Topic
Referral
About: Referral is a research topic. Over the lifetime, 27614 publications have been published within this topic receiving 479918 citations.
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TL;DR: There is considerable interest in CAM among primary care professionals, and many are already referring or suggesting referral, and most of the respondents were in favour of integrating at least some types of CAM in mainstream primary care.
122 citations
TL;DR: It is concluded that social factors partly account for the sex difference in referral rates, and girls appear to require a higher threshold than boys for cross-gender behavior before they are referred for clinical assessment.
Abstract: From 1978 through 1995, a sex ratio of 6.6:1 of boys to girls (N = 275) was observed for children referred to a specialty clinic for gender identity disorder. This article attempts to evaluate several hypotheses regarding the marked sex disparity in referral rates. The sexes did not differ on four demographic variables (age at referral, IQ, and parent's social class and marital status) and on five indices of general behavior problems on the Child Behavior Checklist; in addition, there was only equivocal evidence that boys with gender identity disorder had significantly poorer peer relations than girls with gender identity disorder. Although the percentage of boys and girls who met the complete DSM-III-R criteria for gender identity disorder was comparable, other measures of sex-typed behavior showed that the girls had more extreme cross-gender behavior than the boys. Coupled with external evidence that cross-gender behavior is less tolerated in boys than in girls by both peers and adults, it is concluded that social factors partly account for the sex difference in referral rates. Girls appear to require a higher threshold than boys for cross-gender behavior before they are referred for clinical assessment.
122 citations
122 citations
TL;DR: Research documenting heightened symptoms of depression and post-traumatic stress in parents in the NICU and studies of the relationship of parental distress with impaired infant and child development are summarized.
Abstract: Having a baby hospitalized in a neonatal intensive care unit (NICU) is a potentially traumatic event for parents. This article summarizes research documenting heightened symptoms of depression and post-traumatic stress in these parents and reviews studies of the relationship of parental distress with impaired infant and child development. We describe an array of validated screening devices for depression and post-traumatic stress, along with research on risk factors for elevated scores. In making recommendations for screening both mothers and fathers for emotional distress in the NICU, we (a) present commentary on the pros and cons of screening, (b) propose a timetable for screening and (c) describe both supportive interventions for parents in the NICU and a variety of referral possibilities for parents most at risk.
122 citations
TL;DR: The development and structure of this EMR, designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings, is described and plans for future development that include wireless connections, tablet computers, and migration to a Web-based platform are described.
122 citations