St. Christopher’s Hospital wants to combine primary and mental health care for struggling youth | Five Questions

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St. Christopher’s Hospital wants to combine primary and mental health care for struggling youth | Five Questions
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St. Christopher’s Hospital for Children is one of the institutions attempting to better address teen mental health. Here's what to know about the hospital’s new initiative and what caregivers can do to help:

A recent government report concluded that the nation’s teens — especially teen girls — are in a mental health crisis.

But with this program, we wanted to think about another response. Instead of focusing on crises, what if we stepped back and took a proactive approach, starting with primary care? We want to create a culture where both physical health and mental health are part of the standard care of a pediatric practice. It would involve creating a setting where you have access not only to your pediatrician, but also to mental health providers.

The patients have to come here every year anyway when they’re younger, so if we start young enough, incorporating the behavioral and mental health part just becomes part of the routine.The beauty of using the pediatric visit to address mental health is that, typically, the pediatrician already has a relationship with the child and the family. The pediatrician might start with a screening tool that asks questions about mood, worries, anxiety, about the presence of suicidal ideation.

If a parent is concerned about the mental health of their child, we encourage them to ask early and ask often. There’s a misconception that if you ask a youth whether they are having thoughts of suicide, for instance, it might prompt them to have those thoughts.

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