Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 4/2022

09-04-2021 | Original Article

Mental Health Service Urgency in Children’s Mental Health: Factors Impacting the Need for Expedited Services

Auteurs: Valbona Semovski, Colin B. King, Shannon L. Stewart

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Delayed access to mental health services for children and adolescents has been linked to an increased risk of harm and nonattendance to scheduled appointments. While studies suggest that the lack of standardized assessments for prioritizing individuals has contributed to long wait times, the inconsistent use of assessments across service sectors in Ontario continues to persist. This has contributed to a paucity of information surrounding which children and adolescents may require urgent mental health services. Using a large secondary data set, this study examined whether service sector (e.g., school), and other individual client characteristics (e.g., age, sex, legal guardianship, interpersonal and school conflict) predicted greater mental health service urgency in 61,448 children and adolescents assessed using the interRAI Child and Youth Mental Health Screener. Binary logistic regression revealed that all predictors, except for sector, showed a significant effect on service urgency. Findings are instrumental in prioritization, reducing the likelihood that children with acute needs remain on waitlists.
vorige artikel How Do Fathers Help? A Moderation Analysis of the Association between Adverse Childhood Experiences and Child Behavioral Health in Fragile Families
volgende artikel The Association Between Mindful Parenting and Adolescent Internalizing and Externalizing Problems: The Role of Mother–Child Communication
Literatuur
1.
MHASEF Research Team (2017) The Mental health of children and youth in Ontario: 2017 scorecard. Institute for Clinical Evaluative Sciences, Toronto, ON
2.
3.
4.
5.
6.
Duncan L, Boyle MH, Abelson J, Waddell C (2018) Measuring children’s mental health in Ontario: policy issues and prospects for change. J Can Acad Child Adolesc Psychiatr Rev 27(2):88–98
7.
8.
Stewart SL, Hamza CA (2017) The child and youth mental health assessment (ChYMH): an examination of the psychometric properties of an integrated assessment developed for clinically referred children and youth. BMC Health Serv Res 17:10CrossRef
9.
10.
11.
Barwick M, Boydell KM, Cunningham CE, Ferguson HB (2004) Overview of Ontario’s screening and outcome measurement initiative in children’s mental health. J Can Acad Child Adolesc Psychiatry 13(4):105–109
12.
13.
14.
Gardner W, Pajer KA, Kelleher KJ, Sarah HS, Wasserman RC (2002) Child sex differences in primary care clinicians’ mental health care of children and adolescents. Arch Pediatr Adolesc Med 156(5):454–459PubMedCrossRef
15.
Rucklidge JJ (2008) Gender differences in ADHD: implications for psychosocial treatments. Expert Rev Neurother 8(4):643–655PubMedCrossRef
16.
Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Üstün TB (2007) Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry 20(4):359–364PubMedPubMedCentralCrossRef
17.
Bennett K, Rhodes AE, Duda S, Cheung AH, Manassis K, Links P et al (2015) A youth suicide prevention plan for ontario: a systematic review of reviews. Can Child Adolesc Psychiatr Rev 60(6):245–257
18.
Hamza CA, Stewart SL, Willoughby T (2012) Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clin Psychol Rev 32(6):482–495PubMedCrossRef
19.
Das JK, Salam RA, Lassi ZS, Khan MN, Mahmood W, Patel V et al (2016) Interventions for adolescent mental health: an overview of systematic reviews. J Adolesc Health 59(4):S49–S60PubMedPubMedCentralCrossRef
20.
Rhodes AE, Bethell J (2008) Suicidal ideators without major depression–whom are we not reaching? Can Child Adolesc Psychiatr Rev 53(2):125–130
21.
22.
Burge P (2007) Prevalence of mental disorders and associated service variables among Ontario children who are permanent wards. Can Child Adolesc Psychiatr Rev 52(5):305–314
23.
Greeson JK, Briggs EC, Kisiel CL, Layne CM, Ake GS III, Ko SJ et al (2011) Complex trauma and mental health in children and adolescents placed in foster care: findings from the national child traumatic stress network. Child Welfare 90(6):91–108PubMed
24.
25.
Havlicek J, Garcia A, Smith DC (2013) Mental health and substance use disorders among foster youth transitioning to adulthood: past research and future directions. Child Youth Serv Rev 35(1):194–203PubMedPubMedCentralCrossRef
26.
McMillen JC, Zima BT, Scott LD Jr, Auslander WF, Munson MR, Ollie MT et al (2005) Prevalence of psychiatric disorders among older youths in the foster care system. J Am Acad Child Adolesc Psychiatry 44(1):88–95PubMedCrossRef
27.
Fosco GM, Lydon-Staley DM (2019) A within-family examination of interparental conflict, cognitive appraisals, and adolescent mood and well-being. Child Dev 90:421–436CrossRef
28.
Moore FG, Cox R, Evans ER, Hallingberg B, Hawkins J, Littlecott JH et al (2018) School, peer and family relationships and adolescent substance use, subjective wellbeing and mental health symptoms in wales: a cross sectional study. Child Indic Res 11(6):1951–1965PubMedPubMedCentralCrossRef
29.
Zwaanswijk M, Van der Ende J, Verhaak PFM, Bensing JM, Verhulst FC (2003) Factors associated with adolescent mental health service need and utilization. J Am Acad Child Adolesc Psychiatry 42:692–700PubMedCrossRef
30.
Cohen JR, Spiro CN, Young JF, Gibb BE, Hankin BL, Abela JRZ (2015) Interpersonal risk profiles for youth depression: a person-centered, multi-wave, longitudinal study. J Abnorm Child Psychol 43(8):1415–1426PubMedPubMedCentralCrossRef
31.
32.
33.
34.
Reid GJ, Brown JB (2008) Money, case complexity, and wait lists: Perspectives on problems and solutions at children’s mental health centers in Ontario. J Behav Health Serv Res 35(3):334–346PubMedCrossRef
35.
36.
Green JG, McLaughlin KA, Alegría M, Costello EJ, Gruber MJ, Hoagwood K et al (2013) School mental health resources and adolescent mental health service use. J Am Acad Child Adolesc Psychiatry 52(5):501–510PubMedPubMedCentralCrossRef
37.
Hazen AL, Hough RL, Landsverk JA, Wood PA (2004) Use of mental health services by youths in public sectors of care. Ment Health Ser Res 6(4):213–226CrossRef
38.
Gandhi S, Chiu M, Lam K, Cairney JC, Guttmann A, Kurdyak P (2016) Mental health service use among children and youth in Ontario: population-based trends over time. Can Child Adolesc Psychiatr Rev 61(2):119–124
39.
Edelsohn GA, Braitman LE, Rabinovich H, Sheves P, Melendez A (2003) Predictors of urgency in a pediatric psychiatric emergency service. J Am Acad Child Adolesc Psychiatry 42(10):1197–1202PubMedCrossRef
40.
41.
Stewart SL, Hirdes JP, McKnight M et al (2018) InterRAI Child and Youth Mental Health- Screener (ChYMH-Screener) assessment form and user’s manual version 9.3. InterRAI, Washington, DC
42.
43.
Lau C, Stewart SL, Saklofske DH, Hirdes J (2019) Scale development and psychometric properties of internalizing symptoms: the interRAI child and youth mental health internalizing subscale. Psychiatry Res 278:235–241PubMedCrossRef
44.
Lau C, Stewart SL, Saklofske DH, Tremblay PF, Hirdes J (2018) Psychometric evaluation of the interRAI child and youth mental health disruptive/aggression behaviour scale (dabs) and hyperactive/distraction scale (hds). Child Psychiatry Hum Dev 49(2):279–289PubMedCrossRef
45.
46.
Phillips CD, Hawes C (2015) The interRAI pediatric home care (PEDS HC) assessment: evaluating the long-term community-based service and support needs of children facing special healthcare challenges. Health Serv Insights 8:17–24PubMedPubMedCentral
47.
Redquest BK, Stewart SL, Bryden PJ, Fletcher PC (2020) Assessing the wellbeing of individuals with autism using the interRAI Child and Youth Mental Health (ChYMH) and the interRAI Child and Youth Mental Health – Developmental Disabilities (ChYMH-DD) Tools. Pediatr Nurs 46(2):83–91
48.
49.
Stewart SL, Babcock SE, Li Y, Dave HP (2020) A psychometric evaluation of the interRAI Child and Youth Mental Health instruments (ChYMH) anxiety scale in children with and without developmental disabilities. BMC Psychiatry 20(1):1–14CrossRef
50.
51.
52.
53.
Stewart SL, Currie M, Arbeau K, Leschied A, Kerry A (2015) Assessment and planning for community and custodial services: the application of interRAI assessment in the youth justice system. In: Corrado R, Leschied A (eds) Serious and violent young offenders and youth criminal justice: a Canadian perspective. Simon Fraser University Press, Burnaby, BC
54.
55.
56.
Field AP (2009) Discovering statistics using SPSS: (and sex and drugs and rock “n” roll). SAGE Publications, Los Angeles CA
57.
58.
Paula CS, Bordin IAS, Mari JJ, Velasque L, Rohde LA, Coutinho ESF (2014) The mental health care gap among children and adolescents: data from an epidemiological survey from four Brazilian regions. PLoS ONE 9(2):9CrossRef
59.
60.
Bramlett MD, Blumberg SJ (2007) Family structure and children’s physical and mental health. Health Aff (Project Hope) 26(2):549–558CrossRef
61.
62.
63.
64.
Behere AP, Basnet P, Campbell P (2017) Effects of family structure on mental health of children: a preliminary study. Indian J Psychol Med 39(4):457–463PubMedPubMedCentralCrossRef
65.
Sanders J, Munford R, Liebenberg L, Ungar M (2017) Peer paradox: the tensions that peer relationships raise for vulnerable youth. Child Fam Soc Work 22(1):3–14CrossRef
66.
Timmons AC, Margolin G (2015) Family conflict, mood, and adolescents’ daily school problems: moderating roles of internalizing and externalizing symptoms. Child Dev 86(1):241–258PubMedCrossRef
67.
68.
69.
70.
Billawala AS, Hamza CA, Stewart SL (2018) Risk factors for complex special needs among male children seeking mental health services. J Dev Disabil 23(2):17–26
71.
72.
73.
74.
Stewart SL, Lapshina N, Semovski V (2020) The association between polyvictimization and physical health among children and youth in ontario. [Manuscript submitted for publication]. University of Western Ontario.
75.
76.
77.
De Bellis MD (2001) Developmental traumatology: the psychobiological development of maltreated children and its implications for research, treatment, and policy. Dev Psychopathol 13(3):539–564PubMedCrossRef
78.
79.
80.
Stewart SL, Hirdes JP, Curtin-Telegdi N, Perlman C, MacLeod K, Ninan A et al (2015) interRAI child and youth mental health (ChYMH) assessment form and user’s manual. Version 9.3. interRAI, Washington, DC
81.
Stewart SL, LaRose L, Gleason K, Nicolson R, McKnight M, Knott W et al (2015) interRAI Child and Youth Mental Health — Developmental Disabilities (ChYMH-DD) Assessment Form and User’s Manualion 1. interRAI, Washington, DC
Metagegevens
Titel
Mental Health Service Urgency in Children’s Mental Health: Factors Impacting the Need for Expedited Services
Auteurs
Valbona Semovski
Colin B. King
Shannon L. Stewart
Publicatiedatum
09-04-2021
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2022
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-021-01161-2

Andere artikelen Uitgave 4/2022

Child Psychiatry & Human Development 4/2022 Naar de uitgave

Original Article

Predicting Child Maltreatment over the Early Life Course: A Prospective Study

Original Article

Emotional Regulation in Mothers and Fathers and Relations to Aggression in Hong Kong Preschool Children

Original Article

Support for Families During COVID-19 in Spain: The iCygnus Online Tool for Parents

Original Article

How Do Fathers Help? A Moderation Analysis of the Association between Adverse Childhood Experiences and Child Behavioral Health in Fragile Families

Original Article

Indicators of suicidal outcomes among 6- to 12‐year‐old treatment seeking youth

Original Article

A Prospective Longitudinal Study of Mother–Child Attachment and Externalizing Trajectories in Boys and Girls