Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study

Georgiades, Katholiki; Duncan, Laura; Wang, Li; Comeau, Jinette; Boyle, Michael H.

doi:10.1177/0706743719830024

Cited by 181 publications

(222 citation statements)

References 43 publications

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“…Each scaled score was also converted to a binary measure at the threshold closest to the prevalence of the corresponding disorder (21). These threshold scores were determined in the weighted general population sample of the 2014 OCHS youth and applied to all respondents (22).…”

Section: Methodsmentioning

confidence: 99%

Canadian Adolescents’ Mental Health and Substance Use during the COVID-19 Pandemic: Associations with COVID-19 Stressors

Craig¹,

Me²,

Bc³

et al. 2020

Preprint

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Objective: There has been concern regarding the mental health impact of coronavirus disease 2019 (COVID-19), and subsequent public health interventions due to isolation, anxiety around the pandemic, and increased conflict in the home. The purpose of this study was to explore current rates of mental health problems, COVID-19 related stress, substance use, and violence at home among adolescents with comparisons across genders. Method: Participants (N = 809) from Canada were recruited via social media to complete an online survey. Participants (Mage = 15.67, SD = 1.37) identified as female (56.2%), male (38.7%), or trans/non-binary individuals (TNBI; 5.1%). Results: A large portion of adolescents met clinical cut-off for depression (51.2%), anxiety (40%) and Post-Traumatic Stress Disorder (45%). High rates of ADHD, ODD, and social phobia symptoms (ranging from 9%-20%) were also reported. Adolescents were mainly concerned with the health of family members and vulnerable populations, as well as the increased family stress at home during COVID-19. Rates of substance use were higher than expected with over 50% of youth engaging in some form of substance use, and almost 20% engaging in regular substance use. Rates of experiencing and perpetrating psychological violence at home were higher than physical violence and were close to rates in high-risk populations. TNBI and females reported higher rates of mental health problems, and violence at home compared to males. Conclusions: Increased rates of mental health problems, substance use, and violence in the home necessitate targeted supports that encourage positive coping amidst the additional stresses of COVID-19.

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Section: Methodsmentioning

confidence: 99%

Canadian Adolescents’ Mental Health and Substance Use during the COVID-19 Pandemic: Associations with COVID-19 Stressors

Craig¹,

Me²,

Bc³

et al. 2020

Preprint

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“…The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) is a clinical diagnostic interview designed to assess the presence of Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 and International Statistical Classification of Diseases and Related Health Problems (ICD)-10 psychiatric disorders in children and youth over the past 6 months 52. We will be utilising the following modules which represent the most common mental disorders in childhood and adolescence53 54: major depressive episode, separation anxiety disorder, social anxiety disorder, specific phobia, attention-deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder and generalised anxiety disorder. The MINI-KID has demonstrated strong validity and reliability in population and clinical samples of children and youth 30 55…”

Section: Methodsmentioning

confidence: 99%

“…Multinomial logistic regression will be used to model patterns of mental health service use for children and youth with and without multimorbidity. Additional analyses will be stratified to examine subgroup differences, including by sex, because prevalence of and pathways to mental disorder is not the same for males and females 53 82 83. When possible, we will use age-stratified analysis based on developmental periods to address the challenge of making inferences on heterogeneous samples.…”

Section: Data Analysis and Linkagementioning

confidence: 99%

Multimorbidity in Children and Youth Across the Life-course (MY LIFE): protocol of a Canadian prospective study

et al. 2019

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IntroductionMultimorbidity, the co-occurrence of a chronic physical condition and mental disorder, affects a substantial number of children and youth and can lead to compromised quality of life, hardship for families, and an increased burden on the healthcare system. We are conducting a study to document the course of mental disorder in children and youth diagnosed with a chronic physical condition; identify predictors of child and youth multimorbidity; examine whether the effects of these predictors are moderated by relevant psychosocial and biological factors; explore potential inflammatory and stress biomarkers that mediate the onset of child and youth multimorbidity; and, assess whether multimorbidity in children and youth alters patterns of mental health service use.Methods and analysisMultimorbidity in Children and Youth Across the Life-course (MY LIFE) is a prospective study. Two hundred and fifty children and youth aged 2–16 years diagnosed with a chronic physical condition along with one parent will be recruited from the outpatient clinics at a paediatric tertiary care centre. Data will be collected using a multi-informant, multimethod design at four time-points (at recruitment, and at 6, 12 and 24 months postrecruitment). Parents will provide reports for all children/youth. In addition, youth ≥10 years will self-report. Mental disorder will be assessed using structured interviews. On completion of data collection, participant-reported data will be linked to provincial health records to identify mental health services use. Multilevel analyses (survival, proportional hazard, structural equation modelling) will be used to address MY LIFE objectives.Ethics and disseminationThis study has been approved by the University of Waterloo Human Research Ethics Board and the Hamilton Integrated Research Ethics Board. Findings will be disseminated to key stakeholders using a number of outlets (peer-reviewed publications and conferences, lay informational pamphlets, social media).

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“…Higher rates of child and youth mental health (CYMH) problems tend to occur in poorer countries, although the country was not a substantive factor in prevalence estimates within multivariate models [3]. Within North America, mental health disorders affect nearly one person in 5 [3] and 13-20% of children living in the USA and Canada experience a mental disorder [1,[4][5][6]. Child and youth mental disorders are a well-documented source of morbidity and mortality during childhood and youth, with lasting effects throughout adulthood [7][8][9][10][11][12][13][14][15].…”

Section: Rationalementioning

confidence: 99%

A protocol for a scoping review of equity measurement in mental health care for children and youth

et al. 2020

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Background Mental health (MH) problems are among the most important causes of morbidity and mortality for children and youth. Problems of lack of equity in child and youth MH services (CYMHS)—including, but not limited to, problems in inaccessibility and quality of services—are widespread. Characterizing the nature of equity in CYMHS is an ongoing challenge because the field lacks a consistent approach to conceptualizing equity. We will conduct a scoping review of how equity in MH services for children and youth has been defined, operationalized, and measured. Our objectives are to discover: (1) What conceptual definitions of equity are used by observational studies of CYMHS?; (2) What service characteristics of CYMHS care do indices of equity cover?; (3) What population dimensions have been used to operationalize equity?; (4) What statistical constructs have been used in indices that measure CYMHS equity?; and (5) What were the numerical values of those indices? Methods The following databases will be searched: Medline, Embase, PsycINFO, Cochrane Controlled Register of Trials, CINAHL, EconLit, and Sociological Abstracts. Searches will be conducted from the date of inception to the end of the last full calendar year (December 2019). Studies will be included if they include an evaluation of a mental health service for children or youth (defined as those under 19 years of age) and which quantify variation in some aspect of child or youth mental health services (e.g., accessibility, volume, duration, or quality) as a function of socio-demographic and/or geographic variables. Study selection will occur over two stages. Stage one will select articles based on title and abstract using the liberal-accelerated method. Stage two will review the full texts of selected titles. Two reviewers will work independently on full-text reviewing, with each study screened twice using pre-specified eligibility criteria. One reviewer will chart study characteristics and indices to be verified by a second reviewer. Reviewers will resolve full-text screening and data extraction disagreements through discussion. Synthesis of the collected data will focus on compiling and mapping the types and characteristics of the indices used to evaluate MH services equity. Discussion The planned, systematic scoping review will survey the literature regarding how equity in MH services for children and youth has been operationalized and help inform future studies of equity in CYMHS. Systematic review registration Open Science Foundation ID SYSR-D-19-00371, https://osf.io/58srv/.

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Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study

Cited by 181 publications

References 43 publications

Canadian Adolescents’ Mental Health and Substance Use during the COVID-19 Pandemic: Associations with COVID-19 Stressors

Canadian Adolescents’ Mental Health and Substance Use during the COVID-19 Pandemic: Associations with COVID-19 Stressors

Multimorbidity in Children and Youth Across the Life-course (MY LIFE): protocol of a Canadian prospective study

A protocol for a scoping review of equity measurement in mental health care for children and youth

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