Work Experience and Style Explain Variation Among Pediatricians in the Detection of Children With Psychosocial Problems

Risk Score for Predicting Adolescent Mental Health Problems Among Children Using Parental Report Only: The TRAILS Study

“…This is pivotal because our score was developed in a sample of the general population without a substantial proportion of children of non-Western origin, and the known cultural differences in the identification of psychosocial differences at wellchild visits. 11,12 CONCLUSIONS Our prospective study shows that a feasible risk score for children of age 11 can accurately estimate the 5-year risk of future adolescent mental health problems. The score requires parental information only and does not include potentially stigmatizing mental health items.…”

“…The lack of the necessity of obtaining data from the child directly by interview or questionnaire, or of explicitly asking parents about their child's mental health problems, makes our score particularly appropriate for situations in which fear of stigma or other personal considerations could hamper proper risk profiling. 11,12 Nevertheless, if the child's file does not yet contain parental mental health data and parents need to be directly questioned for this in order to complete the risk score, they may be reluctant to be forthcoming as a result of fear of stigma. Although we constructed a risk score without potentially stigmatizing mental health items, we have no proof that our risk score is less stigmatizing than an any other instrument to assess the risk of developing mental health problems.…”

“…Fear of child stigma may play a role here, 10 which may partially explain cultural differences in the quality of early identification of psychosocial problems at well-child visits. 11,12 Therefore, a tool for risk estimation that omits direct questions about the child's mental symptoms and that requires parental report only could meet a need. As far as we know, no such instrument has yet been developed.…”

“…Comparisons between the total response group and nonresponse group showed no significant differences in age, age at referral to the clinic, sex distribution, and education. 12 The validation cohort included 336 adolescents (61.9%) who participated in the T3 assessment (T3 mean age 15.9 years, range 14.4-17.5 years) and had complete data on the T3 CBCL and on all predictors included in the final model.…”

A Novel Triage Approach to Identifying Health Concerns

“…Multilevel analyses were conducted because the assessments of children were stratified by health care professional. 24 For all regression analyses, we studied the interaction effects of the children's age with type of approach on the outcome measures. Fourth, to study the severity of health problems found in both approaches, the BMI, Snellen, and SDQ and CBCL scores were studied in the subgroups of children identified with overweight, visual disorders, or psychosocial problems using the χ 2 test or Fisher's exact test.…”