Implementation of an Anxiety Management Process in Pediatric Primary Care: An Evidence-Based Practice Quality Improvement Initiative

Introduction

Pediatric anxiety is rapidly increasing, and in 2022, the US Preventive Services Task Force recommended universal anxiety screening using a validated tool for children 8–18 years.

Method

This evidence-based practice quality improvement initiative integrated an educational process, a validated anxiety screening tool, and a Caregiver Satisfaction Survey into all primary care wellness visits for patients aged 8–18 years.

Results

Significant increases in screening and referrals for mental healthcare were observed postinitiative implementation, especially in ages 8–11 years. Anxiety diagnosis and referral for treatment increased from 6.1% to 21.3%, demonstrating the importance of screening and early action at a younger age than previously recommended. However, many telephone follow-ups to caregivers for mental health referrals were unanswered.

Discussion

Integrating mental health services within pediatric primary care settings is recommended to increase timely treatment accessibility. Results from this initiative may be transferable to other primary care practices.