Examining Gender Differences in Service Utilization among Children: Nature, Nurture, or Social Network?

Maschi, Tina; Perez, Rose M.; Gibson, Sandy

doi:10.1007/s10560-010-0200-2

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…In univariate analysis, this study also found patterns of referral associated with gender that warrant investigation in a larger study. Other studies have found that boys and girls often manifest different mental health, social and behaviour patterns (Currie et al., ; Maschi, Perez & Gibson, ). However, Maschi et al () suggest that there is the potential for practitioners and other professionals to be predisposed to gender bias in identifying children's problems, including when making a diagnosis and deciding which service to refer to.…”

Section: Discussionmentioning

confidence: 96%

“…Other studies have found that boys and girls often manifest different mental health, social and behaviour patterns (Currie et al., ; Maschi, Perez & Gibson, ). However, Maschi et al () suggest that there is the potential for practitioners and other professionals to be predisposed to gender bias in identifying children's problems, including when making a diagnosis and deciding which service to refer to. In addition, Sund, Larsson, and Wichstrøm () state that while differences in prevalence rates may reflect true rates, they may also be as a result of variation in methods and measures used for assessment of CYP's mental health difficulties.…”

Section: Discussionmentioning

confidence: 96%

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Patterns of referral and waiting times for specialist Child and Adolescent Mental Health Services

Smith

Kyle

Daniel

et al. 2017

Child Adoles Ment Health

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Background: During 12-month period (2012/13) around 21,480 children and young people (CYP) were referred to Child and Adolescent Mental Health Service (CAMHS) in Scotland (NHS Scotland, 2013, Child and Adolescent Mental Health Services waiting times in Scotland). At the end of September 2012, there were 3,602 CYP still waiting for 'start of treatment' or 'removal from the waiting list', 375 (10%) CYP had waited over 26 weeks and 1,204 (33%) CYP had waited over 18 weeks (NHS Scotland, 2013, Child and Adolescent Mental Health Services waiting times in Scotland). Referral source, referral reason and the sociodemographic characteristics of CYP are not routinely collected, and therefore, associations between these factors and wait times for 'start of treatment' or 'removal from the waiting list' (i.e. the referral outcome) are unknown. Method: In this exploratory study, a retrospective analysis of referral data was conducted in one CAMHS. Data for 476 referrals between 1st May 2013 and 31st May 2014 were initially analysed to define categories for each of the following key variables: referral source, referral reason and referral outcome. Data on CYP sociodemographic characteristics were extracted from referral records, including age, gender and postcode, from which Scottish Index of Multiple Deprivation quintile of residence was derived. Descriptive statistics were calculated for referral source, referral reason and CYP sociodemographic characteristics. Regression models were then built to determine predictors of a referral being rejected by CAMHS and waiting time for referrals accepted by CAMHS. Data were analysed in SPSS (Version 20). Results: Of the 476 referrals, 72% (n = 342) were accepted and 12% (n = 59) were rejected. Most referrals were made by general practitioners. Just under a third of referrals to CAMHS (31%) were for CYP with emotional and behavioural difficulties. The odds of being rejected by CAMHS were significantly higher if referred by teachers and for CYP with emotional and behavioural difficulties. Age and referral reason were significant independent predictors of waiting time after referral to CAMHS, with CYP referred for hyperactivity/inattention waiting significantly longer. Conclusions: Policymakers should consider ways to foster dialogue and collaboration between different groups of professionals making and accepting referrals to CAMHS in order to improve timely access to appropriate mental health support services for CYP. Research is urgently needed to investigate the experiences of CYP who are either rejected by CAMHS or wait lengthy periods of time before starting their treatment with CAMHS. Key Practitioner Message• Child and Adolescent Mental Health Services (CAMHS) are key supportive services for children and young people (CYP) with mental health difficulties.• Children and young people who are referred to this CAMHS by teachers were more likely to be rejected than those referred by medical professionals.• Children and young people with emotional and behavioural problems were more like...

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Patterns of referral and waiting times for specialist Child and Adolescent Mental Health Services

Smith

Kyle

Daniel

et al. 2017

Child Adoles Ment Health

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“…Parents in a small qualitative study in Ireland expressed the need for support, enhanced knowledge about suicidal behaviour, parenting skills and strategies for managing future self‐harm (Byrne et al ., ). For some families, a suicide attempt will precipitate increased utilization of mental health services (Chan et al ., ), particularly for vulnerable boys (Maschi et al ., ). However, this may conflict with the general developmental trend for the adolescent of increasing autonomy (Wilson et al ., ).…”

Section: Parental Characteristicsmentioning

confidence: 97%

Family factors associated with adolescent self‐harm: a narrative review

Fortune

Cottrell

Fife

2016

Journal of Family Therapy

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This narrative literature review focuses on family factors that might be amenable to intervention using family therapy (n = 126). Domains of interest include parent/child interactions, inter-parental relationships, child characteristics, parental characteristics, wider system factors, treatment needs and moderators.The focus of family-orientated treatment with this population should focus on maximizing cohesion, attachment, adaptability, family support, parental warmth while reducing maltreatment, scapegoating and moderating parental control.Close working relationships with child protection services and schools represent additional opportunities. Practitioner Points1. Over and above any inherited risk, a range of family interactional factors are strongly associated with self-harming behaviours in young people.2. Therapy has the potential to make a positive difference by focusing on enhancing family cohesion and adaptability, whilst reducing discord and violence. Discussions that enhance perceived parental support and warmth may be particularly helpful.3. Therapists should attend to issues of perceived difference and potential victimisation (bullying, gender orientation and identity, ethnic minority status) as these may play an important role in self-harm. Family factors associated with adolescent self-harm; a narrative review Aim:Our aim is to produce a narrative literature review of family factors associated with self-harm by adolescents in order to assist therapists in working with such families and support the development of further research in this area by highlighting what is already known (and not known). A number of factors shown to be associated with adolescent self-harm are potentially amenable to change, and even when they are not, greater awareness of these issues may change the ways in which family members think about themselves. We attempt to highlight those areas that might be amenable to change through family therapy Method/Search strategy:We expected that the current body of literature would be of variable quality and diverse methodology and therefore chose to conduct a narrative review, attempting to summarise and integrate different primary studies. However, we have tried to be as systematic as possible in our search and reporting strategies.In this review we have defined self-harm as any form of non-fatal self-poisoning or self-injury (such as cutting, taking an overdose, hanging, self-strangulation and running into traffic), regardless of motivation or the degree of intention to die. This concept overlaps with NSSI (non-suicidal self-injury) which is considered to beselfinjury in the absence of suicidal intent (for review see Swannell, 2014). The focus of the search was non-fatal acts of SH, but we included the literature on death by suicide where it was pertinent to family functioning.The first author conducted a literature search using Medline (2000 week 4, June 2015 and Psychinfo (2000 June, week 5, 2015. A variety of terms was used to define self-harm including: suicide, attempt...

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Youth Development Program Participation and Changes in Help-Seeking Intentions

Beals-Erickson

Roberts

2015

J Child Fam Stud

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Examining Gender Differences in Service Utilization among Children: Nature, Nurture, or Social Network?

Cited by 5 publications

References 35 publications

Patterns of referral and waiting times for specialist Child and Adolescent Mental Health Services

Patterns of referral and waiting times for specialist Child and Adolescent Mental Health Services

Family factors associated with adolescent self‐harm: a narrative review

Youth Development Program Participation and Changes in Help-Seeking Intentions

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