Publications by authors named "Laurie M Grimes"

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Inpatient pediatric consultation-liaison: a case-controlled study.

J Pediatr Psychol 2003 Sep;28(6):423-32

University of Louisville School of Medicine, Kentucky 40202, USA.

Objective: To conduct a prospective case-controlled study of pediatric inpatients referred for consultation in a tertiary care children's medical center.

Method: Referrals (n = 104) were matched with nonreferrals (n = 104) for age (4 to 18 years), gender, and illness type/severity and completed parent- and self-report (dependent on age) behavioral rating scales to assess for adjustment/functioning. Nurses completed in-hospital ratings of behavioral/adjustment difficulties. Goal attainment and satisfaction ratings were obtained from the referring physicians, parents/guardians, and the consultant.

Results: Referrals exhibited more behavior/adjustment/coping difficulties than nonreferrals by parent, nurse, and self report. Frequently employed interventions included coping-strategies intervention, cognitive and behavioral therapies, and case management. Referring physician and consultant ratings of goal attainment were high, as were physician ratings of satisfaction and parent/guardian ratings of overall helpfulness.

Conclusions: Pediatric inpatients referred by their physicians had significantly more internalizing and externalizing disturbances than their nonreferred hospitalized peers. Many of the behavioral and adjustment problems that lead to in-hospital consultation referral were evident in global behavior difficulties prior to hospitalization. Referring pediatricians, parents/guardians, and consultants rate the outcome as benefiting the patients via assisting in the overall management of their health concerns, coping, and adjustment.
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http://dx.doi.org/10.1093/jpepsy/jsg032DOI Listing
September 2003