scholarly journals Testing an individualized digital decision assist system for the diagnosis and management of mental and behavior disorders in children and adolescents

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Carolyn E. Clausen ◽  
Bennett L. Leventhal ◽  
Øystein Nytrø ◽  
Roman Koposov ◽  
Odd Sverre Westbye ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Mental Health Disorders ◽  
Diagnosis And Treatment ◽  
Health Disorders

Abstract Background Nearly half of all mental health disorders develop prior to the age of 15. Early assessments, diagnosis, and treatment are critical to shortening single episodes of care, reducing possible comorbidity and long-term disability. In Norway, approximately 20% of all children and adolescents are experiencing mental health problems. To address this, health officials in Norway have called for the integration of innovative approaches. A clinical decision support system (CDSS) is an innovative, computer-based program that provides health professionals with clinical decision support as they care for patients. CDSS use standardized clinical guidelines and big data to provide guidance and recommendations to clinicians in real-time. IDDEAS (Individualised Digital DEcision Assist System) is a CDSS for diagnosis and treatment of child and adolescent mental health disorders. The aim of IDDEAS is to enhance quality, competency, and efficiency in child and adolescent mental health services (CAMHS). Methods/design IDDEAS is a mixed-methods innovation and research project, which consists of four stages: 1) Assessment of Needs and Preparation of IDDEAS; 2) The Development of IDDEAS CDSS Model; 3) The Evaluation of the IDDEAS CDSS; and, 4) Implementation & Dissemination. Both qualitative and quantitative methods will be used for the evaluation of IDDEAS CDSS model. Child and adolescent psychologists and psychiatrists (n = 30) will evaluate the IDDEAS` usability, acceptability and relevance for diagnosis and treatment of attention-deficit/hyperactivity disorder. Discussion The IDDEAS CDSS model is the first guidelines and data-driven CDSS to improve efficiency of diagnosis and treatment of child and adolescent mental health disorders in Norway. Ultimately, IDDEAS will help to improve patient health outcomes and prevent long-term adverse outcomes by providing each patient with evidence-based, customized clinical care. Trial registration ISRCTN, ISRCTN12094788. Ongoing study, registered prospectively 8 April 2020 10.1186/ISRCTN12094788

scholarly journals Local, Early, and Precise: Designing a Clinical Decision Support System for Child and Adolescent Mental Health Services

2020 ◽  
Vol 11 ◽  
Author(s):  
Thomas Brox Røst ◽  
Carolyn Clausen ◽  
Øystein Nytrø ◽  
Roman Koposov ◽  
Bennett Leventhal ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Decision ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Mental Health Disorders ◽  
Evidence Based ◽  
Health Disorders

Mental health disorders often develop during childhood and adolescence, causing long term and debilitating impacts at individual and societal levels. Local, early, and precise assessment and evidence-based treatment are key to achieve positive mental health outcomes and to avoid long-term care. Technological advancements, such as computerized Clinical Decision Support Systems (CDSSs), can support practitioners in providing evidence-based care. While previous studies have found CDSS implementation helps to improve aspects of medical care, evidence is limited on its use for child and adolescent mental health care. This paper presents challenges and opportunities for adapting CDSS design and implementation to child and adolescent mental health services (CAMHS). To highlight the complexity of incorporating CDSSs within local CAMHS, we have structured the paper around four components to consider before designing and implementing the CDSS: supporting collaboration among multiple stakeholders involved in care; optimally using health data; accounting for comorbidities; and addressing the temporality of patient care. The proposed perspective is presented within the context of the child and adolescent mental health services in Norway and an ongoing Norwegian innovative research project, the Individualized Digital DEcision Assist System (IDDEAS), for child and adolescent mental health disorders. Attention deficit hyperactivity disorder (ADHD) among children and adolescents serves as the case example. The integration of IDDEAS in Norway intends to yield significantly improved outcomes for children and adolescents with enduring mental health disorders, and ultimately serve as an educational opportunity for future international approaches to such CDSS design and implementation.

Child and adolescent psychopathology: resources for clinicians, researchers, educators, and parents

2017 ◽  
Vol 31 (5) ◽  
pp. 1-6
Author(s):  
Michele Frasier-Robinson
Keyword(s):  
Mental Health ◽  
Information Needs ◽  
Adolescent Psychopathology ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Mental Health Disorders ◽  
Content Type ◽  
Child And Adolescent Psychopathology ◽  
Wide Range ◽  
Health Disorders

Purpose The purpose of this paper is to present an annotated bibliography of books and journal titles to assist researchers, clinicians, educators and parents in need of information on child and adolescent psychopathology. Design/methodology/approach Resources that include a wide range child and adolescent mental disorders were selected. Criteria for book selection was based on those that include evidence-based therapies. Journal titles were selected based on impact factor according to Journal Citation Reports. Findings The scholarship on child and adolescent psychopathology is immense. After a review of the literature, 15 books and eight journal titles that reflect the diverse nature of child and adolescent mental health disorders are included. Originality/value This is an original bibliography that will be helpful to librarians assisting patrons with information needs about child and adolescent mental health disorders.

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