Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESHelp-Seeking for Child Psychopathology: Pathways to Informal and Professional Services in The Netherlands
Section snippets
Participants
Our study involved a two-stage procedure. An overview of the study design and the numbers of respondents for the various stages of the study is presented in Figure 2. The base population for the study was derived from the Second Dutch National Survey of General Practice, which examined morbidity and treatment in a representative sample of 104 general practices with 195 GPs and 385,461 listed patients between April 2000 and January 2002. A random sample of the practice population was asked to
RESULTS
To gain insight into the severity of child problems in our sample, numbers of children with CBCL and TRF Internalizing and Externalizing scores in the deviant range are reported in Table 2. Note that continuous rather than dichotomous scores on these scales were used in the structural equation model. Rates of service need and service use are also reported in Table 2.
Figure 3 depicts, in a simplified version of Figure 1, the percentages of parents at various stages of the help-seeking process,
DISCUSSION
This study was aimed at investigating in one comprehensive model the process of help-seeking for child psychopathology in both professional and informal service settings. By means of structural equation modeling, characteristics of the child, family, and context were investigated as determinants of various stages in the help-seeking process.
In general, structural equation modeling proved to be a fruitful method for concurrently testing associations between various stages in the help-seeking
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Supported by grant2100.0064 from the Netherlands Organization for Health Research and Development.
Article Plus (online only) materials for this article appear on the Journal's Web site: www.jaacap.com.
Disclosure: The authors have no financial relationships to disclose.