Addressing externalized behavioral concerns in primary care: Listening to the voices of parents

Soc Work Health Care. 2019 Jan;58(1):14-31. doi: 10.1080/00981389.2018.1508114. Epub 2018 Aug 21.

Abstract

This article presents the perceptions parents have of the causative and curative factors for their child's externalized behaviors and what treatment they prefer to receive from their primary care integrated behavioral health team. This is a qualitative study, using interpretative phenomenological analysis. Semi-structured interviews were conducted with a purposive sample of 12 parents representing 14 patients with a disruptive behavior disorder (DBD) who sought care from their primary care physician for treatment of the DBD. Participants spoke of uncertainty of the cause of the DBD and the desire to find parenting approaches that augment the effectiveness of pharmacological intervention provided by the primary care team. Parents' responses suggest that they are eager for more education about their child's DBD and how to engage at-home management of the symptoms. Discussion focused on the import of considering the voices of these parents when implementing brief parent management training programs in integrated behavioral health primary care programs.

Keywords: Disruptive behavior disorders; integrated behavioral health; parent management training; social work.

MeSH terms

  • Adolescent
  • Attention Deficit and Disruptive Behavior Disorders / therapy*
  • Child
  • Emotions
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Parent-Child Relations
  • Parenting / psychology
  • Parents / education*
  • Parents / psychology*
  • Patient Care Team / organization & administration
  • Primary Health Care / organization & administration*
  • Qualitative Research
  • Safety-net Providers / organization & administration
  • Social Work / organization & administration*
  • Socioeconomic Factors