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Psychosocial checklist

A one-page questionnaire might help providers identify pediatric psychosocial problems early, thereby providing more effective use of capitated resources in a managed-care environment, according to a report in the July Archives of Pediatric and Adolescent Medicine.

Parents of 72 patients, ages 6 to 12, filled out the Pediatric Symptom Checklist (PSC) questionnaire, evaluating their child's psychosocial functioning. Questions weighed children's well-being against poverty, single parenthood, stress and abuse risk factors, as well as a family history of substance abuse, mental illness and incarceration. Participating families came in equal numbers from private upper-middle-class private practices, urban health-maintenance organizations and inner-city clinics. Pediatricians conducted separate psychosocial evaluations.