The Outpatient Developmental Services Project: integration of pediatric psychology with primary medical care for children infected with HIV.
OBJECTIVE
To present a model in which pediatric psychology services are programmatically integrated into the primary care of children seen in a special immunology program. The program centers around serial neurodevelopmental/neuropsychological evaluation of children infected with HIV.


METHODS
We describe the population served and the particular services provided, with specific focus on how the program was developed. We include a discussion of the barriers to service provision that have been encountered and the strategies employed to overcome these challenges.


CONCLUSIONS
This approach, while not ideal, serves as a good example of how pediatric psychology can merge with primary medical care to maximize the benefits of both specialties for a patient population that is underserved in many respects.
Armstrong
F D
FD
University of Miami School of Medicine, USA. darmstro@peds.med.miami.edu
Harris
L L
LL
Thompson
W
W
Semrad
J L
JL
Jensen
M M
MM
Lee
D Y
DY
Miloslavich
K
K
Garcia
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology* / Q000534:rehabilitation*; D000553:Ambulatory Care; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006679:HIV Seropositivity / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D010372:Pediatrics; D011320:Primary Health Care; D002666:Psychology, Child; D014481:United States