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Parents often view the physician as the person to whom they can turn not only for Johnny’s runny nose but his developmental and behavior difficulties as well. In fact, a majority of pediatrician’s time, estimated by some as high as 85%, is spent dealing with psychosocial and developmental issues that arise during well-child and acute care visits (1,2). Since most of these requests for assistance are not severe enough to warrant referral, primary care physicians need to develop an effective approach to working with parents regarding their concerns about their children. We advocate a family-oriented approach that expands the traditional biomedical, anticipatory guidance model to take into account the context of the child.
KeywordsFamily Therapy Child Health Care Psychosocial Assessment Toilet Training Anticipatory Guidance
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