Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care
We investigated whether a novel visitation model for school-aged youth with mental health problems based on a stage-based stepped-care approach facilitated a systematic identification and stratification process without problems with equity in access. The visitation model was developed within the con...
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| Veröffentlicht in: | European child & adolescent psychiatry 2022-05, Vol.31 (5), p.781-793 |
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| creator | Wolf, Rasmus Trap Puggaard, Louise Berg Pedersen, Mette Maria Agner Pagsberg, Anne Katrine Silverman, Wendy K. Correll, Christoph U. Plessen, Kerstin Jessica Neumer, Simon-Peter Gyrd-Hansen, Dorte Thastum, Mikael Bilenberg, Niels Thomsen, Per Hove Jeppesen, Pia |
| description | We investigated whether a novel visitation model for school-aged youth with mental health problems based on a stage-based stepped-care approach facilitated a systematic identification and stratification process without problems with equity in access. The visitation model was developed within the context of evaluating a new transdiagnostic early treatment for youth with anxiety, depressive symptoms, and/or behavioural problems. The model aimed to identify youth with mental health problems requiring an intervention, and to stratify the youth into three groups with increasing severity of problems. This was accomplished using a two-phase stratification process involving a web-based assessment and a semi-structured psychopathological interview of the youth and parents. To assess problems with inequity in access, individual-level socioeconomic data were obtained from national registers with data on both the youth participating in the visitation and the background population. Altogether, 573 youth and their parents took part in the visitation process. Seventy-five (13%) youth had mental health problems below the intervention threshold, 396 (69%) were deemed eligible for the early treatment, and 52 (9%) had symptoms of severe mental health problems. Fifty (9%) youth were excluded for other reasons. Eighty percent of the 396 youth eligible for early treatment fulfilled criteria of a mental disorder. The severity of mental health problems highlights the urgent need for a systematic approach. Potential problems in reaching youth of less resourceful parents, and older youth were identified. These findings can help ensure that actions are taken to avoid equity problems in future mental health care implementations. |
| doi_str_mv | 10.1007/s00787-021-01718-5 |
| format | Article |
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The visitation model was developed within the context of evaluating a new transdiagnostic early treatment for youth with anxiety, depressive symptoms, and/or behavioural problems. The model aimed to identify youth with mental health problems requiring an intervention, and to stratify the youth into three groups with increasing severity of problems. This was accomplished using a two-phase stratification process involving a web-based assessment and a semi-structured psychopathological interview of the youth and parents. To assess problems with inequity in access, individual-level socioeconomic data were obtained from national registers with data on both the youth participating in the visitation and the background population. Altogether, 573 youth and their parents took part in the visitation process. Seventy-five (13%) youth had mental health problems below the intervention threshold, 396 (69%) were deemed eligible for the early treatment, and 52 (9%) had symptoms of severe mental health problems. Fifty (9%) youth were excluded for other reasons. Eighty percent of the 396 youth eligible for early treatment fulfilled criteria of a mental disorder. The severity of mental health problems highlights the urgent need for a systematic approach. Potential problems in reaching youth of less resourceful parents, and older youth were identified. These findings can help ensure that actions are taken to avoid equity problems in future mental health care implementations.</description><identifier>ISSN: 1018-8827</identifier><identifier>ISSN: 1435-165X</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-021-01718-5</identifier><identifier>PMID: 33459884</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Access ; Behavior problems ; Child & adolescent psychiatry ; Child and Adolescent Psychiatry ; Health care ; Health problems ; Help seeking behavior ; Individual differences ; Inequality ; Internet ; Intervention ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Mental health services ; National registers ; Original Contribution ; Parents & parenting ; Psychiatry ; Psychology: 260 ; Psychopathology ; Psykologi: 260 ; Samfunnsvitenskap: 200 ; Severity ; Social science: 200 ; Socioeconomic factors ; Stratification ; Symptoms ; VDP ; Visitation ; Youth</subject><ispartof>European child & adolescent psychiatry, 2022-05, Vol.31 (5), p.781-793</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Seventy-five (13%) youth had mental health problems below the intervention threshold, 396 (69%) were deemed eligible for the early treatment, and 52 (9%) had symptoms of severe mental health problems. Fifty (9%) youth were excluded for other reasons. Eighty percent of the 396 youth eligible for early treatment fulfilled criteria of a mental disorder. The severity of mental health problems highlights the urgent need for a systematic approach. Potential problems in reaching youth of less resourceful parents, and older youth were identified. These findings can help ensure that actions are taken to avoid equity problems in future mental health care implementations.</description><subject>Access</subject><subject>Behavior problems</subject><subject>Child & adolescent psychiatry</subject><subject>Child and Adolescent Psychiatry</subject><subject>Health care</subject><subject>Health problems</subject><subject>Help seeking behavior</subject><subject>Individual differences</subject><subject>Inequality</subject><subject>Internet</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>National registers</subject><subject>Original Contribution</subject><subject>Parents & parenting</subject><subject>Psychiatry</subject><subject>Psychology: 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| identifier | ISSN: 1018-8827 |
| ispartof | European child & adolescent psychiatry, 2022-05, Vol.31 (5), p.781-793 |
| issn | 1018-8827 1435-165X 1435-165X |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); NORA - Norwegian Open Research Archives; SpringerLink Journals; Sociological Abstracts |
| subjects | Access Behavior problems Child & adolescent psychiatry Child and Adolescent Psychiatry Health care Health problems Help seeking behavior Individual differences Inequality Internet Intervention Medicine Medicine & Public Health Mental depression Mental disorders Mental health Mental health care Mental health services National registers Original Contribution Parents & parenting Psychiatry Psychology: 260 Psychopathology Psykologi: 260 Samfunnsvitenskap: 200 Severity Social science: 200 Socioeconomic factors Stratification Symptoms VDP Visitation Youth |
| title | Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care |
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