scholarly journals Predicting mental health treatment access in high-symptom adolescents: Machine learning approaches

2019 ◽  
Author(s):  
Mallory Dobias ◽  
Michael Brandon Sugarman ◽  
Michael C Mullarkey ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
The United States ◽  
Depression Symptoms ◽  
Treatment Access ◽  
Health Treatment ◽  
Adolescent Treatment ◽  
Out Of Sample ◽  
Mental Health Treatments

Objective: A majority of adolescents experiencing depression never access treatment. To increase access to effective mental health care, it is critical to understand factors associated with increased versus decreased odds of adolescent treatment access. This study investigated the relative importance of individual depression symptoms and sociodemographic variables in predicting whether and where adolescents with depression accessed mental health treatments. Method: We performed a pre-registered, secondary analysis of data from the 2017 National Survey of Drug Use and Health (NSDUH), a nationally representative sample of non-institutionalized civilians in the United States. Using four cross-validated random forest models, we predicted whether high-symptom adolescents (N = 1,671; ages 12-17 years) accessed specific mental health treatments in the previous 12 months (“yes/no” for inpatient, outpatient, school, any). Results: 53.38% of adolescents with elevated depressive symptoms accessed treatment of any kind. Even with depressive symptoms and sociodemographic factors included as predictors, pre-registered random forests explained < 0.00% of pseudo out-of-sample deviance in adolescent access to inpatient, outpatient, school, or overall treatments. Exploratory elastic net models explained 0.80 - 2.50% of pseudo out-of-sample deviance in adolescent treatment access across all four treatment types. Conclusions: Neither individual depressive symptoms nor any socioeconomic variables meaningfully predicted specific or overall mental health treatment access in high-symptom adolescents. This study highlights substantial limitations in our capacity to predict whether and where high-symptom adolescents access mental health treatment and underscores the broader need for more accessible, scalable adolescent depression treatments.

scholarly journals Burnout and depression among psychiatry residents during COVID-19 pandemic

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdulmajeed A. Alkhamees ◽  
Hatem Assiri ◽  
Hatim Yousef Alharbi ◽  
Abdullah Nasser ◽  
Mohammad A. Alkhamees
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
Maslach Burnout Inventory ◽  
Depression Symptoms ◽  
Psychiatry Residents ◽  
Mental Health Providers ◽  
Health Providers ◽  
Frontline Workers

AbstractVery few studies have been concerned with assessing the prevalence of burnout and depressive symptoms, especially during an infectious outbreak on non-frontline health care workers, such as a psychiatrist. In such instances, the role of psychiatrists and other mental health providers as a source of psychological support to the public and frontline workers is indispensable and valuable. This study aims to assess the prevalence of burnout and depressive symptoms, and their correlation, during the COVID-19 pandemic among psychiatry residents in Saudi Arabia. A total of 121 out of 150 psychiatry residents in Saudi Arabia completed the Maslach Burnout Inventory and Patient’s Health Questionnaire for the assessment of burnout and depressive symptoms. Burnout symptoms were found in 27.3%, and another 27.3% reported having depression symptoms. In addition, 16.5% reported having both burnout and depressive symptoms, with a significant relationship between them. Participants in the first 2 years of training and having a history of receiving mental health treatment in the past 2 years were at higher risk. The need is urgent to increase investment in mental health services and to construct a plan to reduce this risk of burnout and depression among psychiatrists by developing preventative strategies to prevent burnout and promote wellness is more important than ever.

Dropping Out of Mental Health Treatment: Patterns and Predictors Among Epidemiological Survey Respondents in the United States and Ontario

2002 ◽  
Vol 159 (5) ◽  
pp. 845-851 ◽  
Author(s):  
Mark J. Edlund ◽  
Philip S. Wang ◽  
Patricia A. Berglund ◽  
Stephen J. Katz ◽  
Elizabeth Lin ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Treatment ◽  
The United States ◽  
Epidemiological Survey ◽  
Treatment Patterns ◽  
Dropping Out ◽  
Health Treatment

scholarly journals Chronic Illness and Internalizing Symptomatology in a Transdiagnostic Clinical Sample of Youth

2020 ◽  
Vol 45 (6) ◽  
pp. 633-642
Author(s):  
Elizabeth R Wolock ◽  
Alexander H Queen ◽  
Gabriela M Rodríguez ◽  
John R Weisz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Depressive Symptoms ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Physical Illness ◽  
Treatment Needs ◽  
Health Treatment ◽  
Chronic Physical Illness ◽  
Internalizing Symptomatology

Abstract Objective In research with community samples, children with chronic physical illnesses have shown elevated anxiety and depressive symptoms, compared to healthy peers. Less is known about whether physical illnesses are associated with elevated internalizing symptoms even among children referred for mental health treatment—a pattern that would indicate distinctive treatment needs among physically ill children receiving mental health care. We investigated the relationship between chronic physical illness and internalizing symptomatology among children enrolling in outpatient mental health treatment. Method A total of 262 treatment-seeking children ages 7–15 and their caregivers completed a demographic questionnaire, Child Behavior Checklist, and Youth Self-Report during a pre-treatment assessment. Physical illnesses were identified through caregiver report. Results There was no overall association between the presence/absence of chronic physical illness and parent- or child-reported symptoms. However, number of chronic physical illnesses was related to parent- and child-reported affective symptoms. Children with two or more chronic physical illnesses had more severe depressive symptoms than those with fewer physical illnesses. Conclusion Having multiple chronic illnesses may elevate children’s risk of depression symptomatology, even in comparison to other children seeking mental health care. This suggests a need to identify factors that may exacerbate depression symptoms in physically ill children who are initiating therapy and to determine whether different or more intensive services may be helpful for this group. The findings suggest the potential utility of screening for depression in youth with chronic physical illnesses, as well as addressing mental and physical health concerns during treatment.

scholarly journals Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

2011 ◽  
Vol 62 (11) ◽  
pp. 1353-1360 ◽  
Author(s):  
Amber M. Gum ◽  
Lindsay Iser ◽  
Bellinda L. King-Kallimanis ◽  
Andrew Petkus ◽  
Anne DeMuth ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Mental Health Treatment ◽  
Treatment Utilization ◽  
Health Treatment ◽  
Longitudinal Patterns

scholarly journals Structural Correlates of Mental Health Support Access Among Sexual Minority Youth of Color During COVID-19

2021 ◽  
Author(s):  
Chantelle A Roulston ◽  
Sarah McKetta ◽  
Maggi Price ◽  
Kathryn Fox ◽  
Jessica L. Schleider
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Mental Healthcare ◽  
State Level ◽  
Structural Factors ◽  
Marginalized Youth ◽  
Treatment Access ◽  
Health Treatment ◽  
Mental Health Support ◽  
Health Support

Objective: Many youth with mental health needs cannot access treatment, with multiply-marginalized youth, such as sexual minority youth of Color (SMYoC), experiencing both structural and identity-related barriers to care. The COVID-19 pandemic threatens to exacerbate multi-level treatment access barriers facing SMYoC youth nationwide. However, little large-scale research has examined access to mental health care among SMYoC across the United States, either during or prior to the pandemic. Such work is critical to understanding and ameliorating barriers in this domain. Methods: Using data from adolescents who self-identified as SMYoC and who endorsed a desire for mental health support during the COVID-19 pandemic (N=470, ages 13-16, from 43 U.S. states), we examined associations between state-level, structural factors (income inequality; mental healthcare provider shortage; anti-Black racism; homophobia; and the interaction between anti-Black racism and homophobia) and SMYoC mental health treatment access. Results: Multinomial logistic regressions revealed state-level mental healthcare provider shortage as the only significant predictor of SMYoC reporting they never (versus always) accessed mental health support during the COVID-19 pandemic. SMYoC living in areas with both lower homophobia and lower anti-Black racism were more likely to report always (versus sometimes) accessing mental health treatment. Conclusions: Results highlight the critical importance of considering diverse structural factors and applying an intersectional lens when exploring barriers to mental health treatment among multiply-marginalized youth. In locations where provider shortages are less severe, cultural stigma—including anti-Black racism and homophobia—may still pose challenges for SMYoC in need of mental health care.

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