title: Pediatric behavioral health screening in primary care: a preliminary analysis of the pediatric symptom checklist-17 with functional impairment items.
abstract: BACKGROUND
  Roughly 21% of youth in the United States meet criteria for a mental health diagnosis, but only one-fifth of those children obtain help. The Pediatric Behavioral Health Screen (PBHS) utilizes the Pediatric Symptom Checklist-17 (PSC-17) and functional impairment items to assess behavioral health concerns.
  
  
  METHODS
  Data were obtained from a systematic chart review for children 6 to 16 years old. Descriptive analyses and a confirmatory factor analysis were used to evaluate the clinical performance and utility of the PBHS.
  
  
  RESULTS
  A positive screen was endorsed for 26.7% of the sample, of whom 68% also experienced functional impairment. Clinicians appropriately administered the screen 73.5% of the time. The 3-factor model of the PSC-17 exhibited a good model fit.
  
  
  CONCLUSIONS
  Prevalence rates of psychosocial concerns and functional impairment affirm the need for routine behavioral health screening in the pediatric primary care setting. The PBHS exhibited good psychometric performance and clinical utility.
authors.affiliation: 1University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
authors.forename: Ryan T
authors.initials: RT
authors.lastname: Blucker
authors.forename: Dennis
authors.initials: D
authors.lastname: Jackson
authors.forename: J Arthur
authors.initials: JA
authors.lastname: Gillaspy
authors.forename: Jessica
authors.initials: J
authors.lastname: Hale
authors.forename: Mark
authors.initials: M
authors.lastname: Wolraich
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Gillaspy
mesh_terms: D000293:Adolescent; D057189:Checklist; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D011320:Primary Health Care
keywords: Pediatric Symptom Checklist-17; behavioral health screen; factor analysis; functional impairment; pediatric primary care