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The Diabetes Educator

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Journal of Child Health Care
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*Children's Health
*Diabetes Type 1
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An Initial Evaluation of the Design of Pediatric Psychology Consultation Service with Children with Diabetes

Kenneth Gelfand, PhD

Department of Psychology and Neuropsychology, Mount Washington Pediatric Hospital, Baltimore, MD, USA kgelfand{at}mwph.org

Gary Geffken, PhD

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Adam Lewin, MS

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Amanda Heidgerken, PhD

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Mary Jean Grove, RN

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

Toree Malasanos, MD

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

Janet Silverstein, MD

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

The objective of this study was to review the process of psychology consultation with an outpatient pediatric diabetes service, and provide data regarding assessment and outcome. The purpose was to demonstrate that the inclusion of psychology in the care of the child would enhance the effectiveness of treatment delivery. Over a one-year period, 91 psychological consultations were reviewed for information related to reasons for referral, diagnosis, and treatment. Processes of assessment and collaboration are described. Nearly half of all the participants that were referred for a consultation met the criteria for a psychiatric disorder, including Attention-Deficit Hyperactivity Disorder, mood disorder or anxiety. Paired t-tests revealed significant improvement in metabolic control from referral to the next clinic appointment. Psychological consultation appears to have a positive impact on selected health outcomes. Given the large number of children with psychiatric disorder, psychological intervention may facilitate adherence and reduce complications associated with poor metabolic control.

Key Words: consultation • diabetes • pediatrics • psychology • treatment

Journal of Child Health Care, Vol. 8, No. 2, 113-123 (2004)
DOI: 10.1177/1367493504041870
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