Barriers to Children's Mental Health Services

Owens, Pamela L; Hoagwood, Kimberly; Horwitz, Sarah M.; Leaf, Philip J.; Poduska, Jeanne M.; Kellam, Sheppard G.; Ialongo, Nicholas S.

doi:10.1097/00004583-200206000-00013

Cited by 472 publications

(366 citation statements)

References 26 publications

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“…We ended up seeing the head of [ED] (Flisher et al, 1997;Kerkorian, McKay, & Bannon, 2006;Owens et al, 2002;Richardson, 2001), and for adult age children with ID (Pruchno & McMullen, 2004). A cohort effect emerged in the current study, where a greater proportion of parents of youth endorsed barriers similar to those found by Douma, Dekker, and Koot (2006), related to evaluations of the problem, including believing that the problem was not so serious or was temporary, and feeling overwhelmed in finding help.…”

Section: Service Receiptsupporting

confidence: 49%

Service Utilization Patterns in Parents of Youth and Adults With Intellectual Disability Who Experienced Behavioral Crisis

Weiss

Lunsky

2010

J. of Mental Hlth. Res. in Intellectual Disabilities

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Section: Service Receiptsupporting

confidence: 49%

Service Utilization Patterns in Parents of Youth and Adults With Intellectual Disability Who Experienced Behavioral Crisis

Weiss

Lunsky

2010

J. of Mental Hlth. Res. in Intellectual Disabilities

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“…68,81 Attitudes about medication treatment may be more influential during an earlier phase of treatment, whereas parentperceived need for continued care may be more influential during more long-term ADHD care. 81 Contrary to studies that hypothesized that parent-perceived barriers are related to reduced access to child mental health services 60 fewer barriers (#1) did not improve the likelihood of staying in care. The relatively low number…”

Section: Discussionmentioning

confidence: 86%

“…Influential individual-level characteristics for mental health service use include child sociodemographic characteristics, 43,[47][48][49][50] clinical severity, 49,[51][52][53][54] and parental mental health. 51,52,[54][55][56][57][58][59] In addition, parentperceived barriers to care 50,60 and attitudes are hypothesized to affect access to and continuity of care, such as stigma, [61][62][63][64][65] recognition of symptoms or a problem, [66][67][68][69] and receptivity to stimulant medication treatment. 67,70 -72 On the system level, the considerable overlap in mental health and special education service use may increase the likelihood of staying in care through shared problem recognition and monitoring.…”

mentioning

confidence: 99%

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

et al. 2013

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OBJECTIVE: To examine whether parent perceptions about care (barriers, disorder knowledge, treatment willingness) vary among children who drop out of or stay in publicly funded care for attention-deficit/ hyperactivity disorder (ADHD) and to explore whether parent perceptions are predictive of staying in care over time. METHODS:A longitudinal cohort study of 529 children ages 5 to 11 years receiving care for ADHD in primary care or specialty mental health clinics in a large, countywide, managed-care Medicaid program. Multiple logistic regression analyses were performed to identify parent perceptions associated with the likelihood of staying in care across three 6-month time intervals, controlling for child and parent demographic characteristics, parental distress, clinical need, and recent special education use. RESULTS:At least three-fourths of children had at least 1 contact for any mental health care during a 6-month time interval (75%, 85%, 76%). Parent-perceived barriers, ADHD knowledge, and counseling willingness did not predict staying in care, whereas willingness for medication treatment was predictive at baseline. Minority status, nonmarried parent, parental distress, clinical need, and special education use were predictive of staying in care, but mostly during only one 6-month time interval, and their influence varied over time.CONCLUSIONS: Parent willingness for medication treatment along with several demographic and need factors predicted staying in care but not consistently over time. Future research is needed to develop practical tools for clinicians to elicit parent priorities about ADHD treatment and to integrate them into quality-improvement interventions targeted to improving shared decision-making for longer term ADHD care.

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“…Les problèmes psychosociaux, plus nombreux chez les jeunes suicidaires que chez les non-suicidaires (Mandell, Walrath, & Goldston, 2006;Pillay & Wassenaar, 1997) (Anderson & Collier, 1999;Karver et al, 2006;Owens et al, 2002;Woodberry & Popenoe, 2008 Osler, un des pères de la médecine moderne, il rapporte qu'il est beaucoup plus important de savoir quel type de patient est atteint de la maladie que de savoir quel type de maladie a le patient.…”

Section: Contexte De Demande D'aideunclassified

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Desrosiers

Saint-Jean

Laporte

2016

smq

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Malgré une vaste littérature sur l’abandon de traitement en pédopsychiatrie, les connaissances sur cette problématique chez l’adolescent avec trouble de personnalité limite (TPL) demeurent peu développées. Les conséquences d’un arrêt prématuré du traitement sont sérieuses considérant la récurrence de leurs conduites suicidaires. Afin de comprendre les processus associés à l’instabilité du mode de consultation de ces adolescents, une méthode de théorisation ancrée constructiviste avec un devis de cas multiples a été utilisée. Trente-quatre entrevues auprès de trois groupes d’informateurs (adolescent, parent et clinicien) ont été réalisées. Un modèle explicatif des facteurs de risque d’abandon, mais aussi des conditions susceptibles de favoriser la poursuite du traitement a été élaboré. Il identifie les déterminants de l’abandon qui sont spécifiques aux adolescents avec TPL et décrit les processus par lesquels ceux-ci interfèrent avec la poursuite du traitement. Deux moments critiques ont été mis en évidence. Le premier survient au moment de l’offre de traitement. Il est déterminé par les capacités du dispositif de soins à profiter de l’impulsion de la demande d’aide pour engager l’adolescent et le parent en tenant compte de leurs vulnérabilités à l’abandon. Le deuxième moment critique survient en cours de traitement. Il est marqué par les capacités du dispositif de soins à adopter des mesures correctives lorsqu’apparaissent des complications d’engagement. Ces résultats mettent en évidence l’importance des réponses du dispositif de soins et suggèrent que l’engagement des adolescents avec TPL devrait constituer un objectif thérapeutique au même titre que la réduction de la symptomatologie et des problèmes de vie.

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Barriers to Children's Mental Health Services

Cited by 472 publications

References 26 publications

Service Utilization Patterns in Parents of Youth and Adults With Intellectual Disability Who Experienced Behavioral Crisis

Service Utilization Patterns in Parents of Youth and Adults With Intellectual Disability Who Experienced Behavioral Crisis

Do Parent Perceptions Predict Continuity of Publicly Funded Care for Attention-Deficit/Hyperactivity Disorder?

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

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