Mental Health Service Use in Adolescence: Findings From the National Survey on Drug Use and Health

Ringeisen, Heather; Miller, Susan L.; Muñoz, Breda; Rohloff, Harley; Hedden, Sarra L.; Colpe, Lisa J.

doi:10.1176/appi.ps.201400196

Cited by 17 publications

(10 citation statements)

References 14 publications

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“…Furthermore, psychiatric outpatient visits have increased in this area, but the level has remained lower when compared with that in Finland as a whole. These findings are consistent with the previous reports of increased mental health service use among children and adolescents (40)(41)(42). A high level of use in inpatient psychiatric services and a nationally low level in outpatient service use in the study area are a concerning finding and advocate for more effective preventive and outpatient-oriented service approaches.…”

Section: Discussionsupporting

confidence: 92%

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Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

et al. 2022

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BackgroundThe psychosocial wellbeing of children and adolescents is an ongoing global concern. Despite positive outcomes of child- and family-focused programs, the fragmentation of services presents challenges. To enhance harmonization and diminish fragmentation of service policies, we implement a preventive collaborative service model for children and families. The rationale for our study is based on analyses of national and local data before implementing the service model in the pilot area.MethodsThe need for a preventive service model for children and families was demonstrated using national and local data sources. First, a national school health survey was utilized to screen adolescents' perceptions of their depressive symptoms and support. Second, time trends in child and adolescent psychiatric and child protection service use were investigated. For these aims, epidemiological data of the study area (city of Oulu) were compared with data from the whole country (Finland). Third, local usage data of the preventive stand-alone Let's Talk About Children (LT) intervention before the service model implementation were evaluated. After these analyses, Let's Talk About Children Service Model (LT-SM) implementation in the pilot area is described in detail.ResultsThe background data showed that 17% of the adolescents in the study area had reported depressive symptoms, and almost half of them had not received professional help. Child and adolescent psychiatric outpatient visits had increased during the last decade, but the number of visits remains lower in the study area compared with the country as a whole. The number of adolescent psychiatric inpatient days had increased contrary to a decreasing national trend. The number of urgent child welfare placements was also higher compared with the whole country. The local LT intervention data revealed very low utilization rates. These results indicated a necessity to enhance preventive and collaborative support for children and their families. This article describes the implementation of the LT-SM.DiscussionWe demonstrated excessive use of curative services in social and health care and insufficient usage of the stand-alone preventive intervention. The LT-SM is now piloted in one regional service area of the city of Oulu. Its effectiveness will be evaluated when enough data have been accumulated for statistical analyses.

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Section: Discussionsupporting

confidence: 92%

“…This indicates a lack of necessary services. The perceived need for support among adolescents is consistent with the increased trends observed in the use of adolescent social and healthcare services (40)(41)(42).…”

Section: Discussionsupporting

confidence: 66%

Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

et al. 2022

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“…The availability of a peer specialist with racial/ethnic concordance was also associated with greater outpatient service use among Latinx youth in both counties. These results suggest that peer support services are a promising approach to reducing the documented low rate of continued engagement in mental health services among youth (Pottick et al 2014 ; Ringeisen et al 2016 ).…”

Section: Discussionmentioning

confidence: 98%

The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness

Ojeda

Munson

Jones

et al. 2020

Adm Policy Ment Health

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We examine whether the availability of peer support reduces disparities in service use among minority youth ages 16–24 with serious mental illness in Los Angeles and San Diego Counties. Administrative data from 2015–2018 was used to summarize service use among 13,363 transition age youth age 16–24 with serious mental illness who received services from 183 outpatient public mental health programs; 17.2% were Black, 67.4% were Latinx, and 15.4% were non-Latinx white. The availability of peer support was assessed via a program survey. Generalized linear models were used to assess the relationship between availability of peer support, defined as having a peer specialist on staff, and the annual number of outpatient mental health visits. We also examined the relationship between racial/ethnic concordance of youth and peer specialists and use of outpatient services. Forty-six percent of youth received services from programs that employed peer specialists. Among youth in both counties, the availability of peer support was associated with an increase in annual outpatient visits (P ≤ .05 each). Peer support was associated with reductions in service use disparities among Black and Latinx youth in Los Angeles County (P < .001 each). Peer concordance was associated with an increase in outpatient service use among Latinx youth in both counties (P < .05 each). Peer support was associated with increases in use of outpatient mental health services. Detailed examination of the context for youth peer support implementation is merited to identify the specific pathways that improve outcomes.

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“…Results also indicate that more than half of youths were not referred to nontherapy support programs, and Black and younger adolescents were more likely to be referred to family and community services, respectively. This difference in referrals may be attributed to the fact that culturally sensitive treatments for African Americans underscore the involvement of family in services (Choe, Stoddard, & Zimmerman, 2014; McWayne, Mattis, & Hyun, 2018), and that overall service utilization is negatively associated with age among youths (Park et al., 2014; Ringeisen et al., 2016). Moreover, only 6% of youth were found to receive a suicide risk assessment.…”

Section: Discussionmentioning

confidence: 99%

Early Identification of Youth at Risk for Suicidal Behavior

Flórez

LoParo

Valentine

et al. 2019

Crisis

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Abstract. Background: Early identification and appropriate referral services are priorities to prevent suicide. Aims: The aim of this study was to describe patterns of identification and referrals among three behavioral health centers and determine whether youth demographic factors and type of training received by providers were associated with identification and referral patterns. Method: The Early Identification Referral Forms were used to gather the data of interest among 820 youth aged 10–24 years who were screened for suicide risk (females = 53.8%). Descriptive statistics and binary logistic regressions were conducted to examine significant associations. Results: Significant associations between gender, race, and age and screening positive for suicide were found. Age and race were significantly associated with different patterns of referrals and/or services received by youths. For providers, being trained in Counseling on Access to Lethal Means was positively associated with number of referrals to inpatient services. Limitations: The correlational nature of the study and lack of information about suicide risk and comorbidity of psychiatric symptoms limit the implications of the findings. Conclusion: The results highlight the importance of considering demographic factors when identifying and referring youth at risk to ensure standard yet culturally appropriate procedures to prevent suicide.

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Mental Health Service Use in Adolescence: Findings From the National Survey on Drug Use and Health

Cited by 17 publications

References 14 publications

Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness

Early Identification of Youth at Risk for Suicidal Behavior

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