title: Feasibility of Screening for Preschool Behavioral and Emotional Problems in Primary Care Using the Early Childhood Screening Assessment.
abstract: The American Academy of Pediatrics recommends screening young children for behavioral and emotional problems (BEP) during primary care visits. Because of time constraints, few primary care providers (PCPs) use standardized screening tools to detect BEP. The Early Childhood Screening Assessment (ECSA) is a brief screening tool developed specifically to meet the needs of pediatric primary care providers (PCPs). The ECSA has established psychometric properties, but the feasibility and acceptability of the ECSA have not been established. This study examines the degree to which PCPs would incorporate ECSA screening and how PCPs value the ECSA as a tool to detect children with BEP. Twenty-seven pediatric PCPs were trained to implement ECSA screening. Six months after training, 96% of PCPs reported that the ECSA was practical for use at well-visits, 70% were still screening and 89% agreed that it helped detect more cases of BEP than by routine history-taking alone.
authors.affiliation: 1 Nemours Children's Healthcare System, Jacksonville, FL, USA.
authors.forename: Elise M
authors.initials: EM
authors.lastname: Fallucco
authors.affiliation: 2 University of Florida College of Medicine, Jacksonville, FL, USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Robertson Blackmore
authors.affiliation: 1 Nemours Children's Healthcare System, Jacksonville, FL, USA.
authors.forename: Carolina M
authors.initials: CM
authors.lastname: Bejarano
authors.affiliation: 1 Nemours Children's Healthcare System, Jacksonville, FL, USA.
authors.forename: Tim
authors.initials: T
authors.lastname: Wysocki
authors.affiliation: 1 Nemours Children's Healthcare System, Jacksonville, FL, USA.
authors.forename: Chelsea B
authors.initials: CB
authors.lastname: Kozikowski
authors.affiliation: 3 Tulane University School of Medicine, New Orleans, LA, USA.
authors.forename: Mary Margaret
authors.initials: MM
authors.lastname: Gleason
keywords: behavioral and emotional problems; early childhood screening; primary care