scholarly journals Mental health and use of health care services in opioid-exposed school-aged children compared to foster children

2021 ◽  
Author(s):  
Monica Sarfi ◽  
Marie Eikemo ◽  
Gabrielle K. Welle-Strand ◽  
Ashley Elizabeth Muller ◽  
Stine Lehmann
Keyword(s):  
Mental Health ◽  
Prenatal Exposure ◽  
Foster Children ◽  
Service Use ◽  
Mental Health Problems ◽  
Developmental Outcomes ◽  
Reactive Attachment Disorder ◽  
National Sample ◽  
Group Affiliation ◽  
School Aged Children

AbstractGiven the concerns raised regarding the effects of prenatal exposure to methadone and buprenorphine on the developmental outcomes of the children, this study assessed mental health and use of services in a national sample of school-aged children (N = 78) born to women enrolled in opioid maintenance treatment during pregnancy, compared with a group of foster children (N = 140). The majority of the opioid-exposed children lived with their birth parent(s) at the time of assessment (N = 62), while 16 lived in foster homes. Caregivers completed the Strengths and Difficulties Questionnaire (SDQ) and the Reactive Attachment Disorder scale. Teachers completed the SDQ. Three kinds of services were included in measuring service use: school-based education services, child mental health services, and hospital-based habilitation services. The main finding of the study is that children prenatally exposed to methadone or buprenorphine living with their family of origin had significantly better mental health status than their foster-placed counterparts and that of the comparison group of foster children. In addition, the exposed children living at home had less child welfare involvement, and only half of them were using any of the three services measured. The odds for using services increased significantly in accordance with increasing mental health problems, independent of group affiliation, indicating a need-based access to services. In line with other studies, we found that the odds for using one or more services was 2.3 times greater for boys than for girls. Our results contribute to a more-nuanced understanding of the developmental outcomes of prenatal exposure to methadone and buprenorphine, and factors associated with increased service use in groups of at-risk children.

scholarly journals Mental Health in School-Aged Children Prenatally Exposed to Alcohol and Other Substances

2017 ◽  
Vol 11 ◽  
pp. 117822181771816 ◽  
Author(s):  
Lisbeth Beate Sandtorv ◽  
Mari Hysing ◽  
Malin Rognlid ◽  
Sondre Aasen Nilsen ◽  
Irene Bircow Elgen
Keyword(s):  
Mental Health ◽  
Prenatal Exposure ◽  
Mental Health Problems ◽  
Reference Group ◽  
Strengths And Difficulties Questionnaire ◽  
Prenatally Exposed ◽  
School Aged Children ◽  
Increased Risk ◽  
Other Substances ◽  
Strengths And Difficulties

Prenatal exposure to substances can possibly influence a child’s neurodevelopment and may impact on subsequent mental health. We investigated the mental health status of school-aged children referred to a pediatric hospital with a history of prenatal exposure to alcohol or other substances. Mental health was assessed using the Strengths and Difficulties Questionnaire and compared with a reference group. A total of 105 of 128 (82%) eligible children prenatally exposed to substances participated in the study, with 48 children exposed to alcohol and 57 to other substances. Strengths and Difficulties Questionnaire subscale mean scores, total difficulties scores, and total impact scores were statistically significantly higher in the group of exposed children, compared with the reference group. In this hospital-based population of school-aged children prenatally exposed to alcohol or other substances, the exposed group had an increased risk of mental health problems, compared with the reference group.

scholarly journals FACTORS AFFECTING EARLY DETECTION OF MENTAL HEALTH PROBLEMS OF THE ELDERLY AND SERVICE USE IN KOREA

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1202-1202
Author(s):  
Y. Park ◽  
D. Son ◽  
K. Park ◽  
E. Park ◽  
Y. Choi
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Service Use ◽  
Mental Health Problems ◽  
The Elderly ◽  
Health Problems ◽  
Factors Affecting

scholarly journals Longer-Term Outcomes of the Incredible Years Parenting Intervention

2020 ◽  
Author(s):  
Geertjan Overbeek ◽  
Jolien van Aar ◽  
Bram Orobio de Castro ◽  
Walter Matthys ◽  
Joyce Weeland ◽  
...  
Keyword(s):  
Mental Health ◽  
Conduct Problems ◽  
Service Use ◽  
Mental Health Problems ◽  
Emotional Problems ◽  
Parenting Intervention ◽  
Adhd Symptoms ◽  
Incredible Years ◽  
Peer Problems ◽  
The Incredible Years

Abstract Conduct problems can develop into behavior disorders and put children at risk for other mental health problems. Parenting interventions have been shown to successfully reduce conduct problems and are often expected to prevent the development of broader mental health problems. Few studies have evaluated the longer-term and broader effects of these interventions. To what extent are parenting intervention effects sustained in the years after the intervention? And do effects pertain to conduct problems specifically, or do they also affect broader aspects of children’s mental health? We used a randomized controlled trial to assess the longer-term (2.5 years) effects of the Incredible Years parenting intervention on children’s conduct problems in an indicated prevention setting (N = 387; 79% retention rate). Using a multi-method (survey and computerized tasks) and multi-informant (parents, teachers, and children) approach, we tested whether initial effects on conduct problems were sustained, and whether Incredible Years had broader effects on children’s peer problems, emotional problems, attention-deficit/hyperactivity disorder (ADHD) symptoms, attention and inhibition deficits, and service use. Incredible Years, relative to control (no intervention), led to sustained reductions in parent-reported conduct problems (Cohen’s d = 0.31), but not teacher- and child-reported conduct problems. There were no broader benefits: Incredible Years did not reduce children’s peer problems, emotional problems, ADHD-symptoms, attention and inhibition deficits, or their service use. Improvements in parents’ perceptions of child conduct problems sustained until 2.5 years later. Our findings do not show benefits of Incredible Years as a preventive intervention for children’s broader mental health.

scholarly journals Online screening and feedback to increase help-seeking for mental health problems: population-based randomised controlled trial

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Matthew Sunderland ◽  
Natacha Carragher ◽  
Jacqueline L. Brewer
Keyword(s):  
Mental Health ◽  
Social Anxiety ◽  
Help Seeking ◽  
Service Use ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Population Based ◽  
Health Problems ◽  
Professional Service ◽  
Negative Effect

BackgroundCommunity-based screening for mental health problems may increase service use through feedback to individuals about their severity of symptoms and provision of contacts for appropriate services.AimsThe effect of symptom feedback on service use was assessed. Secondary outcomes included symptom change and study attrition.MethodUsing online recruitment, 2773 participants completed a comprehensive survey including screening for depression (n=1366) or social anxiety (n=1407). Across these two versions, approximately half (n=1342) of the participants were then randomly allocated to receive tailored feedback. Participants were reassessed after 3 months (Australian New Zealand Clinical Trials Registry ANZCTR12614000324617).ResultsA negative effect of providing social anxiety feedback to individuals was observed, with significant reductions in professional service use. Greater attrition and lower intentions to seek help were also observed after feedback.ConclusionsOnline mental health screening with feedback is not effective for promoting professional service use. Alternative models of online screening require further investigation.

scholarly journals Pregnancy and Fetal Loss Reported by Methamphetamine-Using Women

2014 ◽  
Vol 8 ◽  
pp. SART.S14125 ◽  
Author(s):  
Mary-Lynn Brecht ◽  
Diane M. Herbeck
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Risk Behaviors ◽  
Mental Health Problems ◽  
Fetal Loss ◽  
National Sample ◽  
Treatment Needs ◽  
Treatment Services ◽  
And Gender ◽  
Pregnant And Parenting Women

To better understand substance use disorder treatment needs of pregnant and parenting women who use methamphetamine (MA), this paper describes pregnancy histories and fetal losses for women who were treated for MA use (N = 153) with reference to a national sample, and describes their drug use, sexual risk behaviors, and mental health status. MA users reported an average of 4.6 total pregnancies and 2.1 fetal losses, whereas women in a general population survey reported 3.2 and 1.2, respectively. Higher numbers of pregnancies and fetal losses were correlated with specific substance abuse and mental health problems including early sexual abuse and cognitive problems. The combination of MA users’ especially high numbers of pregnancies, fetal losses, and rates of risk behaviors suggest high social and health care costs for this population. Prenatal care may provide a vector through which women can be connected to risk reduction interventions and gender-responsive treatment services addressing substance use and mental health needs.

scholarly journals Treatment gap and mental health service use among Syrian refugees in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D C Fuhr ◽  
C Ataturk ◽  
M McGrath ◽  
Z Ilkkursun ◽  
A Woodward ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Service Use ◽  
Mental Health Problems ◽  
Mental Health Service Use ◽  
Continuing Care ◽  
Syrian Refugees ◽  
Depression And Anxiety ◽  
Treatment Gap

Abstract Introduction Turkey hosts the highest number of Syrian refugees in Europe. Refugees are often vulnerable to situational forms of psychosocial distress as a consequence of exposure to war and violence which may result in more profound mental health problems if no treatment is sought. The aim of this study is to report evidence on mental health and psychosocial support (MHPSS) needs, access and barriers to MHPSS care among Syrians refugees living in Istanbul, Turkey. Methods A cross-sectional survey was conducted among Syrian refugees aged 18 years or over in Istanbul (Sultanbeyli) between February and May 2018. Data among 1’678 Syrian refugees were collected on mental health outcomes using the Posttraumatic Stress Disorder (PTSD) Checklist (PCL-5) and the Hopkins Symptoms Checklist (HSCL-25) for depression and anxiety. We also collected data on health care utilization, barriers to seeking and continuing care as well as knowledge and attitudes towards mental health. Descriptive analyses were used. Results The prevalence of PTSD, depression and anxiety was 19.6%, 34.7% and 36.1% respectively. The treatment gap was 89% for PTSD, 90% for anxiety and 88% for depression. 249 respondents (15%) screened positive for either PTSD, depression or anxiety in our survey and self-reported emotional/behavioural problems since arriving in Sultanbeyli. Several structural and attitudinal barriers for not seeking care were reported. Conclusions To overcome the treatment gap, mental health care programmes need to be more responsive to the needs of Syrian refugees. Barriers to seeking and continuing care can be overcome by providing MHPSS services in the community which facilitate access to care. Community-based programmes of care should be supported by activities which increase awareness about mental health issues and tackle negative attitudes towards mental illness. Key messages This study provides the first nationally representative data on the mental health of Syrian refugees in Turkey, and shows that refugees have high mental health needs. Syrian refugees do not seek mental health care despite availability of mental health services in the community.

scholarly journals Mental Disorder, Service Utilization, and GPA: Studying Mental Health of Former Child Welfare and Youth Experiencing Homelessness in a Campus Support Program

2019 ◽  
Vol 101 (1) ◽  
pp. 54-70
Author(s):  
Hui Huang ◽  
Sofia B. Fernandez ◽  
Michelle-Ann Rhoden ◽  
Rigaud Joseph
Keyword(s):  
Mental Health ◽  
Academic Success ◽  
Child Welfare ◽  
Mental Disorders ◽  
Service Use ◽  
Mental Health Problems ◽  
Support Program ◽  
Mental Health Service Use ◽  
Grade Point ◽  
Social Work Research

Research has identified higher rates of mental disorders among former child welfare youth and youth experiencing homelessness when compared with their peers in the general population. Given the growing number of campus support programs serving these youth, research should focus on students in these programs to understand whether mental health problems interfere with these students’ receipt of program services, which can lead to unsatisfactory academic performance. This study collected both quantitative and qualitative data from students in a campus support program to examine the prevalence of mental disorders, mental health service use, receipt of program services, students’ grade point average, and their perceptions of obstacles and motivations to academic success. Implications for social work research and practice are discussed.

scholarly journals Children of adults with severe mental illness: mental health, help seeking and service use

2004 ◽  
Vol 28 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Vicki Cowling ◽  
Ernest S. L. Luk ◽  
Cristea Mileshkin ◽  
Peter Birleson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Parental Education ◽  
Service Use ◽  
Mental Health Problems ◽  
Case Managers ◽  
Service Utilisation ◽  
Childhood Mental Health ◽  
Scale Scores

Aims and MethodWe aimed to determine the prevalence of childhood mental health problems in children of parents registered with an Australian area mental health service, and to study the parents' help-seeking and service use for their children. Parents were recruited through their case managers, and asked to complete the Strengths and Difficulties Questionnaire (SDQ), the Service Utilisation Questionnaire and the Help-seeking Questionnaire.ResultsA quarter of the children were in the clinical range of the SDQ total scores, with high sub-scale scores. However, 63% of the parents reported reluctance to seek help, and 19% reported not using services.Clinical ImplicationsChildren of parents with mental illness are at higher risk of childhood psychiatric disorders. Assessment of the child at the time of referral of the parent is an opportunity for problem identification, parental education, and early intervention.

Sign in / Sign up

Export Citation Format

Share Document