Increasing mental health engagement from primary care: The potential role of family navigation
Abstract
Early engagement in mental health intervention is critical, yet the vast majority of children who are experiencing mental health concerns are not receiving needed services. Pediatric primary care clinics have been recognized as an ideal setting in which to identify and address mental health problems early, although engagement in mental health services within primary care and in community-based settings remains low. Navigators, or individuals with experience in navigating the mental health system, have been highlighted as promising partners in efforts to improve engagement in mental health services. Navigation has a growing body of research support among adults and in targeting medical concerns, but there has been limited research on integrating family navigators into pediatric primary care settings to address mental health concerns. Despite this gap in the evidence base, we believe there is significant promise for the use of this model in addressing children's mental health needs. In this report, we discuss factors contributing to high levels of unmet mental health needs and low levels of engagement in mental health services, the role that navigators can play in increasing engagement in mental health care, and implications and recommendations related to integrating mental health-focused family navigators into pediatric primary care settings.
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Evidence points to high patient satisfaction, enhanced understanding of diagnoses and treatments, and greater patient empowerment through navigation.
“In addition, evidence points to high patient satisfaction, enhanced understanding of diagnoses and treatments, and greater patient empowerment through navigation.88”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [88]
Studies on adult populations with conditions like cancer or severe mental illness show care navigation leads to increased health services utilization, including improved linkages to care, adherence to treatment recommendations, and timeliness in accessing health services.
“studies on adult populations with conditions like cancer or severe mental illness have shown that care navigation leads to increased health services utilization, including improved linkages to care, adherence to treatment recommendations, and timeliness in accessing health services.88”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [88]
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- Authors
- Godoy, L., Hodgkinson, S., Robertson, H. A., Sham, E., Druskin, L., Wambach, C. G., Beers, L. S., & Long, M.
- Affiliations
- Children's National (US)
- School of Medicine,
- George Washington University (US)
- University of Maryland, College Park (US)
- Georgetown University (US)
- ORCID
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2019-04-01
- Volume
- 143
- Issue
- 4
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2921523531
- Cited by
- 60
- References
- 95
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 16 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 9 · 2019: 2
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Minority Health and Health Disparities
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- mental health service engagement, pediatric primary care, child mental health, unmet mental health needs, access to mental health care, care coordination, mental health integration
- MeSH terms
- Adolescent, Adult, Mental Disorders, Child, Female, Humans, Male, Mental Health Services, Pediatrics, Primary Health Care, Professional-Family Relations, Severity of Illness Index, United States, Incidence, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care, Early Medical Intervention, Patient Navigation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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