abstract: 'Background: Adolescents often present at primary care clinics with

  nonspecific physical symptoms when, in fact, they have at least 1 mental

  health or risk behavior (psychosocial) issue with which they would like

  help but do not disclose to their care provider. Despite global

  recommendations, over 50\% of youths are not screened for mental health

  and risk behavior issues in primary care.

  Objective: This review aimed to examine the implementation,

  acceptability, feasibility, benefits, and barriers of e-screening tools

  for mental health and risk behaviors among youth in primary care

  settings.

  Methods: Electronic databases-MEDLINE, CINAHL, Scopus, and the Cochrane

  Database of Systematic Reviews-were searched for studies on the routine

  screening of youth in primary care settings. Screening tools needed to

  be electronic and screen for at least 1 mental health or risk behavior

  issue. A total of 11 studies that were reported in 12 articles, of which

  all were from high-income countries, were reviewed.

  Results: e-Screening was largely proven to be feasible and acceptable to

  youth and their primary care providers. Preconsultation e-screening

  facilitated discussions about sensitive issues and increased disclosure

  by youth. However, barriers such as the lack of time, training, and

  discomfort in raising sensitive issues with youth continued to be

  reported.

  Conclusions: To implement e-screening, clinicians need to change their

  behaviors, and e-screening processes must become normalized into their

  workflows. Co-designing and tailoring screening implementation

  frameworks to meet the needs of specific contexts may be required to

  ensure that clinicians overcome initial resistances and perceived

  barriers and adopt the required processes in their work.'
affiliation: 'Goodyear-Smith, F (Corresponding Author), Univ Auckland, Fac Med \&
  Hlth Sci, Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.

  Martel, Rhiannon; Goodyear-Smith, Felicity, Univ Auckland, Fac Med \& Hlth Sci,
  Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.

  Shepherd, Matthew, Massey Univ, Sch Psychol, Auckland, New Zealand.'
article-number: e30479
author: Martel, Rhiannon and Shepherd, Matthew and Goodyear-Smith, Felicity
author-email: f.goodyear-smith@auckland.ac.nz
author_list:
- family: Martel
  given: Rhiannon
- family: Shepherd
  given: Matthew
- family: Goodyear-Smith
  given: Felicity
da: '2023-09-28'
doi: 10.2196/30479
files: []
issn: 2368-7959
journal: JMIR MENTAL HEALTH
keywords: adolescent; mental health; risk behavior; screening; primary care
keywords-plus: PEDIATRIC PRIMARY-CARE; INTERVENTIONS; TECHNOLOGY; ALCOHOL; SBIRT;
  VIEWS
language: English
month: NOV 1
number: '11'
number-of-cited-references: '57'
orcid-numbers: 'Goodyear-Smith, Felicity/0000-0002-6657-9401

  Martel, Rhiannon/0000-0002-0828-2415'
papis_id: ce007773f89214f777c027411a113bd7
ref: Martel2021implementingroutine
researcherid-numbers: 'Goodyear-Smith, Felicity/K-2538-2017

  '
tags:
- review
times-cited: '0'
title: 'Implementing the Routine Use of Electronic Mental Health Screening for Youth
  in Primary Care: Systematic Review'
type: Review
unique-id: WOS:000727870500009
usage-count-last-180-days: '1'
usage-count-since-2013: '7'
volume: '8'
web-of-science-categories: Psychiatry
year: '2021'