“…During early childhood (i.e., 0-5 years of age), there are limited measures available to assess mental health, the child typically does not have the language skills to contribute to the conversation about what they are experiencing, parents may also struggle to express their concerns, and observation by a teacher may not be available (Egger & Emde, 2011;Hoffman et al, 2016). For school-aged children (i.e., 6 −11 years of age), there are more measures available to assess mental and behavioral health, but challenges with cultural relevancy and conflict between parent-child-teacher report can also complicate the assessment at this developmental stage (Johnson & Hannon, 2014;Paniagua, 2013). Adolescents (i.e., 12-17 years of age) have similar complications as school aged children with assessment; however, other issues such as lack of engagement with the healthcare system, and under-and-over-diagnosis, are all noted as difficulties when assessing adolescents for mental and behavioral health problems (Merten et al, 2017;Moore, 2018).…”