title: Psychological services in a pediatric epilepsy clinic: Referral patterns and feasibility.
abstract: Referral patterns for on-site psychological services were tracked in a pediatric epilepsy clinic at a university medical center. Results revealed that 84 children treated for seizures were referred to an on-site pediatric psychologist. Behavior problems were the overall most common reason for referral; however, boys were more likely to be referred for disruptive behaviors, and girls were more likely to be referred for internalizing symptoms. Following psychological assessment, brief cognitive-behavioral intervention services were provided on-site in the epilepsy clinic to 39% of children and families. Finally, referral rates for psychological assessment/intervention were likely far below the estimated prevalence rates for psychosocial maladjustment in children with epilepsy. Results, therefore, highlight the necessity of facilitating increased referrals to mental health providers and provide support for the feasibility of on-site mental health services.
authors.affiliation: Division of Developmental Pediatrics, Department of Pediatrics, Medical University of South Carolina, 135 Rutledge Avenue, P.O. Box 250567, Charleston, SC 29452, USA. wagnerjl@musc.edu
authors.forename: Janelle L
authors.initials: JL
authors.lastname: Wagner
authors.forename: Gigi
authors.initials: G
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D010372:Pediatrics; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012737:Sex Factors; D011795:Surveys and Questionnaires