Stigma in Child and Adolescent Mental Health Services Research: Understanding Professional and Institutional Stigmatization of Youth with Mental Health Problems and their Families

2010 ◽  
Vol 37 (1-2) ◽  
pp. 61-70 ◽  
Author(s):  
Craig Anne Heflinger ◽  
Stephen P. Hinshaw
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Health Problems ◽  
Services Research ◽  
Mental Health Services Research

scholarly journals Problems in Using Diagnosis in Child and Adolescent Mental Health Services Research

2012 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Leonard Bickman ◽  
Lynne G. Wighton ◽  
E. Warren Lambert ◽  
Marc S. Karver ◽  
Lindsey Steding
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Service Use ◽  
Child And Adolescent ◽  
Diagnostic Interview ◽  
Services Research ◽  
Global Functioning ◽  
Mental Health Services Research

This paper presents results from a three-part study on diagnosis of children with affective and behavior disorders. We examined the reliability, discriminant, and predictive validity of common diagnoses used in mental health services research using a research diagnostic interview. Results suggest four problems: a) some diagnoses demonstrate internal consistency only slightly better than symptoms chosen at random; b) diagnosis did not add appreciably to a brief global functioning screen in predicting service use; c) low inter-rater reliability among informants and clinicians for six of the most common diagnoses; and d) clinician diagnoses differed between sites in ways that reflect different reimbursement strategies. The study concludes that clinicians and researchers should not assume diagnosis is a useful measure of child and adolescent problems and outcomes until there is more evidence supporting the validity of diagnosis.DOI:10.2458/azu_jmmss_v3i1_bickman

scholarly journals Problems in Using Diagnosis in Child and Adolescent Mental Health Services Research

2012 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Leonard Bickman ◽  
Lynne G. Wighton ◽  
E. Warren Lambert ◽  
Marc S. Karver ◽  
Lindsey Steding
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services Research ◽  
Health Services ◽  
Service Use ◽  
Child And Adolescent ◽  
Diagnostic Interview ◽  
Services Research ◽  
Global Functioning ◽  
Mental Health Services Research

This paper presents results from a three-part study on diagnosis of children with affective and behavior disorders. We examined the reliability, discriminant, and predictive validity of common diagnoses used in mental health services research using a research diagnostic interview. Results suggest four problems: a) some diagnoses demonstrate internal consistency only slightly better than symptoms chosen at random; b) diagnosis did not add appreciably to a brief global functioning screen in predicting service use; c) low inter-rater reliability among informants and clinicians for six of the most common diagnoses; and d) clinician diagnoses differed between sites in ways that reflect different reimbursement strategies. The study concludes that clinicians and researchers should not assume diagnosis is a useful measure of child and adolescent problems and outcomes until there is more evidence supporting the validity of diagnosis.DOI:10.2458/azu_jmmss_v3i1_bickman

Help-seeking pathways prior to referral to outpatient child and adolescent mental health services

2021 ◽  
pp. 135910452199419
Author(s):  
Anna Sofie Hansen ◽  
Gry Kjaersdam Telléus ◽  
Emil Færk ◽  
Christina Mohr-Jensen ◽  
Marlene Briciet Lauritsen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Neurodevelopmental Disorders ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Health Problems ◽  
Educational Services

Aim: To investigate parental help-seeking patterns prior to referral to outpatient child and adolescent mental health services (CAMHS), and whether type of symptoms or duration of mental health problems prior to referral influence help-seeking. Setting: Child mental health services in Denmark involve several sectors collaborating based on stepped-care principles. Access to CAMHS is free of charge but requires a formal referral. Methods: In this cross-sectional observational study, parents of 250 children were interviewed about pathways to outpatient CAMHS using the Children’s Services Interview. Results: The median parent-reported duration of mental health problems prior to referral to CAMHS was 6.0 (IQR 3.4–8.5) years for children referred for neurodevelopmental disorders compared to 2.8 (IQR 1.0–6.5) years for children referred for emotional disorders. Educational services were the first help-seeking contact for the majority (57.5%) but referrals to CAMHS were most frequently from healthcare services (56.4%), predominantly general practitioners. Educational services played a greater part in help-seeking pathways for children referred for neurodevelopmental disorders. Conclusion: The majority of children referred to CAMHS have mental health problems for years before referral. The delay in time-to-referral was most pronounced for children referred for neurodevelopmental disorders. Help-seeking pathways differ by symptom duration and type of symptoms.

Approaches to Delivering Child and Adolescent Mental Health Services: The South Australian Experience

1995 ◽  
Vol 29 (2) ◽  
pp. 230-237 ◽  
Author(s):  
Michael Gifford Sawyer ◽  
Robert John Kosky
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
South Australia ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The South ◽  
Number Of Children

Approximately 10% of children and adolescents experience mental health problems, however only a small proportion receive specialised help. Identifying approaches which can provide a balanced and effective service for the large number of children and adolescents with problems is currently a major challenge for child and adolescent mental health services in Australia. In South Australia, following a review in 1983, child and adolescent services were reorganised into two separate but closely related services. This paper draws on experience in South Australia over the last decade to identify approaches which can be employed in six key areas that significantly influence the effectiveness of child and adolescent mental health services. The paper also describes the specific features which were included in the South Australian child and adolescent mental health service to address these issues.

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