Petra Steinbuchel | University of California, San Francisco (original) (raw)
Papers by Petra Steinbuchel
Children
Due to a national shortage of child and adolescent psychiatrists, pediatric primary care provider... more Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often...
Journal of the American Academy of Child & Adolescent Psychiatry, 2021
Hidden Valley Road: Inside the Mind of an American Fami
Journal of Child and Adolescent Psychiatric Nursing, 2020
Abstract Topic This article will briefly review screening for depression and suicidal ideation in... more Abstract Topic This article will briefly review screening for depression and suicidal ideation in primary care and school‐based clinics, with a focus on in‐depth screening for imminent suicide risk, developing a safety plan, and incorporating handoffs to urgent and emergency mental health care personnel. The article will cover current definitions of levels of suicidal risk and clinic‐based protocols for a team approach to adolescents in crisis. Purpose To provide primary care and behavioral health nurses with evidence‐based suicide risk screening and assessment tools and best practices for using them in patient‐centered encounters with adolescents with suicidal thinking or behavior. Sources Used Journal articles, books, and reports. Conclusion Past studies have shown that many individuals who died by suicide had seen a primary care provider in 30 days before their deaths. Nurses in primary care settings should develop clinic‐based protocols for screening all adolescents for suicide risk, developing safety plans, and providing suicidal youth and families with monitoring, appropriate referrals, follow‐up, and support.
Journal of the American Academy of Child & Adolescent Psychiatry, 2012
Trauma-Informed Healthcare Approaches, 2019
Nearly 50% of all children under 18 have experienced one or more types of trauma. Black and Latin... more Nearly 50% of all children under 18 have experienced one or more types of trauma. Black and Latina children growing up in poor, under-resourced communities experience a greater number of adverse childhood experiences (ACEs), which affect development and behavioral and physical health and are related to chronic disease and early death. Pediatricians are the frontline defense in understanding and identifying trauma and connecting their patients to services that may buffer risk factors and prevent chronic disease later in life. Trauma impacts organizations, the workforce, and the care context much in the same way it affects individuals and communities.
Journal of the American Academy of Child & Adolescent Psychiatry
NeuroPsychopharmacotherapy
Children
Due to a national shortage of child and adolescent psychiatrists, pediatric primary care provider... more Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often...
Journal of the American Academy of Child & Adolescent Psychiatry, 2021
Hidden Valley Road: Inside the Mind of an American Fami
Journal of Child and Adolescent Psychiatric Nursing, 2020
Abstract Topic This article will briefly review screening for depression and suicidal ideation in... more Abstract Topic This article will briefly review screening for depression and suicidal ideation in primary care and school‐based clinics, with a focus on in‐depth screening for imminent suicide risk, developing a safety plan, and incorporating handoffs to urgent and emergency mental health care personnel. The article will cover current definitions of levels of suicidal risk and clinic‐based protocols for a team approach to adolescents in crisis. Purpose To provide primary care and behavioral health nurses with evidence‐based suicide risk screening and assessment tools and best practices for using them in patient‐centered encounters with adolescents with suicidal thinking or behavior. Sources Used Journal articles, books, and reports. Conclusion Past studies have shown that many individuals who died by suicide had seen a primary care provider in 30 days before their deaths. Nurses in primary care settings should develop clinic‐based protocols for screening all adolescents for suicide risk, developing safety plans, and providing suicidal youth and families with monitoring, appropriate referrals, follow‐up, and support.
Journal of the American Academy of Child & Adolescent Psychiatry, 2012
Trauma-Informed Healthcare Approaches, 2019
Nearly 50% of all children under 18 have experienced one or more types of trauma. Black and Latin... more Nearly 50% of all children under 18 have experienced one or more types of trauma. Black and Latina children growing up in poor, under-resourced communities experience a greater number of adverse childhood experiences (ACEs), which affect development and behavioral and physical health and are related to chronic disease and early death. Pediatricians are the frontline defense in understanding and identifying trauma and connecting their patients to services that may buffer risk factors and prevent chronic disease later in life. Trauma impacts organizations, the workforce, and the care context much in the same way it affects individuals and communities.
Journal of the American Academy of Child & Adolescent Psychiatry
NeuroPsychopharmacotherapy