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.

中文翻译：

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小儿糖尿病患者在筛查和转诊后很少获得门诊心理服务：对实践的意义

摘要患有糖尿病的青年人的心理功能处于次优状态。这项研究评估了关注的发生率以及在随访中提供和完成的门诊转诊的比例。参加者包括在一个多学科糖尿病门诊就诊的100名青少年和年轻人。有61.2％的参与者被推荐用于内在化（51.6％），外在化（8％），糖尿病相关（50％），综合评估（17％），人际交往（10％）和其他需求（3％）。随访时，转诊的患者中有23.7％参加了门诊服务。儿科心理学家提供有效的精神健康筛查和转诊。后续门诊护理的障碍包括运输，组织和污名化。讨论了改善访问的含义。