xv Introduction In a policy statement published in 2009, the American Academy of Pedi- atrics (AAP) articulated the knowledge and skills that PCCs need to provide children and adolescents with mental health care: “The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care.”5 These competencies include, for example, the capacity to develop office routines for identifying occult mental health problems to apply evidence- based communication methods and therapies to the care of children, adolescents, and their families and to access current data about the safety and efficacy of common pharmacological and psychosocial interventions in children and adolescents. This book includes information, tools, and resources that will contribute to achievement of these and other pediatric mental health competencies. Box 1. The Pediatric Advantage ■■ Longitudinal, trusting, and empowering therapeutic relationships with children and family members ■■ Patient and family centeredness of pediatric practice ■■ Unique opportunities to prevent future mental health problems through promoting healthy lifestyles, “purposeful” and positive parenting, and play identifying and addressing toxic stress and social adversities anticipatory guidance and timely intervention for common behavioral, emotional, edu- cational, and social problems encountered in pediatric practice ■■ Understanding of common social, emotional, and educational problems in the context of a child’s or an adolescent’s development and environment ■■ Comfort and capacity to care for children and adolescents with uncertain diagnoses ■■ Experience coordinating general care and specialty care ■■ Familiarity with chronic care principles and practice-improvement methods ■■ Greater accessibility to children, adolescents, and families than that of men- tal health specialty care ■■ Potential effectiveness in countering stigma and mental health racial and ethnic disparities Adapted from Foy JM for the American Academy of Pediatrics Task Force on Mental Health. Enhancing pediatric mental health care: report from the American Academy of Pediatrics Task Force on Mental Health. Introduction. Pediatrics. 2010 125(suppl 3):S71. http://pediatrics. aappublications.org/content/125/Supplement_3/S69. Accessed March 8, 2018. 00-MHCC_fm.indd 15 4/5/18 12:06 PM
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