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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

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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.
Literatuur
1.
go back to reference MHASEF Research Team (2017) The Mental health of children and youth in Ontario: 2017 scorecard. Institute for Clinical Evaluative Sciences, Toronto, ON MHASEF Research Team (2017) The Mental health of children and youth in Ontario: 2017 scorecard. Institute for Clinical Evaluative Sciences, Toronto, ON
6.
go back to reference 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 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
8.
go back to reference 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 17:10 CrossRef 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 17:10 CrossRef
11.
go back to reference 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 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
14.
go back to reference 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):454–459 PubMedCrossRef 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):454–459 PubMedCrossRef
15.
go back to reference Rucklidge JJ (2008) Gender differences in ADHD: implications for psychosocial treatments. Expert Rev Neurother 8(4):643–655 PubMedCrossRef Rucklidge JJ (2008) Gender differences in ADHD: implications for psychosocial treatments. Expert Rev Neurother 8(4):643–655 PubMedCrossRef
16.
go back to reference 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):359–364 PubMedPubMedCentralCrossRef 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):359–364 PubMedPubMedCentralCrossRef
17.
go back to reference 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 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.
go back to reference 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):482–495 PubMedCrossRef 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):482–495 PubMedCrossRef
19.
go back to reference 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–S60 PubMedPubMedCentralCrossRef 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–S60 PubMedPubMedCentralCrossRef
20.
go back to reference Rhodes AE, Bethell J (2008) Suicidal ideators without major depression–whom are we not reaching? Can Child Adolesc Psychiatr Rev 53(2):125–130 Rhodes AE, Bethell J (2008) Suicidal ideators without major depression–whom are we not reaching? Can Child Adolesc Psychiatr Rev 53(2):125–130
22.
go back to reference 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 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.
go back to reference 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):91–108 PubMed 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):91–108 PubMed
25.
go back to reference 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):194–203 PubMedPubMedCentralCrossRef 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):194–203 PubMedPubMedCentralCrossRef
26.
go back to reference 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):88–95 PubMedCrossRef 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):88–95 PubMedCrossRef
27.
go back to reference Fosco GM, Lydon-Staley DM (2019) A within-family examination of interparental conflict, cognitive appraisals, and adolescent mood and well-being. Child Dev 90:421–436 CrossRef Fosco GM, Lydon-Staley DM (2019) A within-family examination of interparental conflict, cognitive appraisals, and adolescent mood and well-being. Child Dev 90:421–436 CrossRef
28.
go back to reference 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):1951–1965 PubMedPubMedCentralCrossRef 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):1951–1965 PubMedPubMedCentralCrossRef
29.
go back to reference 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 42:692–700 PubMedCrossRef 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 42:692–700 PubMedCrossRef
30.
go back to reference 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):1415–1426 PubMedPubMedCentralCrossRef 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):1415–1426 PubMedPubMedCentralCrossRef
34.
go back to reference 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):334–346 PubMedCrossRef 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):334–346 PubMedCrossRef
36.
go back to reference 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):501–510 PubMedPubMedCentralCrossRef 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):501–510 PubMedPubMedCentralCrossRef
37.
go back to reference 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):213–226 CrossRef 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):213–226 CrossRef
38.
go back to reference 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 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.
go back to reference 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):1197–1202 PubMedCrossRef 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):1197–1202 PubMedCrossRef
41.
go back to reference 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 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
43.
go back to reference 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 278:235–241 PubMedCrossRef 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 278:235–241 PubMedCrossRef
44.
go back to reference 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):279–289 PubMedCrossRef 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):279–289 PubMedCrossRef
46.
go back to reference 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 8:17–24 PubMedPubMedCentral 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 8:17–24 PubMedPubMedCentral
47.
go back to reference 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 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
49.
go back to reference 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):1–14 CrossRef 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):1–14 CrossRef
53.
go back to reference 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 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
56.
go back to reference Field AP (2009) Discovering statistics using SPSS: (and sex and drugs and rock “n” roll). SAGE Publications, Los Angeles CA Field AP (2009) Discovering statistics using SPSS: (and sex and drugs and rock “n” roll). SAGE Publications, Los Angeles CA
58.
go back to reference 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):9 CrossRef 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):9 CrossRef
60.
go back to reference Bramlett MD, Blumberg SJ (2007) Family structure and children’s physical and mental health. Health Aff (Project Hope) 26(2):549–558 CrossRef Bramlett MD, Blumberg SJ (2007) Family structure and children’s physical and mental health. Health Aff (Project Hope) 26(2):549–558 CrossRef
61.
64.
go back to reference 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):457–463 PubMedPubMedCentralCrossRef 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):457–463 PubMedPubMedCentralCrossRef
65.
go back to reference 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):3–14 CrossRef 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):3–14 CrossRef
66.
go back to reference Timmons AC, Margolin G (2015) Family conflict, mood, and adolescents’ daily school problems: moderating roles of internalizing and externalizing symptoms. Child Dev 86(1):241–258 PubMedCrossRef Timmons AC, Margolin G (2015) Family conflict, mood, and adolescents’ daily school problems: moderating roles of internalizing and externalizing symptoms. Child Dev 86(1):241–258 PubMedCrossRef
70.
go back to reference 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 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
74.
go back to reference 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. 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.
77.
go back to reference De Bellis MD (2001) Developmental traumatology: the psychobiological development of maltreated children and its implications for research, treatment, and policy. Dev Psychopathol 13(3):539–564 PubMedCrossRef De Bellis MD (2001) Developmental traumatology: the psychobiological development of maltreated children and its implications for research, treatment, and policy. Dev Psychopathol 13(3):539–564 PubMedCrossRef
80.
go back to reference 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 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.
go back to reference 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 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

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