Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care.
We investigated whether a novel visitation model for school-aged youth with mental health problems based on a stage-based stepped-care approach facilitated a systematic identification and stratification process without problems with equity in access. The visitation model was developed within the con...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 31; no. 5; pp. 781 - 794 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
May2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157133969&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157133969 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: May2022 vid: 31 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 157133969 148156910 157133969 157133969 10.1007/s00787-021-01718-5 157133969 ppf: 781 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care. aug: au: Wolf, Rasmus Trap Puggaard, Louise Berg Pedersen, Mette Maria Agner Pagsberg, Anne Katrine Silverman, Wendy K. Correll, Christoph U. Plessen, Kerstin Jessica Neumer, Simon-Peter Gyrd-Hansen, Dorte Thastum, Mikael Bilenberg, Niels Thomsen, Per Hove Jeppesen, Pia affil: Child and Adolescent Mental Health Centre, Mental Health Services – Capital Region of Denmark, Copenhagen, Denmark sug: subj: Mental Disorders Mental Health Services Health Services Accessibility Help Seeking Behavior Human Adolescence Parents Child Models, Theoretical Semi-Structured Interview Psychopathology Socioeconomic Factors Descriptive Statistics Denmark Severity of Illness Randomized Controlled Trials Random Assignment Adolescent: 13-18 years Child: 6-12 years ab: We investigated whether a novel visitation model for school-aged youth with mental health problems based on a stage-based stepped-care approach facilitated a systematic identification and stratification process without problems with equity in access. The visitation model was developed within the context of evaluating a new transdiagnostic early treatment for youth with anxiety, depressive symptoms, and/or behavioural problems. The model aimed to identify youth with mental health problems requiring an intervention, and to stratify the youth into three groups with increasing severity of problems. This was accomplished using a two-phase stratification process involving a web-based assessment and a semi-structured psychopathological interview of the youth and parents. To assess problems with inequity in access, individual-level socioeconomic data were obtained from national registers with data on both the youth participating in the visitation and the background population. Altogether, 573 youth and their parents took part in the visitation process. Seventy-five (13%) youth had mental health problems below the intervention threshold, 396 (69%) were deemed eligible for the early treatment, and 52 (9%) had symptoms of severe mental health problems. Fifty (9%) youth were excluded for other reasons. Eighty percent of the 396 youth eligible for early treatment fulfilled criteria of a mental disorder. The severity of mental health problems highlights the urgent need for a systematic approach. Potential problems in reaching youth of less resourceful parents, and older youth were identified. These findings can help ensure that actions are taken to avoid equity problems in future mental health care implementations. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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