Informative value of referral letters from general practice for child and adolescent mental healthcare.
Although referral letters (RLs) form a nodal point in a patient's care journey, little is known about their informative value in child and adolescent mental healthcare. To determine the informative value of RLs to child and adolescent psychiatry, we conducted a chart review in medical records of min...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 32; no. 2; pp. 303 - 316 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2023
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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=162112698&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162112698 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Feb2023 vid: 32 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 162112698 151999785 162112698 162112698 10.1007/s00787-021-01859-7 162112698 ppf: 303 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Informative value of referral letters from general practice for child and adolescent mental healthcare. aug: au: Aydin, S. Crone, M. R. Siebelink, B. M. Numans, M. E. Vermeiren, R. R. J. M. Westenberg, P. M. affil: Department of Developmental and Educational Psychology, Leiden University, Wassenaarseweg 52, 2333 AK, Leiden, The Netherlands sug: subj: Mental Health Services In Infancy and Childhood Mental Health Services In Adolescence Family Practice Referral and Consultation Writing Human Male Female Child, Preschool Child Adolescence Retrospective Design Record Review Logistic Regression Sex Factors Age Factors Severity of Illness Attention Deficit Hyperactivity Disorder Anxiety Disorders Eating Disorders Odds Ratio Confidence Intervals Descriptive Statistics Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Although referral letters (RLs) form a nodal point in a patient's care journey, little is known about their informative value in child and adolescent mental healthcare. To determine the informative value of RLs to child and adolescent psychiatry, we conducted a chart review in medical records of minors registered at specialized mental healthcare between January 2015 and December 2017 (The Netherlands). Symptoms indicated in RLs originating from general practice (N = 723) were coded and cross-tabulated with the best estimate clinical classifications made in psychiatry. Results revealed that over half of the minors in the sample were classified in concordance with at least one reason for referral. We found fair to excellent discriminative ability for indications made in RLs concerning the most common psychiatric classifications (95% CI AUC: 60.9–70.6 for anxiety disorders to 90.5–100.0 for eating disorders). Logistic regression analyses suggested no statistically significant effects of gender, age, severity or mental healthcare history, with the exception of age and attention deficit hyperactivity disorders (ADHD), as RLs better predicted ADHD with increasing age (OR = 1.14, 95% CI 1.03–1.27). Contextual problems, such as difficulties studying, problems with parents or being bullied were indicated frequently and associated with classifications in various disorder groups. To conclude, general practitioners' RLs showed informative value, contrary to common beliefs. Replication studies are needed to reliably incorporate RLs into the diagnostic work-up. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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