2. Rural Challenge. 1. Making the DiagnosisRequires team of family, school, primary care physician and patient.PCPs diagnose psycho-social problems in 19% of visits. (Koppelman, 2004)Specialty consult obtained for 50% of these cases.2. Urgent CareUsually the primary care office or the ER.3. Continuity and maintenance care.Requires integration of family, school, primary care physician, mental health specialty support. .
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