Challenges in the integration of pediatricians into the child and adolescent mental health network
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Keywords

Pediatrics
Child
Early Medical Intervention
Mental Health

How to Cite

1.
Arnáez Solís juan, Abad Algarra I. Challenges in the integration of pediatricians into the child and adolescent mental health network. Bol Pediatr. 2025;65(272):107-113. doi:10.63788/m97q6p43

Abstract

Introduction and objectives. Seventy percent of mental disorders begin in childhood or adolescence. Pediatric professionals, as the first point of contact in detecting psycho-emotional disorders, lack standardized protocols and specialized training within the Child and Adolescent Mental Health Network (CAMH). The objectives of this study were: 1) To identify the challenges faced by primary care pediatricians in a Spanish healthcare setting, 2) To develop a proposal integrating pediatric professionals into the CAMH network, and 3) To conduct a SWOT analysis.

Method. A cross-sectional study was conducted using an 18-item Likert scale survey administered to 68 primary care pediatricians in a Spanish region (July 2024). A pediatric integration model was designed, and a SWOT analysis was performed.

Results. Fifty percent of pediatricians reported a lack of training and time constraints as barriers to CAMH management. Four primary pathways through which men- tal health concerns reach pediatric consultations were identified. The SWOT analysis emphasized the need for standardized protocols, continuous training, and improved coordination with mental health specialists.

Conclusions. Integrating pediatricians into the CAMH network is crucial for early detection and intervention, but it requires specialized training, optimization of consultation time, and interinstitutional coordination. Implementing this type of protocols could enhance child and adolescent mental health care in Spain

pdf (Spanish)

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