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NEWS FROM CAMBRIDGE HEALTH ALLIANCE

HARVARD RESEARCHERS AT THE INSTITUTE FOR COMMUNITY HEALTH AT CAMBRIDGE HEALTH ALLIANCE AUTHOR STUDY ABOUT MENTAL HEALTH SCREENING ON CHILDREN

Cambridge, Chelsea, Everett, Malden, Medford, Revere, Somerville, Winthrop, MA…The Institute for Community Health, which is based at Cambridge Health Alliance (CHA), announced today that a team of clinicians released a study in the November 2006 issue of Pediatrics about the impact of mental health screening in pediatric medical practices.

The study, entitled "Screening for mental health in pediatric practice: Factors related to positive screens and the contribution of parental/personal concern," concluded that mental health screening can be effectively implemented in the pediatric setting and that co-locating mental health professionals in pediatric medical practices can support screening by providing additional resources to primary care providers.

About 20% of American children suffer from a diagnosable mental illness during a given year, according to the U.S. Surgeon General. "The more medical providers understand about identifying mental health issues among children, the better chance clinicians will have of addressing this problem," said Karen A. Hacker, MD, MPH, Executive Director of the Institute for Community Health and Assistant Professor of Medicine, Harvard Medical School.

The study also found that screening is only one component in mental health issue identification. The other, parental/personal concerns, was also found to be an important, complementary identification method to screening. "Using a standardized tool along with questions about parental concern and current counseling can dramatically improve identification," said Dr. Hacker.

The study was undertaken as part of increasing awareness in the public health and mental health communities that early identification of mental health problems may lead to decreases in long-term disability. The US Surgeon General, the President's New Freedom Commission on Mental Health, and the American Academy of Pediatrics have recommended that pediatric providers screen for mental health issues as part of regular medical care.

In addition to Dr. Hacker, authors of the study were Enkhbolor Myagmarjav, MPH, Victoria Harris, MSW, MPH, and Shakira Franco Suglia, MS, all of the Institute for Community Health; Deborah Weidner, MD, Director of Child Psychiatry Ambulatory Services at CHA and an Instructor in Psychiatry at Harvard Medical School; and David Link, MD, Chief of Pediatrics at CHA and an Associate Professor of Pediatrics at Harvard Medical School.

The study was based on a sample of 1,668 screened patients between the ages of 4 years 11 months and 19 years.

Karen Hacker, MD, MPH, is an Internist with a subspecialty in Adolescent Medicine and an assistant professor of Medicine at Harvard Medical School. She currently serves as Executive Director at the Institute for Community Health, a public health research organization, while continuing to work as a physician at Cambridge Health Alliance's Somerville high school Teen Connection. She is also the interim Chief Public Health Officer for the City of Cambridge. Her interest in child mental health springs from her work with adolescents and her belief that mental health promotion is a crucial part of primary care. She has worked to integrate mental health into primary care practice and to gain public health attention for child mental health.

The Institute for Community Health (ICH) is a unique collaboration among three Massachusetts health care systems to improve the health of Cambridge, Somerville and surrounding communities. ICH was founded in 2000 by Cambridge Health Alliance, CareGroup Healthcare System, and Partners HealthCare. The goals of ICH are to advance community health research, promote community health education and training, develop community action programs and policy, and forge linkages among nationally recognized not-for-profit health care systems with shared community health objectives.

Please visit: http://www.icommunityhealth.org/ichhome.shtml

Pediatrics is an official peer-reviewed journal of the American Academy of Pediatrics. Pediatrics publishes original research, clinical observations, and special feature articles in the field of pediatrics, as broadly defined. Contributions pertinent to pediatrics are also included from related fields such as nutrition, surgery, dentistry, public health, child health services, human genetics, basic sciences, psychology, psychiatry, education, sociology, and nursing.

CAMBRIDGE HEALTH ALLIANCE
Cambridge Health Alliance, a regional healthcare system with three hospitals and more than twenty primary care practices throughout Cambridge, Somerville, and Boston's metro-North communities, is a teaching affiliate of Harvard Medical School. It also includes the Cambridge Public Health Department, Physician's Organization (CHAPO), and Network Health, a managed Medicaid plan.

Please visit www.cha.harvard.edu

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Media Contacts

Alison Harris
Director Media Relations
Phone: 617-499-8323
Cell: 781-424-3293
Pager: 617-546-8696
aharris@challiance.org