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Mathews F, Ford TJ, White S, Ukoumunne OC, Newlove-Delgado T. Children and young people's reported contact with professional services for mental health concerns: a secondary data analysis. Eur Child Adolesc Psychiatry 2024; 33:2647-2655. [PMID: 38172370 PMCID: PMC11272805 DOI: 10.1007/s00787-023-02328-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 11/28/2023] [Indexed: 01/05/2024]
Abstract
Children and young people's mental health services have been under increasing pressure following COVID-19. Understanding, for which channels help is sought from, will highlight services needing support. This study aims to explore the professional services that parents of children, and young people get help from when they have a concern for the child's/their mental health. Secondary analysis of data is taken from Mental Health of Children and Young People in England Survey, 2017. 7608 reports of mental health-related contact with professional services from parents of 5-16 year-olds and self-reports from young people aged 17-19 were available. Service contact was reported by Diagnostic and Statistical Manual of Mental Disorders (DSM-V) diagnosis, age, gender and ethnicity. Less than two-thirds of children and young people with a DSM-V diagnosis (63.5% (95% CI 58.6-68.1) aged 5-10, and 64.0% (95% CI 59.4-68.4) aged 11-16) reported contact with any professional services. The figure was lower for those aged 17-19; 50.1% (95% CI 42.8-58.2), p = 0.005. Children and young people aged 5-16 from Black (11.7%; 95% CI 2.4-41.4), Asian (55.1%; 95% CI 34.7-73.9) and Mixed (46.0%; 95% CI 32.4-60.3) ethnic groups reported less contact with professional services compared to those from the White group (66.9%; 95% CI 63.5-70.2). Patterns of service access during the three main educational stages aid with understanding service need during childhood. These lower levels of reported service access for young people aged 17-19 with a DSM-V diagnosis and those in ethnic minority groups demand further investigation.
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Affiliation(s)
| | - Tamsin Jane Ford
- Department of Psychiatry, School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Simon White
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
| | - Obioha Chukwunyere Ukoumunne
- Department of Health and Community Sciences, Faculty of Health and Life Sciences, NIHR Applied Research Collaboration South West Peninsula, University of Exeter, Exeter, UK
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Roest AM, de Vries YA, Wienen AW, de Jonge P. Commentary: The evidence base regarding the long-term effects of childhood mental disorder treatments needs to be strengthened - reply to Dekkers et al. (2023). J Child Psychol Psychiatry 2023; 64:1520-1521. [PMID: 37452754 DOI: 10.1111/jcpp.13861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/04/2023] [Indexed: 07/18/2023]
Abstract
In their reply to our editorial (Journal of Child Psychology and Psychiatry, 2023, 64, 464), Dekkers et al. (Journal of Child Psychology and Psychiatry, 2023, 64, 470) argue that treatment is the best choice for children with mental disorders because there is 'sound evidence' that interventions are effective, also in the long term. We agree that there is sound evidence for treatment effectiveness in the short-term and there is some evidence for longer-term effects of certain specific treatments, such as behavioral parent training in children with behavioral disorders, as acknowledged in our editorial. However, we strongly disagree that there is sound evidence for long-term effectiveness.
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Affiliation(s)
- Annelieke M Roest
- Department of Developmental Psychology, Faculty of Behavioral and Social Sciences, University of Groningen, Groningen, The Netherlands
- Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University Medical Center Groningen (UMCG), University of Groningen, Groningen, The Netherlands
| | - Ymkje Anna de Vries
- Department of Child and Adolescent Psychiatry, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands
| | - Albert W Wienen
- Windesheim University of Applied Sciences, Zwolle, The Netherlands
| | - Peter de Jonge
- Department of Developmental Psychology, Faculty of Behavioral and Social Sciences, University of Groningen, Groningen, The Netherlands
- Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University Medical Center Groningen (UMCG), University of Groningen, Groningen, The Netherlands
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Pao M. Integrating Care and Evidence Across the Lifespan: Lessons From Pediatric Consultation-Liaison Psychiatry. J Acad Consult Liaison Psychiatry 2023; 64:415-417. [PMID: 37562638 DOI: 10.1016/j.jaclp.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Affiliation(s)
- Maryland Pao
- Academy of Consultation-Liaison Psychiatry, Washington, DC.
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Hoekstra PJ, van den Hoofdakker BJ, Rosenau PT, Dietrich A, Leijten P, Groenman AP, Dekkers TJ. We need better long-term intervention programs in mental health care for children and young people with chronic vulnerabilities. Eur Child Adolesc Psychiatry 2023; 32:1525-1527. [PMID: 37563500 DOI: 10.1007/s00787-023-02281-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/01/2023] [Indexed: 08/12/2023]
Affiliation(s)
- Pieter J Hoekstra
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
- Accare Child Study Center, Groningen, The Netherlands.
| | - Barbara J van den Hoofdakker
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
| | - Paul T Rosenau
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
| | - Andrea Dietrich
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
| | - Patty Leijten
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
| | - Annabeth P Groenman
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
| | - Tycho J Dekkers
- Department of Child and Adolescent Psychiatry Groningen, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
- Levvel, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
- Department of Child and Adolescent Psychiatry, Amsterdam University Medical Center (AUMC), Amsterdam, The Netherlands
- Department of Developmental Psychology, University of Amsterdam, Amsterdam, The Netherlands
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Narrow W. Editorial: The Enigma of "Real World" Mental Health Care. J Am Acad Child Adolesc Psychiatry 2022; 61:980-981. [PMID: 35452783 DOI: 10.1016/j.jaac.2022.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Accepted: 04/12/2022] [Indexed: 11/26/2022]
Abstract
Copeland et al.1 have analyzed the Great Smoky Mountains Study (GSMS) database to address an important question in health services research: Does the use of mental health services in childhood prevent the later occurrence of mental health disorders in adulthood? Their answer is, somewhat surprisingly, no. As the authors note, the treatment as prevention hypothesis is not only unsupported in their analyses, but there is also evidence of iatrogenic effects on the later development of substance use disorders, particularly among children with behavioral disorders.
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Affiliation(s)
- William Narrow
- Johns Hopkins University School of Medicine, Baltimore, Maryland.
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