scholarly journals Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder

BJPsych Open ◽  
2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Jessica McClelland ◽  
Mima Simic ◽  
Ulrike Schmidt ◽  
Antonia Koskina ◽  
Catherine Stewart
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Eating Disorder ◽  
Health Services ◽  
Young Adulthood ◽  
Mental Health Treatment ◽  
Service Utilisation ◽  
Health Treatment ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Background Eating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. However, some individuals receive further treatment as adults. Little is known about service utilisation in adulthood following childhood/adolescent treatment of an eating disorder. Aims This study aims (a) to estimate the proportion of patients in a CAEDS who use mental health services as young adults, (b) to delineate service utilisation following treatment in CAEDSs and (c) to identify factors in CAEDSs that predict service utilisation in young adulthood. Method A consecutive cohort of 322 patients (aged 13–17 years) seen in a CAEDS in the UK over a 5-year period were included in this audit. Data regarding their use of UK-wide adult mental health services as young adults (i.e. when aged 18–25) were extracted from local and national hospital records. Results A total of 68.3% of CAEDS patients received no mental health treatment as young adults. Although 13% of people seen in a CAEDS had brief eating disorder treatment as young adults, 10% received longer/or more intensive eating disorder treatment. Overall, 10.8% transitioned directly to an AEDS and 7.6% were re-referred following discharge from CAEDS. In our sample, older age and increased use of CAEDSs predicted increased eating disorder treatment in young adulthood. Conclusions Our results indicate that most people seen in CAEDSs do not receive further mental health treatment as young adults. Several features in CAEDSs distinguish mental health service utilisation in young adulthood, which were identified clinically and could be targeted during treatment.

Simple versus Complex Conduct Disorders: Identification and Phenomenology

1994 ◽  
Vol 19 (4) ◽  
pp. 306-312 ◽  
Author(s):  
Mary Margaret Kerr ◽  
Steven R. Forness ◽  
Kenneth A. Kavale ◽  
Bryan H. King ◽  
Connie Kasari
Keyword(s):  
Mental Health ◽  
Special Education ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorders ◽  
Disruptive Behavior ◽  
Mental Health Treatment ◽  
Conduct Disorders ◽  
Health Treatment ◽  
Versus Complex

Children with conduct disorders are among the most frequent referrals for psychiatric or other mental health treatment; yet the diagnosis of conduct disorders is also frequently seen as a reason to exclude children or youth from special education and related mental health services. This article highlights the possibility that associated with conduct disorders or its symptoms may be a variety of other psychiatric disorders requiring very different interventions. Extrapolation of symptoms from classroom inattention or disruptive behavior and estimated prevalence are discussed.

Mental Health and Drug Treatment Need vs. Capacity

2020 ◽  
pp. 108-123
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Behavioral Health ◽  
Mental Health Treatment ◽  
Standing Position ◽  
Psychiatric Evaluation ◽  
Full Time ◽  
Health Treatment ◽  
Treatment Need ◽  
Local District

In 2018, the local District of Columbia auditor found that a section of the Department of Behavioral Health that performed psychiatric evaluations had significant staff turnover and long-standing position vacancies and that there had been a several-week period when approximately one-fourth of the Division's full-time positions were vacant. As a result, the Department's psychiatric evaluation waitlist grew, delaying many defendants' evaluations beyond the statutorily permissible timeframe. When the problem persisted, DC Superior Court judges threatened contempt citations. Moreover, the Department relied on a network of small to mid-sized nonprofit agencies to provide the vast majority of public behavioral health services. However, many of these nonprofits had experienced lengthy delays in reimbursement stemming from the Department of Behavioral Health's billing software, and some were forced to close. These circumstances suggested the CSOSA clients would have been unlikely to have received mental health treatment.

scholarly journals Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

2005 ◽  
Vol 50 (10) ◽  
pp. 643-651 ◽  
Author(s):  
Jitender Sareen ◽  
Brian J Cox ◽  
Tracie O Afifi ◽  
Ian Clara ◽  
Bo Nancy Yu
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Social Supports ◽  
Health Treatment ◽  
Perceived Need ◽  
The Past ◽  
Dsm Iv

Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample. Methods: Data came from the Canadian Community Health Survey 1.2 ( n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses. Results: The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts. Conclusions: This study illustrates that, in addition to the presence of a DSM diagnosis, the respondent's self-perceived need for mental health treatment is important in the assessment of need for mental health services in the community.

How do attitudes toward mental health treatment vary by age, gender, and ethnicity/race in young adults?

2005 ◽  
Vol 33 (5) ◽  
pp. 611-629 ◽  
Author(s):  
Jodi M. Gonzalez ◽  
Margarita Alegria ◽  
Thomas J. Prihoda
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Treatment ◽  
Health Treatment

Perceived Mental Health Treatment Need and Substance Use Correlates Among Young Adults

2013 ◽  
Vol 64 (9) ◽  
pp. 871-877 ◽  
Author(s):  
Michael J. Mason ◽  
Lori Keyser-Marcus ◽  
Daniel Snipes ◽  
Eric Benotsch ◽  
Bela Sood
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adults ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
Treatment Need
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