Unmet Need for Specialty Mental Health Services Among Children Across Europe
Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources.Methods:Data were drawn from the School Children Mental Health in Europe Project. Parent- a...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2017-08, Vol.68 (8), p.789-795 |
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| creator | Kovess-Masfety, Viviane Van Engelen, Julia Stone, Lisanne Otten, Roy Carta, Mauro Giovanni Bitfoi, Adina Koc, Ceren Goelitz, Dietmar Lesinskiene, Sigita Mihova, Zlatka Fermanian, Christophe Pez, Ondine Husky, Mathilde |
| description | Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources.Methods:Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries.Results:Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, p |
| doi_str_mv | 10.1176/appi.ps.201600409 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02461326v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1883841158</sourcerecordid><originalsourceid>FETCH-LOGICAL-a445t-1a4b400949b5bdb2c6b1a29bd983f3ccc7e6cb8433ed90ca12707acc5e42078d3</originalsourceid><addsrcrecordid>eNp1kU9v1DAQxS0EoqXwAbggS1zKIdsZ27Gd42pV2Epbeig9W44zy6bKP-ykUr892W5ZpEo9eWz93hvPPMY-IywQjb7ww1AvhrQQgBpAQfGGnWKem6wwAG_nGkyeCSPhhH1I6R4A0KB-z06ElVoj6lO2uetaGvlPoopv-8hvBwq1b8ZHfk3d6Bu-pvm247cUH-pAiS_bvvvNV7u6qSJ1fBlinxK_nGI_0Ef2buubRJ-ezzN29_3y12qdbW5-XK2Wm8wrlY8ZelUqgEIVZV5WpQi6RC-Ksiqs3MoQgiEdSqukpKqA4FEYMD6EnJQAYyt5xr4dfHe-cUOsWx8fXe9rt15u3P4NhNIohX7AmT0_sEPs_0yURtfWKVDT-I76KTm0VlqFmNsZ_foCve-n2M2TOCykmFdu9d4QD9TT5JG2xx8guH0sbh-LG5I7xjJrvjw7T2VL1VHxL4cZWByAJ-3_tq86_gU8mZZ7</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1932117861</pqid></control><display><type>article</type><title>Unmet Need for Specialty Mental Health Services Among Children Across Europe</title><source>MEDLINE</source><source>American Psychiatric Publishing Journals (1997-Present)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Kovess-Masfety, Viviane ; Van Engelen, Julia ; Stone, Lisanne ; Otten, Roy ; Carta, Mauro Giovanni ; Bitfoi, Adina ; Koc, Ceren ; Goelitz, Dietmar ; Lesinskiene, Sigita ; Mihova, Zlatka ; Fermanian, Christophe ; Pez, Ondine ; Husky, Mathilde</creator><creatorcontrib>Kovess-Masfety, Viviane ; Van Engelen, Julia ; Stone, Lisanne ; Otten, Roy ; Carta, Mauro Giovanni ; Bitfoi, Adina ; Koc, Ceren ; Goelitz, Dietmar ; Lesinskiene, Sigita ; Mihova, Zlatka ; Fermanian, Christophe ; Pez, Ondine ; Husky, Mathilde</creatorcontrib><description>Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources.Methods:Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries.Results:Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, p<.01). Determinants differed between groups—maternal psychological distress was associated with service use in high-resources countries, and gender was associated with service use in low-resources countries.Conclusions:The findings point to a substantial portion of unmet need across Europe and to major differences in access to care in low- versus high-resources countries. Efforts are needed to address unmet need among children with mental disorders, especially in low-resources countries.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201600409</identifier><identifier>PMID: 28366116</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject><![CDATA[Child ; Child & adolescent mental health ; Child Health Services - economics ; Child Health Services - statistics & numerical data ; Child Health Services - utilization ; Children & youth ; Europe - epidemiology ; Female ; Health Services Needs and Demand - statistics & numerical data ; Humans ; Life Sciences ; Male ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - therapy ; Mental health care ; Mental Health Services - economics ; Mental Health Services - statistics & numerical data ; Mental Health Services - utilization ; Physicians - economics ; Physicians - statistics & numerical data ; Physicians - utilization ; Santé publique et épidémiologie ; Schools - statistics & numerical data ; Sociodemographics]]></subject><ispartof>Psychiatric services (Washington, D.C.), 2017-08, Vol.68 (8), p.789-795</ispartof><rights>Copyright © 2017 by the American Psychiatric Association 2017</rights><rights>Copyright American Psychiatric Publishing, Inc. Aug 1, 2017</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a445t-1a4b400949b5bdb2c6b1a29bd983f3ccc7e6cb8433ed90ca12707acc5e42078d3</citedby><cites>FETCH-LOGICAL-a445t-1a4b400949b5bdb2c6b1a29bd983f3ccc7e6cb8433ed90ca12707acc5e42078d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201600409$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201600409$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>230,314,776,780,881,2842,21605,21606,21607,27901,27902,77537,77542</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28366116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://ehesp.hal.science/hal-02461326$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Kovess-Masfety, Viviane</creatorcontrib><creatorcontrib>Van Engelen, Julia</creatorcontrib><creatorcontrib>Stone, Lisanne</creatorcontrib><creatorcontrib>Otten, Roy</creatorcontrib><creatorcontrib>Carta, Mauro Giovanni</creatorcontrib><creatorcontrib>Bitfoi, Adina</creatorcontrib><creatorcontrib>Koc, Ceren</creatorcontrib><creatorcontrib>Goelitz, Dietmar</creatorcontrib><creatorcontrib>Lesinskiene, Sigita</creatorcontrib><creatorcontrib>Mihova, Zlatka</creatorcontrib><creatorcontrib>Fermanian, Christophe</creatorcontrib><creatorcontrib>Pez, Ondine</creatorcontrib><creatorcontrib>Husky, Mathilde</creatorcontrib><title>Unmet Need for Specialty Mental Health Services Among Children Across Europe</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources.Methods:Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries.Results:Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, p<.01). Determinants differed between groups—maternal psychological distress was associated with service use in high-resources countries, and gender was associated with service use in low-resources countries.Conclusions:The findings point to a substantial portion of unmet need across Europe and to major differences in access to care in low- versus high-resources countries. Efforts are needed to address unmet need among children with mental disorders, especially in low-resources countries.</description><subject>Child</subject><subject>Child & adolescent mental health</subject><subject>Child Health Services - economics</subject><subject>Child Health Services - statistics & numerical data</subject><subject>Child Health Services - utilization</subject><subject>Children & youth</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Mental Health Services - economics</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Mental Health Services - utilization</subject><subject>Physicians - economics</subject><subject>Physicians - statistics & numerical data</subject><subject>Physicians - utilization</subject><subject>Santé publique et épidémiologie</subject><subject>Schools - statistics & numerical data</subject><subject>Sociodemographics</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9v1DAQxS0EoqXwAbggS1zKIdsZ27Gd42pV2Epbeig9W44zy6bKP-ykUr892W5ZpEo9eWz93hvPPMY-IywQjb7ww1AvhrQQgBpAQfGGnWKem6wwAG_nGkyeCSPhhH1I6R4A0KB-z06ElVoj6lO2uetaGvlPoopv-8hvBwq1b8ZHfk3d6Bu-pvm247cUH-pAiS_bvvvNV7u6qSJ1fBlinxK_nGI_0Ef2buubRJ-ezzN29_3y12qdbW5-XK2Wm8wrlY8ZelUqgEIVZV5WpQi6RC-Ksiqs3MoQgiEdSqukpKqA4FEYMD6EnJQAYyt5xr4dfHe-cUOsWx8fXe9rt15u3P4NhNIohX7AmT0_sEPs_0yURtfWKVDT-I76KTm0VlqFmNsZ_foCve-n2M2TOCykmFdu9d4QD9TT5JG2xx8guH0sbh-LG5I7xjJrvjw7T2VL1VHxL4cZWByAJ-3_tq86_gU8mZZ7</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Kovess-Masfety, Viviane</creator><creator>Van Engelen, Julia</creator><creator>Stone, Lisanne</creator><creator>Otten, Roy</creator><creator>Carta, Mauro Giovanni</creator><creator>Bitfoi, Adina</creator><creator>Koc, Ceren</creator><creator>Goelitz, Dietmar</creator><creator>Lesinskiene, Sigita</creator><creator>Mihova, Zlatka</creator><creator>Fermanian, Christophe</creator><creator>Pez, Ondine</creator><creator>Husky, Mathilde</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><general>American Psychiatric Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20170801</creationdate><title>Unmet Need for Specialty Mental Health Services Among Children Across Europe</title><author>Kovess-Masfety, Viviane ; Van Engelen, Julia ; Stone, Lisanne ; Otten, Roy ; Carta, Mauro Giovanni ; Bitfoi, Adina ; Koc, Ceren ; Goelitz, Dietmar ; Lesinskiene, Sigita ; Mihova, Zlatka ; Fermanian, Christophe ; Pez, Ondine ; Husky, Mathilde</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a445t-1a4b400949b5bdb2c6b1a29bd983f3ccc7e6cb8433ed90ca12707acc5e42078d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Child</topic><topic>Child & adolescent mental health</topic><topic>Child Health Services - economics</topic><topic>Child Health Services - statistics & numerical data</topic><topic>Child Health Services - utilization</topic><topic>Children & youth</topic><topic>Europe - epidemiology</topic><topic>Female</topic><topic>Health Services Needs and Demand - statistics & numerical data</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - therapy</topic><topic>Mental health care</topic><topic>Mental Health Services - economics</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Mental Health Services - utilization</topic><topic>Physicians - economics</topic><topic>Physicians - statistics & numerical data</topic><topic>Physicians - utilization</topic><topic>Santé publique et épidémiologie</topic><topic>Schools - statistics & numerical data</topic><topic>Sociodemographics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kovess-Masfety, Viviane</creatorcontrib><creatorcontrib>Van Engelen, Julia</creatorcontrib><creatorcontrib>Stone, Lisanne</creatorcontrib><creatorcontrib>Otten, Roy</creatorcontrib><creatorcontrib>Carta, Mauro Giovanni</creatorcontrib><creatorcontrib>Bitfoi, Adina</creatorcontrib><creatorcontrib>Koc, Ceren</creatorcontrib><creatorcontrib>Goelitz, Dietmar</creatorcontrib><creatorcontrib>Lesinskiene, Sigita</creatorcontrib><creatorcontrib>Mihova, Zlatka</creatorcontrib><creatorcontrib>Fermanian, Christophe</creatorcontrib><creatorcontrib>Pez, Ondine</creatorcontrib><creatorcontrib>Husky, Mathilde</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kovess-Masfety, Viviane</au><au>Van Engelen, Julia</au><au>Stone, Lisanne</au><au>Otten, Roy</au><au>Carta, Mauro Giovanni</au><au>Bitfoi, Adina</au><au>Koc, Ceren</au><au>Goelitz, Dietmar</au><au>Lesinskiene, Sigita</au><au>Mihova, Zlatka</au><au>Fermanian, Christophe</au><au>Pez, Ondine</au><au>Husky, Mathilde</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unmet Need for Specialty Mental Health Services Among Children Across Europe</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>68</volume><issue>8</issue><spage>789</spage><epage>795</epage><pages>789-795</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources.Methods:Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries.Results:Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, p<.01). Determinants differed between groups—maternal psychological distress was associated with service use in high-resources countries, and gender was associated with service use in low-resources countries.Conclusions:The findings point to a substantial portion of unmet need across Europe and to major differences in access to care in low- versus high-resources countries. Efforts are needed to address unmet need among children with mental disorders, especially in low-resources countries.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>28366116</pmid><doi>10.1176/appi.ps.201600409</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Child Child & adolescent mental health Child Health Services - economics Child Health Services - statistics & numerical data Child Health Services - utilization Children & youth Europe - epidemiology Female Health Services Needs and Demand - statistics & numerical data Humans Life Sciences Male Mental disorders Mental Disorders - epidemiology Mental Disorders - therapy Mental health care Mental Health Services - economics Mental Health Services - statistics & numerical data Mental Health Services - utilization Physicians - economics Physicians - statistics & numerical data Physicians - utilization Santé publique et épidémiologie Schools - statistics & numerical data Sociodemographics |
| title | Unmet Need for Specialty Mental Health Services Among Children Across Europe |
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