The prevalence of serious emotional disturbance: a re-analysis of community studies.
The goal of these analyses was to use existing data to provide an empirically-based estimate of the prevalence in the population of Serious Emotional Disturbance (SED) in children and adolescents, to assist States in their task, required under PL 102-321, of including such estimates in their applica...
| Publicado en: | Journal of Child & Family Studies Vol. 7; no. 4; pp. 411 - 433 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Science & Business Media B.V.
December 1998
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507682644&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507682644 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: December 1998 vid: 7 iid: 4 pid: 237 pub: Springer Science & Business Media B.V. artinfo: ui: 507682644 ppf: 411 ppct: 22 formats: fmt: @attributes: type: P size: 1.7MB tig: atl: The prevalence of serious emotional disturbance: a re-analysis of community studies. aug: au: Costello, E. Jane Messer, Stephen C. Bird, Hector R. su: Children with mental illness Psychiatric epidemiology United States sug: subj: United States Children with mental illness Psychiatric epidemiology ab: The goal of these analyses was to use existing data to provide an empirically-based estimate of the prevalence in the population of Serious Emotional Disturbance (SED) in children and adolescents, to assist States in their task, required under PL 102-321, of including such estimates in their applications for Block Grant funds. Seven data sets were identified that could provide estimates of SED. The principal investigators agreed on common definitions of the key components of SED: a psychiatric diagnosis and significant functional impairment. Two definitions of impairment were used: domain-specific (impairment in one or more of three areas of functioning) and global (in the worst 10% over all). They also defined a set of correlates and risk factors for SED: age, gender, race/ethnicity, and power. Investigators then reanalyzed their own data, using these standard definitions, and calculated the proportion of SED youth who received mental health care. The median estimate of SED with global impairment was 5.47O, with a range from 43% to 7.4%. Estimates of SED with domain-specific impairment ranged from 5.5% to 16.9% (median 7.7%). Rates were slightly higher in boys. There were no clear ethnic differences. Poverty doubled the risk of SED. Only one SED child in four had recently received mental health care. Estimates of SED are critically dependent on the method used to define diagnosis and functional impairment. Using common definitions, seven studies produced fairly consistent estimates, which were similar to the estimate of prevalence of Serious Mental Illness (SMI) in adults. Implications for the estimate of State-by-State prevalence rates are discussed. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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