Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil
Objective:The study examined lifetime use of mental health services among children diagnosed as having mental disorders in two major cities in Brazil and identified characteristics associated with unmet need.Methods:The data were collected as part of the High Risk Cohort Study, a community study con...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2019-04, Vol.70 (4), p.337-341 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Fatori, Daniel Salum, Giovanni Abrahão Rohde, Luis Augusto Pan, Pedro Mario Bressan, Rodrigo Evans-Lacko, Sara Polanczyk, Guilherme Miguel, Euripedes Constantino Graeff-Martins, Ana Soledade |
| description | Objective:The study examined lifetime use of mental health services among children diagnosed as having mental disorders in two major cities in Brazil and identified characteristics associated with unmet need.Methods:The data were collected as part of the High Risk Cohort Study, a community study conducted in Sao Paulo and Porto Alegre, Brazil. During the period from 2010 to 2011, a total of 2,511 children ages 6 to 12 were assessed, and 652 were given a diagnosis of at least one mental disorder. The current study analyzed data for a subsample of 651 children with complete information on use of mental health services.Results:Eighty-one percent of the children with mental disorders had not received mental health treatment in the past. The majority who received treatment were treated with psychotherapy or a combination of psychotherapy and medication. Mixed-race children were significantly more likely to have unmet need for treatment, compared with white children.Conclusions:The high rate of unmet need among children with mental disorders should be addressed with strategies to improve access to health care. |
| doi_str_mv | 10.1176/appi.ps.201800389 |
| format | Article |
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During the period from 2010 to 2011, a total of 2,511 children ages 6 to 12 were assessed, and 652 were given a diagnosis of at least one mental disorder. The current study analyzed data for a subsample of 651 children with complete information on use of mental health services.Results:Eighty-one percent of the children with mental disorders had not received mental health treatment in the past. The majority who received treatment were treated with psychotherapy or a combination of psychotherapy and medication. Mixed-race children were significantly more likely to have unmet need for treatment, compared with white children.Conclusions:The high rate of unmet need among children with mental disorders should be addressed with strategies to improve access to health care.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201800389</identifier><identifier>PMID: 30651056</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Antipsychotic Agents - therapeutic use ; Brazil ; Child ; Child & adolescent mental health ; Children & youth ; Cities ; Cohort Studies ; Female ; Health Services Accessibility ; Health Services Needs and Demand ; Health services utilization ; Humans ; Logistic Models ; Male ; Mental disorders ; Mental Disorders - therapy ; Mental health care ; Mental Health Services - statistics & numerical data ; Multivariate Analysis ; Patient Acceptance of Health Care - statistics & numerical data ; Psychotherapy - methods</subject><ispartof>Psychiatric services (Washington, D.C.), 2019-04, Vol.70 (4), p.337-341</ispartof><rights>Copyright © 2019 by the American Psychiatric Association 2019</rights><rights>Copyright American Psychiatric Publishing, Inc. Apr 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a411t-ac083652207be2d136b80c92ad33010d50c2b939b4c42a1922947901ff07b90e3</citedby><cites>FETCH-LOGICAL-a411t-ac083652207be2d136b80c92ad33010d50c2b939b4c42a1922947901ff07b90e3</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.201800389$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201800389$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>315,782,786,2857,21633,21634,21635,27931,27932,77802,77807</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30651056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fatori, Daniel</creatorcontrib><creatorcontrib>Salum, Giovanni Abrahão</creatorcontrib><creatorcontrib>Rohde, Luis Augusto</creatorcontrib><creatorcontrib>Pan, Pedro Mario</creatorcontrib><creatorcontrib>Bressan, Rodrigo</creatorcontrib><creatorcontrib>Evans-Lacko, Sara</creatorcontrib><creatorcontrib>Polanczyk, Guilherme</creatorcontrib><creatorcontrib>Miguel, Euripedes Constantino</creatorcontrib><creatorcontrib>Graeff-Martins, Ana Soledade</creatorcontrib><title>Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:The study examined lifetime use of mental health services among children diagnosed as having mental disorders in two major cities in Brazil and identified characteristics associated with unmet need.Methods:The data were collected as part of the High Risk Cohort Study, a community study conducted in Sao Paulo and Porto Alegre, Brazil. During the period from 2010 to 2011, a total of 2,511 children ages 6 to 12 were assessed, and 652 were given a diagnosis of at least one mental disorder. The current study analyzed data for a subsample of 651 children with complete information on use of mental health services.Results:Eighty-one percent of the children with mental disorders had not received mental health treatment in the past. The majority who received treatment were treated with psychotherapy or a combination of psychotherapy and medication. Mixed-race children were significantly more likely to have unmet need for treatment, compared with white children.Conclusions:The high rate of unmet need among children with mental disorders should be addressed with strategies to improve access to health care.</description><subject>Antipsychotic Agents - therapeutic use</subject><subject>Brazil</subject><subject>Child</subject><subject>Child & adolescent mental health</subject><subject>Children & youth</subject><subject>Cities</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Health Services Needs and Demand</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - therapy</subject><subject>Mental health care</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Multivariate Analysis</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Psychotherapy - methods</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1OwzAURi0EglJ4ABZkiYUl4V47ieMRwk-RihgAMaHISRzhKk2CnYLK0-PSwoDE5Cvfcz5bHyFHCCGiSM5U35uwdyEDTAF4KrfICONYBFIAbPsZRBwwwWGP7Ds3AwAUmOySPQ5JjBAnI_Ly5DTtanqn20E1dKJVM7zSB23fTakdLZY0ezVNZXVLn43fbLhL4zpbaeuoaenjR0fv1KyzNDOD0d93F1Z9muaA7NSqcfpwc47J0_XVYzYJpvc3t9n5NFAR4hCoElKexIyBKDSrkCdFCqVkquIcEKoYSlZILouojJhCyZiMhASsay9I0HxMTte5ve3eFtoN-dy4UjeNanW3cDlDISNgqZQePfmDzrqFbf3vcsaQI0tEnHgK11RpO-esrvPemrmyyxwhX3Wfr7rPey_9dO-d403yopjr6tf4KdsD4Rr4dn-f_T_xC-fpjPk</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Fatori, Daniel</creator><creator>Salum, Giovanni Abrahão</creator><creator>Rohde, Luis Augusto</creator><creator>Pan, Pedro Mario</creator><creator>Bressan, Rodrigo</creator><creator>Evans-Lacko, Sara</creator><creator>Polanczyk, Guilherme</creator><creator>Miguel, Euripedes Constantino</creator><creator>Graeff-Martins, Ana Soledade</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</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></search><sort><creationdate>20190401</creationdate><title>Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil</title><author>Fatori, Daniel ; Salum, Giovanni Abrahão ; Rohde, Luis Augusto ; Pan, Pedro Mario ; Bressan, Rodrigo ; Evans-Lacko, Sara ; Polanczyk, Guilherme ; Miguel, Euripedes Constantino ; Graeff-Martins, Ana Soledade</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a411t-ac083652207be2d136b80c92ad33010d50c2b939b4c42a1922947901ff07b90e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Antipsychotic Agents - therapeutic use</topic><topic>Brazil</topic><topic>Child</topic><topic>Child & adolescent mental health</topic><topic>Children & youth</topic><topic>Cities</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Health Services Accessibility</topic><topic>Health Services Needs and Demand</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - therapy</topic><topic>Mental health care</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Multivariate Analysis</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Psychotherapy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fatori, Daniel</creatorcontrib><creatorcontrib>Salum, Giovanni Abrahão</creatorcontrib><creatorcontrib>Rohde, Luis Augusto</creatorcontrib><creatorcontrib>Pan, Pedro Mario</creatorcontrib><creatorcontrib>Bressan, Rodrigo</creatorcontrib><creatorcontrib>Evans-Lacko, Sara</creatorcontrib><creatorcontrib>Polanczyk, Guilherme</creatorcontrib><creatorcontrib>Miguel, Euripedes Constantino</creatorcontrib><creatorcontrib>Graeff-Martins, Ana Soledade</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><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fatori, Daniel</au><au>Salum, Giovanni Abrahão</au><au>Rohde, Luis Augusto</au><au>Pan, Pedro Mario</au><au>Bressan, Rodrigo</au><au>Evans-Lacko, Sara</au><au>Polanczyk, Guilherme</au><au>Miguel, Euripedes Constantino</au><au>Graeff-Martins, Ana Soledade</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>70</volume><issue>4</issue><spage>337</spage><epage>341</epage><pages>337-341</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:The study examined lifetime use of mental health services among children diagnosed as having mental disorders in two major cities in Brazil and identified characteristics associated with unmet need.Methods:The data were collected as part of the High Risk Cohort Study, a community study conducted in Sao Paulo and Porto Alegre, Brazil. During the period from 2010 to 2011, a total of 2,511 children ages 6 to 12 were assessed, and 652 were given a diagnosis of at least one mental disorder. The current study analyzed data for a subsample of 651 children with complete information on use of mental health services.Results:Eighty-one percent of the children with mental disorders had not received mental health treatment in the past. The majority who received treatment were treated with psychotherapy or a combination of psychotherapy and medication. Mixed-race children were significantly more likely to have unmet need for treatment, compared with white children.Conclusions:The high rate of unmet need among children with mental disorders should be addressed with strategies to improve access to health care.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>30651056</pmid><doi>10.1176/appi.ps.201800389</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Antipsychotic Agents - therapeutic use Brazil Child Child & adolescent mental health Children & youth Cities Cohort Studies Female Health Services Accessibility Health Services Needs and Demand Health services utilization Humans Logistic Models Male Mental disorders Mental Disorders - therapy Mental health care Mental Health Services - statistics & numerical data Multivariate Analysis Patient Acceptance of Health Care - statistics & numerical data Psychotherapy - methods |
| title | Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil |
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