Pediatric diabetes patients infrequently access outpatient psychology services following screening and referral: Implications for practice

Abstract

Youth with diabetes are at risk for suboptimal psychological functioning. This study evaluated the prevalence of concerns and proportion of outpatient referrals provided and completed at follow-up. Participants included 100 adolescents and young adults seen at a multidisciplinary diabetes clinic. Referrals were made to 61.2% of participants for internalizing (51.6%), externalizing (8%), diabetes-related (50%), comprehensive evaluation (17%), interpersonal (10%), and other needs (3%). At follow-up, 23.7% of those referred were enrolled in outpatient services. Pediatric psychologists offer effective mental health screening and referral. Barriers to follow-up outpatient care included transportation, organization, and stigma. Implications for improving access are discussed.