Mental disorders in children known to child protection services during early childhood

Green, Melissa; Hindmarsh, Gabrielle; Kariuki, Maina; Laurens, Kristin R.; Neil, Amanda L.; Katz, Ilan; Chilvers, Marilyn; Harris, Felicity; Carr, Vaughan J.

doi:10.5694/mja2.50392

Cited by 37 publications

(28 citation statements)

References 21 publications

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“…This proportion was highest (21.1%) for patients presenting with self‐harm. The high prevalence of MH disorders and high utilisation of MH services amongst children known to child protection services, particularly those in out‐of‐home‐care, has been previously described 26,27 . However, local data regarding ED utilisation are limited.…”

Section: Discussionmentioning

confidence: 99%

“…The high prevalence of MH disorders and high utilisation of MH services amongst children known to child protection services, particularly those in out-ofhome-care, has been previously described. 26,27 However, local data regarding ED utilisation are limited. Future research and policy priorities should focus on optimising and providing adequate community MH and crisis supports for this vulnerable group.…”

Section: Mental Health Diagnosesmentioning

confidence: 99%

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Mental health presentations to the paediatric emergency department: A retrospective study

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Carison

Hill

et al. 2021

J Paediatrics Child Health

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Aim To describe a cohort of patients aged 7–17 years presenting with mental health (MH) problems to an Australian tertiary paediatric emergency department (ED), in order to identify: (i) predictors of admission; and (ii) prolonged length of stay (LOS); (iii) reasons for ED presentation based on diagnosis and (iv) differences between major diagnostic groups. Methods Data for all presentations from 1 January 2018 to 31 December 2018 were extracted and analysed from the hospital's electronic medical record system. MH presentations were identified though rule‐based coding and manual file review. Results In this 12‐month period, 1071 children had 1690 emergency MH presentations constituting 6.7% of all ED presentations for children aged 7–17 years. Collectively, the leading cause for presentations was suicidal ideation, self‐harm or drug overdose (55%). Compared to discharged patients, admitted patients were more likely to be female (odds ratio (OR) 1.82, confidence interval (CI) 1.41–2.35), aged over 14–years (OR 2.50, CI 1.98–3.15), triaged with high acuity (OR 2.70, CI 2.00–3.65) and arrive by ambulance or police (OR 1.31, CI 1.04–1.64). The highest risk diagnosis associated with admission was eating disorders (OR 9.19, CI 5.48–15.40). Patients with a prolonged LOS (>8 h) were more likely to need admission (OR 5.38, CI 3.81–7.61) and be diagnosed with drug overdose (OR 2.39, CI 1.51–3.80) or acute behavioural disturbance (OR 1.61, CI 1.09–2.39). Conclusion Mental health presentations constitute a large proportion of ED presentations. Suicidal behaviour and self‐harm account for half of them. We have identified patients at increased risk of admission and prolonged ED LOS.

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Section: Discussionmentioning

confidence: 99%

Section: Mental Health Diagnosesmentioning

confidence: 99%

Mental health presentations to the paediatric emergency department: A retrospective study

Say

Carison

Hill

et al. 2021

J Paediatrics Child Health

View full text Add to dashboard Cite

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“…Children's well-being, or lack of it, sets the path for their further development, which makes it imperative to identify, at an early age, those children who are in need of support services (Green et al 2018(Green et al , 2020Kovan et al 2014;McKee and Dillenburger 2012;Pölkki and Vornanen 2016;Treacy and Nohilly 2020). As Bartlett and Smith (2019) discussed, vulnerabilities caused by various traumas during the child's first years are widespread.…”

Section: Introductionmentioning

confidence: 99%

Collaboration of Child Protective Services and Early Childhood Educators: Enhancing the Well-Being of Children in Need

Toros

Tart

Falch‐Eriksen

2021

Early Childhood Educ J

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“…Administrative data is useful when studying causes of complex diseases and conditions as well as assessing outcomes of clinical or therapeutic interventions [17,[19][20][21]. Use of multiple linked administrative data allows researchers to explore comorbidity and variability in outcomes within target populations and compare these between specific clinical population groups and against outcomes in the general population [22][23][24][25]. As the purpose of this systematic review is related to child protection settings, it will be used as an example to elucidate the benefits and limitations of using population-based administrative integrated with longitudinal data in research.…”

Section: Introductionmentioning

confidence: 99%

Research using population-based administration data integrated with longitudinal data in child protection settings: A systematic review

et al. 2021

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Introduction Over the past decade there has been a marked growth in the use of linked population administrative data for child protection research. This is the first systematic review of studies to report on research design and statistical methods used where population-based administrative data is integrated with longitudinal data in child protection settings. Methods The systematic review was conducted according to Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement. The electronic databases Medline (Ovid), PsycINFO, Embase, ERIC, and CINAHL were systematically searched in November 2019 to identify all the relevant studies. The protocol for this review was registered and published with Open Science Framework (Registration DOI: 10.17605/OSF.IO/96PX8) Results The review identified 30 studies reporting on child maltreatment, mental health, drug and alcohol abuse and education. The quality of almost all studies was strong, however the studies rated poorly on the reporting of data linkage methods. The statistical analysis methods described failed to take into account mediating factors which may have an indirect effect on the outcomes of interest and there was lack of utilisation of multi-level analysis. Conclusion We recommend reporting of data linkage processes through following recommended and standardised data linkage processes, which can be achieved through greater co-ordination among data providers and researchers.

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Mental disorders in children known to child protection services during early childhood

Cited by 37 publications

References 21 publications

Mental health presentations to the paediatric emergency department: A retrospective study

Mental health presentations to the paediatric emergency department: A retrospective study

Collaboration of Child Protective Services and Early Childhood Educators: Enhancing the Well-Being of Children in Need

Research using population-based administration data integrated with longitudinal data in child protection settings: A systematic review

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