Trends And Issues In Child And Adolescent Mental Health

Treatment Of People With Mental Illness: A Decade-Long Perspective

“…Analyses by Sherry Glied and Alison Evans Cuellar of the 1987 and 1998 National Medical Expenditure Survey (NMES) noted a 60 percent increase in children with a treated disorder. 8 While 9 percent of treated children with a disorder were covered by Medicaid in the earlier period, 19 percent had such coverage in the late 1990s. Child visits surveyed in NAMCS that resulted in a mental health diagnosis increased markedly between the mid-1980s and the late 1990s, from 2.6 percent to 7.7 percent.…”

Influências ambientais na saúde mental da criança

“…1 According to a recent study, Glied & Cuellar estimate that 11% of U.S. children have a mental disorder of some sort. 2 Half of the children and adolescents between ten and seventeen years old are affected at least by two risk behaviors, such as abuse of alcohol and drugs, delinquency, low school performance and pregnancy. 3 Several studies from different countries have revealed an equally high percentage of preschool and school-aged children with emotional disorders.…”

Financing Mental Health Services for Adolescents: A Background Paper

“…Inadequate reimbursement rates and managed care systems, however, discourage taking adequate time for patient and family counseling. This has had an especially large impact on provider availability for children and adolescents in the state-run SCHIP programs and other government-funded mental health systems [59,85,86]. Recent actions by the Food and Drug Administration to include a black box warning on suicide risk for adolescents using selective serotonin reuptake inhibitor (SSRI) antidepressants may further discourage primary care providers from providing mental health services to adolescents, exacerbating the current shortage of mental health providers [86].…”

“…As a result, such innovative and effective treatment programs are very limited in their number and geographic range, making them unavailable even to those fortunate enough to have adequate insurance benefits. There has also been a decline in the number of inpatient psychiatric units available to treat adolescents who need crisis care [85]. Access to specialized mental health care is a problem for all children and adolescents, but disparities in access and treatment options are further exacerbated for members of ethnic minority groups [11,16].…”