Children's Mental Health Service Needs and Utilization Patterns in an Urban Community: An Epidemiological Assessment
Journal of the American Academy of Child & Adolescent PsychiatryPublished 1 September 1992Open access
Gwendolyn E. P. Zahner, Walter Pawelkiewicz, John J. DeFrancesco, Jean Adnopoz
Citations200
SJR quartileQ1
SJR score3.00
SNIP2.88
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The findings illustrate the importance of interagency collaboration and the need to consider reports of parents and teachers and different dimensions of psychopathology in future planning and research.
Abstract
To assess children's mental health service needs and utilization patterns for a state planning effort, a cross-sectional survey that sampled 822 children aged 6 to 11 of a metropolitan center was conducted. When reports of parents and teachers were combined, 38.5% of children were screened to be at risk of psychiatric disturbance. Only 11% of children at risk received treatment in mental health settings, fewer than in schools (37%) or medical settings (13%). The findings illustrate the importance of interagency collaboration and the need to consider reports of parents and teachers and different dimensions of psychopathology in future planning and research.
Keywords
PsychologySocial Sciences
Psychological BulletinChild/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.
5,353 Citations1987Thomas M. Achenbach, Stephanie H. McConaughy +1 more
Etude de la coherence entre differentes sources (269 echantillons utilisees dans 119 etudes) concernant les evaluations des problemes affectifs et comportementaux d'enfants et d'adolescents âges de 1 1/2 a 19 ans.
Monographs of the Society for Research in Child DevelopmentBehavioral Problems and Competencies Reported by Parents of Normal and Disturbed Children Aged Four Through Sixteen
1,690 Citations1981Thomas M. Achenbach, Craig Edelbrock
Age showed more and larger differences than the other demographic variables, but these differences were dwarfed by differences related to referral status, and referal status accounted for more variance in total behavior problem and social competence scores than in the scores for any single item.
Archives of General PsychiatryOntario Child Health Study
1,055 Citations1987David R. Offord
The utilization data indicated that children with these psychiatric disorders, compared with children without these disorders, were almost four times more likely to have received mental health or social services in the six months preceding this study.
American Journal of EpidemiologyESTIMATING PREVALENCE FROM THE RESULTS OF A SCREENING TEST
987 Citations1978Walter J. Rogan, Beth C. Gladen
A common use of tests is to estimate prevalence of disease; frequency of positive tests is shown to be a bad estimate, and the necessary adjustmants are given.
The British Journal of PsychiatryAttainment and Adjustment in Two Geographical Areas
771 Citations1975Michael Rutter, Antony Cox +3 more
There was a true excess of behavioural deviance and psychiatric disorder in ILB children and the high rate of disorder applied to inner London as a whole (although it varied somewhat from division to division) and was not specific to the borough studied.
Archives of General PsychiatryEstimnates of the Prevalence of Childhood Maladjustment in a Community Survey in Puerto Rico
720 Citations1988Héctor Bird
A two-stage epidemiologic survey was carried out on a probability sample of the population aged 4 through 16 years in Puerto Rico, and data were provided on the demographic correlates of maladjustment and on the comorbidity of DSM-III diagnostic domains.
Archives of General PsychiatryPsychiatric Disorders in Pediatric Primary Care
455 Citations1988E. Jane Costello
Children aged 7 to 11 years visiting their primary care pediatrician for a wide range of reasons were studied to determine the one-year prevalence of DSM-III disorders and the risk factors associated with them.
Journal of Abnormal Child PsychologyValidity of the NIMH Diagnostic Interview Schedule for Children: A comparison between psychiatric and pediatric referrals
396 Citations1985E. Jane Costello, Craig Edelbrock +1 more
The results support the validity of the DISC-P, and to a lesser extent that of theDISC-C, in discriminating psychiatric from pediatric referrals, at the level of both symptoms and severe diagnoses, but not at the mild/moderate level of diagnosis.
Journal of the American Academy of Child & Adolescent PsychiatryDEVELOPMENTS IN CHILD PSYCHIATRIC EPIDEMIOLOGY
363 Citations1989John E. Schowalter, E. Jane Costello
Les etudes se basent generalement sur the categorisation du DSM III (3eme edition du Manuel Statistique et Diagnostique des troubles mentaux) sur les facteurs de risques en psychopathologie de l'enfance.
Journal of the American Academy of Child & Adolescent PsychiatryThe Pediatrician as Gatekeeper to Mental Health Care for Children: Do Parents' Concerns Open the Gate?
183 Citations1990Mina K. Dulcan, E. Jane Costello +4 more
Examination of factors which influence the likelihood that a pediatrician will identify a psychiatric problem and refer an identified child to a mental health specialist for further evaluation and treatment found parental level of distress, family psychiatric history, and discussion of parental concerns with the pediatrician important.
PEDIATRICSPsychosocial and Psychosomatic Diagnoses in Primary Care of Children
165 Citations1980Bárbara Starfield, Edward Gross +7 more
American Journal of OrthopsychiatryThe city and the child.
149 Citations1981Michael Rutter
The incidence of psychosocial problems of various kinds tends to be much higher in the inner cities than in areas of small towns or in rural communities, and the mechanisms likely to contribute to this difference are explored.
American PsychologistPsychology and rural America: Current status and future directions.
114 Citations1991J. Dennis Murray, P. Keller
Psychologists are needed to practice in rural areas and to help develop effective rural service models and to support the development of state and federal policies that address rural needs.
Journal of the American Academy of Child & Adolescent PsychiatryChild Psychiatric Diagnosis by Computer Algorithm: Theoretical Issues and Empirical Tests
112 Citations1987Patricia Cohen, NOEMI VELEZ +3 more
The empirical evidence suggests that DSM-III-R diagnoses that incorporate population norm-referenced measures of diagnostic certainty are more valid than the currently standard method of scoring the DISC and DISC-P diagnostic interviews.
PEDIATRICSThe Role of the Pediatrician in the Delivery of Mental Health Services to Children
84 Citations1979Irving D. Goldberg, Darrel A. Regier +3 more
The frequency of mental health problems observed by the pediatricians was about five times the annual rate of Monroe County children contacting a psychiatric inpatient or outpatient setting.
Journal of the American Academy of Child & Adolescent PsychiatryUse of the Child Behavior Checklist as a Screening Instrument for Epidemiological Research in Child Psychiatry: Results of a Pilot Study
69 Citations1987Héctor Bird, Glorisa Canino +6 more
A pilot study was conducted prior to the initiation of a two-stage epidemiological field survey in Puerto Rico in which the CBCL will be used as a screening instrument, and it was found to be more effective when the concept of “caseness” was expanded to include a measure of severity of impairment.
Medical CareFactors Affecting Children??s Use of Physician Services in a Prepaid Group Practice
65 Citations1978Richard C. Tessler, David Mechanic
Some evidence is provided in support of the view that physician utilization for children is affected by characteristics of the mother, as well as the child's age and health status, and distress was more important in explaining extent of use than accounting for whether utilization occurred at all.
PEDIATRICSPHYSICIANS' RECOGNITION OF COMPLAINTS MADE BY PARENTS ABOUT THEIR CHILDREN'S HEALTH
60 Citations1969Bárbara Starfield, Shirley Borkowf
In the course of a routine screening program for indigent school-age children carried out in an ambulatory hospital clinic, 40% of the mothers spontaneously recorded a concern about a child's health.
PEDIATRICSHealth Care Use by Children Receiving Mental Health Services
44 Citations1990Kelly J. Kelleher, Bárbara Starfield
Future studies should include some measure of case mix as a potentially important variable in assessment of mental health treatment effects, because the reasons for this may be particular morbidity patterns in these children.
PEDIATRICSThe New Morbidity: Use of School and Community Health Care Resources for Behavioral, Educational, and Social-Family Problems
41 Citations1981Philip R. Nader, L. Ray +1 more
The data suggest that this portion of the school-aged population places a significant demand for health care resources on both community and school sites, and supports the need for training of physicians in the care and prevention of such problems.