., Weissman, M., Reed, M., Davies, M., et al. (2003). Validity of the mood disorder questionnaire: A general population study. The American Journal of Psychiatry, 160, 178–180.

    Article  PubMed  Google Scholar 

  • Hirschfeld, R., Williams, J., Spitzer, R., Calabrese, J., Flynn, L., Keck, P., et al. (2000). Development and validation of a screening instrument for bipolar spectrum disorder: The mood disorder questionnaire. The American Journal of Psychiatry, 157, 1873–1875.

    Article  PubMed  Google Scholar 

  • Howarth, D., Heath, J., & Snope, F. (1999). Beyond the Folstein: Dementia in primary care. Primary Care, 26, 299–314.

    Article  PubMed  Google Scholar 

  • Jellinek, M., Little, M., Murphy, J., & Pagano, M. (1995). The pediatric symptom checklist: Support for a role in a managed care environment. Archives of Pediatrics & Adolescent Medicine, 149, 740–746.

    Article  Google Scholar 

  • Jellinek, M., Murphy, J., Little, M., Pagano, M., Comer, J., & Kelleher, K. (1999). Use of the pediatric symptom checklist to screen for psychosocial problems in pediatric primary care: A national feasibility study. Archives of Pediatrics & Adolescent Medicine, 153, 254–260.

    Google Scholar 

  • Jutte, D., Burgos, A., Mendoza, F., Ford, C., & Huffman, L. (2003). Use of the pediatric symptom checklist in a low-income, Mexican American population. Archives of Pediatrics & Adolescent Medicine, 157, 1169–1176. doi:10.1001/archpedi.157.12.1169.

    Article  Google Scholar 

  • Kapur, N., & Windish, D. (2011). Optimal methods to screen men and women for intimate partner violence: Results from an internal medicine residency continuity clinic. Journal of Interpersonal Violence, 26, 2335–2352. doi:10.1177/0886260510383034.

    Article  PubMed  Google Scholar 

  • Kessler, D., Sharp, D., & Lewis, G. (2005). Screening for depression in primary care. British Journal of General Practice, 55, 659–660.

    PubMed  Google Scholar 

  • Kostanecka, A., Power, T., Clarke, A., Watkins, M., Hausman, C., & Blum, N. (2008). Behavioral health screening in urban primary care settings: Construct validity of the PSC-17. Journal of Developmental and Behavioral Pediatrics, 29, 124–128. doi:10.1097/DBP.0b013e31816a0d9e.

    Article  PubMed  Google Scholar 

  • Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.

    Article  PubMed  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. (2003). The patient health questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.

    Article  PubMed  Google Scholar 

  • Langberg, J., Froehlich, T., Loren, R., Martin, J., & Epstein, J. (2008). Assessing children with ADHD in primary care settings. Expert Review of Neurotherapeutics, 8, 627–641. doi:10.1586/14737175.8.4.627.

    Article  PubMed  Google Scholar 

  • Lazarus, A. (1999). Screening for behavioral disorders in primary care. Managed Care Interface, 12, 52–55.

    PubMed  Google Scholar 

  • Leiner, M., Puertas, H., Caratachea, R., Perez, H., & Jimenez, P. (2010). Sensitivity and specificity of the pictorial pediatric symptom checklist for psychosocial problem detection in a Mexican sample. Revista de Investigacion Clinica, 62, 560–567.

    PubMed  Google Scholar 

  • Lorentz, W. J., Scanlan, J. M., & Borson, S. (2002). Brief screening tests for dementia. Canadian Journal of Psychiatry, 47, 723–733.

    Google Scholar 

  • Lowe, B., Kroenke, K., & Grafe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58, 163–171. doi:10.1016/j.jpsychores.2004.09.006.

    Article  PubMed  Google Scholar 

  • Mawle, E., & Griffiths, P. (2006). Screening for autism in pre-school children in primary care: Systematic review of English Language tools. International Journal of Nursing Studies, 43, 623–636. doi:10.1016/j.ijnurstu.2005.11.011.

    Article  PubMed  Google Scholar 

  • McCance-Katz, E., & Satterfield, J. (2012). SBIRT: A key to integrate prevention and treatment of substance abuse in primary care. The American Journal on Addictions, 21, 176–177. doi:10.1111/j.1521-0391.2011.00213.x.

    Article  PubMed  Google Scholar 

  • McGlynn, E., Cassel, C., Leatherman, S., DeCristofaro, A., & Smits, H. (2003). Establishing national goals for quality improvement. Medical Care, 41, I16–I29.

    PubMed  Google Scholar 

  • McGrady, A., Lynch, D., Nagel, R., & Tamburrino, M. (2010). Coherence between physician diagnosis and patient self reports of anxiety and depression in primary care. The Journal of Nervous and Mental Disease, 198, 420–424. doi:10.1097/NMD.0b013e3181e084ce.

    Article  PubMed  Google Scholar 

  • Mitchell, A., Bird, V., Rizzo, M., & Meader, N. (2010). Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis. The American Journal of Geriatric Psychiatry, 18, 1066–1077.

    Article  PubMed  Google Scholar 

  • Murphy, J., Ichinose, C., Hicks, R., Kingdon, D., Crist-Whitzel, J., Jordan, P., et al. (1996). Utility of the Pediatric Symptom Checklist as a psychosocial screen to meet the federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) standards: A pilot study. Journal of Pediatrics, 129, 864–869.

    Article  PubMed  Google Scholar 

  • Nasreddine, Z., Phillips, N., & Chertkow, H. (2012). Normative data for the Montreal Cognitive Assessment (MoCA) in a population-based sample. Neurology, 78, 765–766. doi:10.1212/01.wnl.0000413072.54070.a3.

    Article  PubMed  Google Scholar 

  • National Institute of Health and Clinical Excellence. (2012) Retrieved from www.nice.org.uk

  • Nelson, H., Nygren, P., Walker, M., & Panoscha, R. (2006). Screening for speech and language delay in preschool children: Systematic evidence review for the US preventive services task force. Pediatrics, 117, e298–e319. doi:10.1542/peds.2005-1467.

    Article  PubMed  Google Scholar 

  • O’Campo, P., Kirst, M., Tsamis, C., Chambers, C., & Ahmad, F. (2011). Implementing successful intimate partner violence screening programs in health care settings: Evidence generated from a realist-informed systematic review. Social Science & Medicine, 72, 855–866. doi:10.1016/j.socscimed.2010.12.019.

    Article  Google Scholar 

  • Ohayon, M., & Schatzberg, A. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry, 60, 39–47.

    Article  PubMed  Google Scholar 

  • Olson, A., Dietrich, A., Prazar, G., & Hurley, J. (2006). Brief maternal depression screening at well-child visits. Pediatrics, 118, 207–216. doi:10.1542/peds.2005-2346.

    Article  PubMed  Google Scholar 

  • Pagano, M., Cassidy, L., Little, M., Murphy, J., & Jellinek, M. (2000). Identifying psychosocial dysfunction in school-age children: The pediatric symptom checklist as self-report measure. Journal of School Psychology, 37, 91–106. doi:10.1002/(sici)1520-6807 (200003)37: 2%3c91::aid-pits1%3e3.0.co;2-3.

    Article  Google Scholar 

  • Pinto-Martin, J., Dunkle, M., Earls, M., Fliedner, D., & Landes, C. (2005). Developmental stages of developmental screening: Steps to implementation of a successful program. American Journal of Public Health, 95, 1928–1932. doi:10.2105/ajph.2004.052167.

    Article  PubMed  Google Scholar 

  • Pinto-Martin, J., Souders, M., Giarelli, E., & Levy, S. (2005). The role of nurses in screening for autistic spectrum disorder in pediatric primary care. Journal of Pediatric Nursing, 20, 163–169. doi:10.1016/j.pedn.2005.01.004.

    Article  PubMed  Google Scholar 

  • Polaha, J., Dalton, W., & Allen, S. (2011). The prevalence of emotional and behavior problems in pediatric primary care serving rural children. Journal of Pediatric Psychology, 36, 652–660. doi:10.1093/jpepsy/jsq116.

    Article  PubMed  Google Scholar 

  • Prince, M., Acosta, D., Ferri, C., Guerra, M., Huang, Y., Jacob, K., et al. (2011). A brief dementia screener suitable for use by non-specialists in resource poor settings–the cross-cultural derivation and validation of the brief Community Screening Instrument for Dementia. International Journal of Geriatric Psychiatry, 26, 899–907. doi:10.1002/gps.2622.

    Article  PubMed  Google Scholar 

  • Rausch, J., Hametz, P., Zuckerbrot, R., Rausch, W., & Soren, K. (2012). Screening for depression in Urban Latino adolescents. Clinical Pediatrics. doi:10.1177/0009922812441665.

    Google Scholar 

  • Reijneveld, S., Vogels, A., Hoekstra, F., & Crone, M. (2006). Use of the Pediatric Symptom Checklist for the detection of psychosocial problems in preventive child healthcare. BMC Public Health, 6, 197. doi:10.1186/1471-2458-6-197.

    Article  PubMed  Google Scholar 

  • Reitman, D., Currier, R., & Stickle, T. (2002). A critical evaluation of the Parenting Stress Index-­Short Form (PSI-SF) in a head start population. Journal of Clinical Child and Adolescent Psychology, 31, 384–392. doi:10.1207/S15374424JCCP3103_10.

    PubMed  Google Scholar 

  • Richardson, L., Keller, A., Selby-Harrington, M., & Parrish, R. (1996). Identification and treatment of children’s mental health problems by primary care providers: A critical review of research. Archives of Psychiatric Nursing, 10, 293–303.

    Article  PubMed  Google Scholar 

  • Richardson, L., McCauley, E., Grossman, D., McCarty, C., Richards, J., Russo, J., et al. (2010). Evaluation of the Patient Health Questionnaire-9 Item for detecting major depression among adolescents. Pediatrics, 126, 1117–1123. doi:10.1542/peds.2010-0852.

    Article  PubMed  Google Scholar 

  • Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12, 537–556. doi:10.1177/1362361308094502.

    Article  PubMed  Google Scholar 

  • Royall, D., Cordes, J., & Polk, M. (1998). CLOX: An executive clock drawing task. Journal of Neurology, Neurosurgery & Psychiatry, 64, 588–594.

    Article  Google Scholar 

  • Salerno, J., Marshall, V., & Picken, E. (2012). Validity and reliability of the rapid assessment for adolescent preventive services adolescent health risk assessment. Journal of Adolescent Health, 50, 595–599. doi:10.1016/j.jadohealth.2011.10.015.

    Article  PubMed  Google Scholar 

  • Sanci, L., Lewis, D., & Patton, G. (2010). Detecting emotional disorder in young people in primary care. Current Opinion in Psychiatry, 23, 318–323.

    Article  PubMed  Google Scholar 

  • Sand, N., Silverstein, M., Glascoe, F., Gupta, V., Tonniges, T., & O’Connor, K. (2005). Pediatricians’ reported practices regarding developmental screening: Do guidelines work? Do they help? Pediatrics, 116, 174–179. doi:10.1542/peds.2004-1809.

    Article  PubMed  Google Scholar 

  • Saunders, J., Aasland, O., Babor, T., de la Fuente, J., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO integrated project on early detection of persons with harmful alcohol consumption–II. Addiction, 88, 791–804.

    Article  PubMed  Google Scholar 

  • Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine ­developmental screening implemented in urban primary care settings: More evidence of feasibility and effectiveness. Pediatrics, 123, 660–668. doi:10.1542/peds.2007-2798.

    Article  PubMed  Google Scholar 

  • Sharp, L. K., & Lipsky, M. (2002). Screening for depression across the lifespan: A review of measures for use in primary care settings. American Family Physician, 66, 1001–1008.

    PubMed  Google Scholar 

  • Sheldrick, R., Merchant, S., & Perrin, E. (2011). Identification of developmental-behavioral problems in primary care: A systematic review. Pediatrics, 128, 356–363. doi:10.1542/peds.2010-3261.

    Article  PubMed  Google Scholar 

  • Sices, L., Stancin, T., Kirchner, L., & Bauchner, H. (2009). PEDS and ASQ developmental screening tests may not identify the same children. Pediatrics, 124, e640–e647. doi:10.1542/peds.2008-2628.

    Article  PubMed  Google Scholar 

  • Simonian, S. J., & Tarnowski, K. (2001). Utility of the pediatric symptom checklist for behavioral screening of disadvantaged children. Child Psychiatry and Human Development, 31, 269–278.

    Article  PubMed  Google Scholar 

  • Smith, P., Schmidt, S., Allensworth-Davies, D., & Saitz, R. (2009). Primary care validation of a single-question alcohol screening test. Journal of General Internal Medicine, 24, 783–788. doi:10.1007/s11606-009-0928-6.

    Article  PubMed  Google Scholar 

  • Snider, C., Webster, D., O’Sullivan, C., & Campbell, J. (2009). Intimate partner violence: Development of a brief risk assessment for the emergency department. Academic Emergency Medicine, 16, 1208–1216. doi:10.1111/j.1553-2712.2009.00457.x.

    Article  PubMed  Google Scholar 

  • Snyder, A., Stanley, M., Novy, D., Averill, P., & Beck, J. (2000). Measures of depression in older adults with generalized anxiety disorder: A psychometric evaluation. Depression and Anxiety, 11, 114–120.

    Article  PubMed  Google Scholar 

  • Solberg, L., Korsen, N., Oxman, T., Fischer, L., & Bartels, S. (1999). The need for a system in the care of depression. The Journal of Family Practice, 48, 973–979.

    PubMed  Google Scholar 

  • Spitzer, R., Kroenke, K., & Williams, J. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study, primary care evaluation of mental disorders. Patient health questionnaire. The Journal of the American Medical Association, 282, 1737–1744.

    Article  Google Scholar 

  • Spitzer, R., Kroenke, K., Williams, J., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. doi:10.1001/archinte.166.10.1092.

    Article  PubMed  Google Scholar 

  • Stoppelbein, L., Greening, L., Moll, G., Jordan, S., & Suozzi, A. (2012). Factor analyses of the Pediatric Symptom Checklist-17 with African-American and Caucasian pediatric populations. Journal of Pediatric Psychology, 37, 348–357. doi:10.1093/jpepsy/jsr103.

    Article  PubMed  Google Scholar 

  • Teng, E., & Chui, H. (1987). The Modified Mini-Mental State (3MS) examination. The Journal of Clinical Psychiatry, 48, 314–318.

    PubMed  Google Scholar 

  • Tolan, P., & Dodge, K. (2005). Children’s mental health as a primary care and concern: A system for comprehensive support and service. American Psychologist, 60, 601–614. doi:10.1037/0003-066x.60.6.601.

    Article  PubMed  Google Scholar 

  • U.S. Preventive Services Task Force. (2008). USPSTF Grade definitions. Retrieved from http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm. U.S. Preventive.

  • U.S. Preventive Services Task Force. (2009). Screening for depression in adults: U.S. preventive services task force recommendation statement. Annals of Internal Medicine, 151, 784–792. Retrieved from http://www.annals.org/content/151/11/784.full.pdf+html

  • U.S. Preventive Services Task Force. (2010). USPSTF A and B recommendations. Retrieved from http://www.uspreventiveservicestaskforce.org/uspstf/uspsabrecs.htm

  • Unutzer, J., Katon, W., Callahan, C., Williams, J., Hunkeler, E., Harpole, L., et al. (2002). Integrated care management of late-life depression in the primary care setting: A randomized controlled trial. The Journal of the American Medical Association, 288, 2836–2845.

    Article  Google Scholar 

  • Unutzer, J., & Park, M. (2012). Strategies to improve the management of depression in primary care. Primary Care Clinics in Office Practice, 39, 415–431. doi:10.1016/j.pop. 2012.03.010.

    Article  PubMed  Google Scholar 

  • Voigt, R., Johnson, S., Mellon, M., Hashikawa, A., Campeau, L., Williams, A., et al. (2009). Relationship between parenting stress and concerns identified by developmental screening and their effects on parental medical care-seeking behavior. Clinical Pediatrics, 48, 362–368. doi:10.1177/0009922808327058.

    Article  PubMed  Google Scholar 

  • Wallis, K. E., & Pinto-Martin, J. (2008). The challenge of screening for autism spectrum disorder in a culturally diverse society. Acta Paediatrica, 97, 539–540. doi:10.1111/j.1651-2227.2008.00720.x.

    Article  PubMed  Google Scholar 

  • Wasserman, R., Kelleher, K., Bocian, A., Baker, A., Childs, G., Indacochea, F., et al. (1999). Identification of attentional and hyperactivity problems in primary care: A report from pediatric research in office settings and the ambulatory sentinel practice network. Pediatrics, 103, E38.

    Article  PubMed  Google Scholar 

  • Weitzman, C., & Leventhal, J. (2006). Screening for behavioral health problems in primary care. Current Opinion in Pediatrics, 18, 641–648.

    Article  PubMed  Google Scholar 

  • Wetherell, J., Birchler, G., Ramsdell, J., & Unutzer, J. (2007). Screening for generalized anxiety disorder in geriatric primary care patients. International Journal of Geriatric Psychiatry, 22, 115–123. doi:10.1002/gps.1701.

    Article  PubMed  Google Scholar 

  • Williams, J., Klinepeter, K., Palmes, G., Pulley, A., & Foy, J. (2004). Diagnosis and treatment of behavioral health disorders in pediatric practice. Pediatrics, 114, 601–606. doi:10.1542/peds.2004-0090.

    Article  PubMed  Google Scholar 

  • Williams, S. B., O’Connor, E. Eder, M., & Whitlock, E. (2009). Screening for child and adolescent depression in primary care settings: a systematic evidence review for the U.S. Preventive Services Task Force. Rockvill, MD. Pediatrics. 2009 Apr;123(4):e716–35

    Google Scholar 

  • Winter, L., Steer, R., Jones-Hicks, L., & Beck, A. (1999). Screening for major depression disorders in adolescent medical outpatients with the Beck depression inventory for primary care. Journal of Adolescent Health, 24, 389–394.

    Article  PubMed  Google Scholar 

  • Wren, F., Bridge, J., & Birmaher, B. (2004). Screening for childhood anxiety symptoms in primary care: Integrating child and parent reports. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1364–1371. doi:10.1097/01.chi.0000138350.60487.d3.

    Article  PubMed  Google Scholar 

  • Wren, F., Scholle, S., Heo, J., & Comer, D. (2003). Pediatric mood and anxiety syndromes in primary care: Who gets identified? International Journal of Psychiatry in Medicine, 33, 1–16.

    Article  PubMed  Google Scholar 

  • Zimmerman, M., Galione, J., Ruggero, C., Chelminski, I., Young, D., Dalrymple, K., et al. (2010). Screening for bipolar disorder and finding borderline personality disorder. The Journal of Clinical Psychiatry, 71, 1212–1217. doi:10.4088/JCP.09m05161yel.

    Article  PubMed  Google Scholar 

  • Zuckerbrot, R., Cheung, A., Jensen, P., Stein, R., & Laraque, D. (2007). Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Identification, assessment, and initial management. Pediatrics, 120, e1299–e1312. doi:10.1542/peds.2007-1144.

    Article  PubMed  Google Scholar 

  • Zuckerbrot, R. A., & Jensen, P. S. (2006). Improving recognition of adolescent depression in primary care. Archives of Pediatrics & Adolescent Medicine, 160, 694–704. doi:10.1001/archpedi.160.7.694.

    Article  Google Scholar 

  • Zuckerbrot, R., Maxon, L., Pagar, D., Davies, M., Fisher, P., & Shaffer, D. (2007). Adolescent depression screening in primary care: Feasibility and acceptability. Pediatrics, 119, 101–108. doi:10.1542/peds.2005-2965.

    Article  PubMed  Google Scholar 

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Talen, M.R., Baumer, J.G., Mann, M.M. (2013). Screening Measures in Integrated Behavioral Health and Primary Care Settings. In: Talen, M., Burke Valeras, A. (eds) Integrated Behavioral Health in Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6889-9_12

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