Table 2.
Steps of desired clinic flow according to patients and parents.
| Step | Patient | Parent | ||
| Desired flow | “Even better” flow | Desired flow | “Even better” flow | |
| 1 | Immediate feedback from the screener with animation | N/Aa | Educational information about brain-gut connection, depression, and anxiety available in the waiting area and food provided | N/A |
| 2 | Discussion of results with GIb physician | N/A | GI physician gives the results of the screener | Parents and children receive screening results simultaneously; young children may even receive results from their parent |
| 3 | GI visit with physician | N/A | Provide additional educational materials | N/A |
| 4 | Choose whether or not parents are involved in conversation about screening results | Choose the therapist | Meet with the psychologist and GI physician together | Receive referral to a qualified psychologist close to home. Even better than that would be to be taught coping strategies to use until next appointment. |
| 5 | Reassurance and normalization of symptoms | N/A | The family, psychologist, and GI physician agree on a care plan. | Child is involved in care planning. |
| 6 | Patients, parents, and care team develop a treatment plan | N/A | Family and care team have a clear understanding of patient’s illness | N/A |
| 7 | GI symptom improvement | Being cured of GI symptoms | N/A | N/A |
| 8 | Self-management of symptoms with fewer visits to health care providers | N/A | N/A | N/A |
aN/A: not applicable.
bGI: gastroenterology.