Predictors of contact with services for mental health problems among children with comorbid long-term physical health conditions: a follow-up study

Abstract

Children with long-term physical health conditions (pLTCs) are at increased risk of developing mental health comorbidities, although most do not access services for their mental health. No previous studies have examined the determinants of contact with services for mental health concerns among this group of children. This 3-year longitudinal study involved a population-based sample of children aged 5–16 years from the British Child and Adolescent Mental Health Surveys conducted in 1999 and 2004. In children with comorbid pLTCs and mental health disorders at baseline (N = 397), we examined associations between several child-, family- and service-related factors and (a) contact with primary health care, (b) contact with paediatrics and (c) contact with child and adolescent mental health services over 3-year follow-up (2002 and 2007). Separate multivariable binary logistic regressions were conducted for each service. The impact of mental health difficulties on the child and contact with the teacher predicted contact with all three services. Adolescent age, female gender, larger family size, some or marked academic difficulties, and having parents with educational qualification(s) were specific predictors of contact with primary health care. Male gender, stressful life events, and contact with primary health care were specific predictors of contact with child and adolescent mental health services. No other factors predicted contact with paediatrics. Our findings highlight the role of child-, family-, and service-related factors in accessing mental health care in children with comorbid pLTCs and mental health disorders which could inform planning and provision of services to reduce unmet mental health needs.

Current evidence and opportunities in child and adolescent public mental health: a research review

“…primary care, community health provision and specialist mental health services) may be beneficial (National Academies of Sciences & Medicine, 2019). For example, children and adolescents with chronic illnesses and/or complex health care needs are a group with higher risk for developing mental health difficulties (National Academies of Sciences & Medicine, 2019; Quittner et al., 2014) who may benefit from additional mental health monitoring and support, potentially including within paediatric services (Boat, Filigno, & Amin, 2017; Fazel et al., 2021; Panagi et al., 2022). Although the evidence base is still nascent, some studies suggest that mental health interventions for these children and adolescents may have some positive effects (Catanzano et al., 2020; Park, Choi, Lee, Park, & Chinbayar, 2022).…”

Current evidence and opportunities in child and adolescent public mental health: a research review

“…primary care, community health provision and specialist mental health services) may be beneficial (National Academies of Sciences & Medicine, 2019). For example, children and adolescents with chronic illnesses and/or complex health care needs are a group with higher risk for developing mental health difficulties (National Academies of Sciences & Medicine, 2019; Quittner et al, 2014) who may benefit from additional mental health monitoring and support, potentially including within paediatric services (Boat, Filigno, & Amin, 2017;Fazel et al, 2021;Panagi et al, 2022). Although the evidence base is still nascent, some studies suggest that mental health interventions for these children and adolescents may have some positive effects (Catanzano et al, 2020;Park, Choi, Lee, Park, & Chinbayar, 2022).…”