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Mental Health

What kind of mental health professionals are trained to help children?

Many types of specialists are available to help children and their families with mental and behavioral problems. With your permission, your child's doctor can coordinate care to make sure that the needs of your child and family are met. It's important that there is clear communication between everyone involved in your child's health care.

Mental and behavioral health specialists include the following (note: license and practice requirements may differ from state to state):

  • Child and adolescent psychiatrists are medical doctors trained to diagnose and provide a full range of treatment for emotional and behavioral problems, as well as psychiatric disorders. They can prescribe medicine, if needed. Child and adolescent psychiatrists also have additional training in treating children, teens, and families.
  • Clinical psychologists are licensed doctoral (PhD)-level specialists trained to diagnose and give psychological tests. They are trained to treat learning, behavioral, and emotional problems such as depression, anxiety, and conduct disorders, and adjustment problems related to medical illnesses. Some have expertise in caring for children and teens.
  • Master's-level psychologists or mental health counselors are master's-level specialists trained to give psychological tests. They also counsel individuals and families. In some states, they may be independently licensed to work and are known as psychologists. In other states, they may work only if supervised by a doctoral-level licensed psychologist or psychiatrist.
  • School psychologists are doctoral or master's-degree specialists who work with children at school. They evaluate and counsel children with learning, emotional, and behavioral problems.
  • Licensed clinical social workers are master's- or doctoral-trained specialists who specialize in diagnosis and treatment of mental and behavioral health problems. They also counsel children and families. Licensed clinical social workers help families deal with physical, mental, or emotional illness and disability. They may teach problem-solving and coping skills.
  • Developmental-behavioral pediatricians are trained to help children with developmental, learning, emotional, and behavioral problems. They help children and families manage problems that involve childhood illness or disability. Developmental-behavioral pediatricians can prescribe medicine, if needed, and typically work with other doctors and counselors to meet ­families' needs.
  • Adolescent medicine specialists are medical doctors with additional training in the care of teens and their families. They help teens and families with common teen problems such as eating disorders, alcohol and drug use, depression, anxiety, and attention-deficit/ hyperactivity disorder.
  • Child neurologists are licensed doctors trained to diagnose and treat children with problems of the nervous system. They assist in determining whether a child has a brain condition that affects learning and behavior and what treatment is best. Child neurologists can prescribe medicine and have experience prescribing medicines for brain conditions and behavioral problems.
  • Nurse practitioners with advanced psychiatric training are advanced practice nurses specializing in diagnosis and treatment of problems with feelings and behaviors. They typically work with a psychiatrist. Nurse practitioners can evaluate your child, prescribe medicine if needed, and provide a full range of treatments for mental and behavioral problems.
  • Alcohol and drug abuse specialists are trained to evaluate and treat alcohol and drug abuse problems in children, teens, and families. They may be physicians, psychologists, social workers, or counselors with special interest and training in addiction.
  • Other mental health professionals include counselors, nurses with specialized training, and family therapists who have expertise in helping children and teens with mental health problems. They can also help families provide support and care for their children.
  • Community mental health resources include mental health professionals and services offered through health departments, public mental health programs, religious organizations, nonprofit counseling agencies, colleges, and medical centers.
  • Family organizations and support groups are local and national organizations offering a range of resources including brochures, books, or information posted on the Internet; public speakers and conferences; and support and advocacy groups.

Other resources for you and your child

Your child's doctor may suggest other resources if you don't have health insurance, if your health care plan doesn't cover mental health care, or if your health care plan doesn't provide enough mental health coverage to meet your family's needs.

In some communities, mental health centers or ­family service agencies charge based on what you are able to pay. Medicaid and the State Children's Health Insurance Program (SCHIP)—publicly funded programs to cover the medical costs of low-income children—also cover some mental health costs. In some states and for some diagnoses, these or other funds may be available for mental health services not covered by your health insurance, even if you have private insurance.

If you have trouble getting or filling out a Medicaid or SCHIP application, ask your doctor's office for help. For more information about Medicaid or SCHIP, contact the Centers for Medicare & Medicaid Services at 877/267-2323 or www.cms.hhs.gov.

Self-help organizations may also offer counseling and support to children and their families. These organizations operate drop-in centers and sponsor gatherings for group discussions on specific topics, such as alcohol or drug abuse or attention and learning problems. Your child's school may have guidance counselors and other specialists with training in behavioral health evaluation and treatment. Clergy can also provide help. It's important to talk about each of these options with your child's doctor.

 

Published online: 11/07
Source: Your Child's Mental Health: When to Seek Help and Where to Get Help (Copyright © 2003 American Academy of Pediatrics, updated 8/07)

Healthcare professionals may order this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your School-Age Child: Ages 5 to 12. To order a copy of this book visit the AAP Bookstore.

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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.





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