Cristin-resultat-ID: 1885452
Sist endret: 6. mai 2021, 13:26
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

Predictors of community versus specialty mental health service use: a prospective cohort study

Bidragsytere:
  • Maria Larsen Brattfjell
  • Thomas Jozefiak og
  • Lars Wichstrøm

Tidsskrift

European Child and Adolescent Psychiatry
ISSN 1018-8827
e-ISSN 1435-165X
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020
Open Access

Importkilder

Scopus-ID: 2-s2.0-85086720571

Beskrivelse Beskrivelse

Tittel

Predictors of community versus specialty mental health service use: a prospective cohort study

Sammendrag

Child and adolescent mental health specialized services (CAMHS) are supposed to serve those who are most seriously disturbed and impaired. However, little is known about how children receiving treatment at different levels of care differ. The present study seeks to determine whether having a psychiatric disorder and resulting impairment measured in early childhood increases the odds of receiving help in CAMHS versus from community services during middle childhood or whether other factors (e.g., parenting stress, family functioning) also influence service utilization. A screen-stratified sample (n = 995 of the 2003-2004 birth cohorts) in Trondheim, Norway was assessed biennially from age 4-12 with semi-structured diagnostic interviews and recording of service use, family functioning, parental perceived need, and parenting stress. Behavioral disorders more strongly predicted CAMHS than community service use, whereas impairment predicted community service use. However, impairment increased the odds of receiving services in CAMHS if the parents perceived a need for help. Parental perceived need for help also increased the odds of CAMHS use independent of diagnosis and impairment. Having an emotional disorder, attention deficit/hyperactivity disorder (ADHD), parenting stress, previous service use, or family functioning did not predict service use at either level. Whereas children with behavioral disorders received help from CAMHS, children with emotional disorders did not receive services at either level. ADHD did not predict service use, indicating that young children with ADHD without comorbid disorders are not sufficiently detected. Efforts to detect, refer and treat emotional disorders and ADHD at the appropriate level should be increased.

Bidragsytere

Maria Larsen Brattfjell

  • Tilknyttet:
    Forfatter
    ved Institutt for psykologi ved Norges teknisk-naturvitenskapelige universitet

Thomas Jozefiak

  • Tilknyttet:
    Forfatter
    ved RKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern ved Norges teknisk-naturvitenskapelige universitet

Lars Wichstrøm

  • Tilknyttet:
    Forfatter
    ved PH - Avd. for barne- og ungdomspsykiatri ved St. Olavs Hospital HF
  • Tilknyttet:
    Forfatter
    ved Institutt for psykologi ved Norges teknisk-naturvitenskapelige universitet
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