Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T06:51:38.789Z Has data issue: false hasContentIssue false

Use of mental health services and unmet needs for socially-at-risk. Spanish children and adolescents

Published online by Cambridge University Press:  11 April 2011

Lourdes Ezpeleta
Affiliation:
Departament de Psicologia Clínica i de la Salut Edifici B Universitat Autònoma de Barcelona 08193 Bellaterra, Barcelona (Spain) Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament Universitat Autònoma de Barcelona
Roser Granero
Affiliation:
Departament de Psicologia Clínica i de la Salut Edifici B Universitat Autònoma de Barcelona 08193 Bellaterra, Barcelona (Spain) Departament de Psicobiologia i Metodologia de les Ciències de la Salut Universitat Autònoma de Barcelona
Núria de la Osa
Affiliation:
Departament de Psicologia Clínica i de la Salut Edifici B Universitat Autònoma de Barcelona 08193 Bellaterra, Barcelona (Spain) Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament Universitat Autònoma de Barcelona
Josep M. Domènech
Affiliation:
Departament de Psicologia Clínica i de la Salut Edifici B Universitat Autònoma de Barcelona 08193 Bellaterra, Barcelona (Spain) Departament de Psicobiologia i Metodologia de les Ciències de la Salut Universitat Autònoma de Barcelona
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Reported one-year prevalence of service use due to mental disorders in children and adolescents from the general population varies according to country, organization of services, and services considered. Among factors associated with use of services, the literature lists parental and school personnel's perception of problems, having a psychiatric diagnosis (especially externalizing), symptom severity, comorbid disorders, functional impairment, family burden, family environment or being a boy (Cabiya et al., 2006; Farmer et al., 2003; Sayal, 2004). A better understanding of these factors may help to optimize access to services of children needing help.

Type
Letters to the Editor
Copyright
Copyright © Cambridge University Press 2009

References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th ed. American Psychiatric Association: Washington DC.Google Scholar
Angold, A., Erkanli, A., Egger, H.L. & Costello, E.J. (2000). Stimulant treatment for children: a community perspective. Journal of the American Academy of Child and Adolescent Psychiatry 39, 975984.CrossRefGoogle ScholarPubMed
Ayuso, J., Vazquez, J., Dowrick, C., Lehtinen, V., Dalgard, O., Casey, P., Wilkinson, C., Lasa, L.Page, H., Dunn, G., Wilkinson, G. & Odin, Group (2001). Depressive disorders in Europe: prevalence figures from the ODIN study. British Journal of Psychiatry 179, 308316.Google Scholar
Cabiya, J.A., Canino, G. & Chavez, L. (2006). Gender disparities in mental health service use of Puerto Rican children and adolescents. Journal of Child Psychology and Psychiatry 47, 840848.CrossRefGoogle ScholarPubMed
Costello, E.J., Farmer, E.M.Z., Angold, A., Burns, B.J. & Erkanli, A. (1997). Psychiatric disorders among American Indian and White youth in Appalachia: The Great Smoky Mountains study. American Journal of Public Health 87, 827832.Google Scholar
Ezpeleta, L., de la Osa, N., Júdez, J., Doménech, J.M., Navarro, J.B. & Losilla, J.M. (1997). Diagnostic agreement between clinician and the Diagnostic Interview for Children and Adolescents – DICA-R in a Spanish outpatient sample. Journal of Child Psychology and Psychiatry 38, 431440.Google Scholar
Ezpeleta, L., Granero, R. & de la Osa, N. (1999). Evaluación del deterioro en niños y adolescentes a través de la Children's Global Assessment Scale (CGAS). Revista de Psiquiatría Infanto-Juvenil 1, 1826.Google Scholar
Ezpeleta, L., Granero, R., de la Osa, N. & Guillamon, N. (2000). Predictors of functional impairment in children and adolescents. Journal of Child Psychology and Psychiatry 41, 793801.Google Scholar
Ezpeleta, L., Guillamón, N., Granero, R., de la Osa, N., Doménech, J.M. & Moya, I. (2007). Prevalence of mental disorders in children and adolescents from a Spanish slum. Social Science & Medicine 64, 842849.CrossRefGoogle ScholarPubMed
Ezpeleta, L., Granero, R., De la Osa, N. & Doménech, J.M. (2008). Risk factor clustering for psychopathology in socially at-risk Spanish children. Social Psychiatry and Psychiatric Epidemiology 43, 559568.Google Scholar
Farmer, E., Burns, B.J., Phillips, S.D., Angold, A. & Costello, E.J. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services 54, 6066.CrossRefGoogle ScholarPubMed
Goodman, S., Hoven, C., Narrow, W., Cohen, P., Fielding, B., Alegria, M., Leaf, P.J., Kandel, D., Horwitz, S.M., Bravo, M., Moore, R. & Dulcan, M.K. (1998). Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: the National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental disorders (MECA). Social Psychiatry & Psychiatric Epidemiology 33, 162173.CrossRefGoogle Scholar
Granero, R., Ezpeleta, L. & Doménech, J.M. (2007). Features associated with non-participation and abandonment in mental health epidemiological designs of socially-at-risk children and adolescents. Social Psychiatry & Psychiatric Epidemiology 42, 251258.Google Scholar
Hartung, C.M., Willcutt, E.G., Lahey, B.B., Pelham, W.E., Loney, J., Stein, M.A. & Keenan, K. (2002). Sex differences in young children who meet criteria for Attention Deficit Hyperactivity Disorder. Journal of Clinical Child and Adolescent Psychology 31, 453464.Google Scholar
Hollingshead, A.B. (1975). Four Factor Index of Social Status. Unpublished manuscript. Yale University, Department of Sociology: New Haven, CT.Google Scholar
Kataoka, S.H., Zhang, L. & Wells, K.B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry 159, 15481555.Google Scholar
Kerkorian, D., McKay, M. & Bannon, W.M. (2006). Seeking help a second time: Parents'/Caregivers’ characterizations of previous experiences with mental health services for their children and perceptions of barriers to future use. American Journal of Orthopsychiatry 76, 161166.Google Scholar
Nelson, C.H. & Park, J. (2006). The nature and correlates of unmet health care needs in Ontario, Canada. Social Science & Medicine 62, 22912300.Google Scholar
Reich, W. (2000). Diagnostic Interview for Children and Adolescents (DICA). Journal of the American Academy of Child and Adolescent Psychiatry 39, 5966.Google Scholar
Sayal, K. (2004). The role of parental burden in child mental health service use: Longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry 43, 13281333.Google Scholar
Sayal, K. (2006). Annotation: Pathways to care for children with mental health problems Journal of Child Psychology and Psychiatry 47, 649659.Google Scholar
Shaffer, D., Gould, M.S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H. & Aluwahlia, S. (1983). A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry 40, 12281231.Google Scholar
Thompson, R. & May, M.A. (2006). Caregivers’ perceptions of child mental health needs and service utilization: An urban 8-year old sample. Journal of Behavioral Health Services & Research 33, 474482.CrossRefGoogle ScholarPubMed
Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament. (1997). Protocolo de Factores de Riesgo. Versión para padres.Unpublished manuscript, Barcelona.Google Scholar
Wu, P., Hoven, C.W., Bird, H.R., Moore, R.E., Cohen, P., Alegria, M., Dulcan, M.K., Goodman, S.H., Horwitz, S.M., Lichtman, J.H., Narrow, W.E., Rae, D.S., Regier, D.A. & Roper, M.T. (1999). Depressive and disruptive disorders and mental health service utilization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 38, 10811090.Google Scholar