Evidence based medicine and evaluation of mental health services: methodological issues and future directions
Archives of Disease in ChildhoodPublished 1 March 1999Open access
Jacqueline Barnes, Alan Stein, William Rosenberg
Citations30
SJR quartileQ1
SJR score0.97
SNIP1.16
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
A recent national survey in England and Wales found that paediatricians are probably treating more emotional and behavioural disorders in children and young people than any other single professional group and that this group of patients comprises one fifth of their referrals.
Keywords
Health ProfessionsBusiness, Management and Accounting
Harvard University Press eBooksThe Ecology of Human Development
24,027 Citations1979Urie Bronfenbrenner
BMJEvidence based medicine: what it is and what it isn't
15,683 Citations1996David L. Sackett, William Rosenberg +3 more
As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is andWhat it is not.
Evaluation: A Systematic Approach
2,952 Citations1979Peter H. Rossi, Mark W. Lipsey +1 more
BMJWhy we need observational studies to evaluate the effectiveness of health care
1,602 Citations1996Nicholas Black
The view is widely held that experimental methods (randomised controlled trials) are the "gold standard" for evaluation and that observational methods have little or no value, but this ignores the limitations of randomised trials.
BMJEvidence based medicine: an approach to clinical problem-solving
1,202 Citations1995William Rosenberg, Alice Donald
Evidence based medicine can be taught to, and practised by, clinicians at all levels of seniority and can be used to close the gulf between good clinical research and clinical practice.
Journal of Child Psychology and PsychiatryComorbidity in Child Psychopathology: Concepts, Issues and Research Strategies
1,061 Citations1991Chantal Caron, Michael Rutter
The importance of comorbidity is shown and it is noted that it is not dealt with optimally in either DSM-III-R or ICD-9.
Development and PsychopathologyChildhood-onset versus adolescent-onset antisocial conduct problems in males: Natural history from ages 3 to 18 years
966 Citations1996Terrie E. Moffitt, Avshalom Caspi +3 more
CriminologyHOW EARLY CAN WE TELL?: PREDICTORS OF CHILDHOOD CONDUCT DISORDER AND ADOLESCENT DELINQUENCY *
384 Citations1990Jennifer L. White, Terrie E. Moffitt +3 more
Journal of Child Psychology and PsychiatryPARENT AND CHILD REPORTS OF DEPRESSIVE SYMPTOMS IN CHILDREN AT LOW AND HIGH RISK OF DEPRESSION
380 Citations1987Adrian Angold, Myrna M. Weissman +6 more
Overall, the children reported more depressive symptoms than their parents reported about them and the overall pattern suggests that parents are relatively insensitive to their children's depressive symptomatology, but their reports show high specificity.
Archives of General PsychiatryLong-term Stimulant Treatment of Children With Attention-Deficit Hyperactivity Disorder Symptoms
349 Citations1997C Gillberg
The results of this long-term, placebo-controlled study of the central stimulant amphetamine in the treatment of ADHD indicate that there are remaining positive effects of the drug 15 months after starting treatment.
JAMAEnhancing the Outcomes of Low-Birth-Weight, Premature Infants
347 Citations1990
At corrected age 36 months, the intervention group had significantly higher mean IQ scores than the follow-up group, and significantly fewer maternally reported behavior problems, and a small, but statistically significant, increase in maternALLY reported minor illnesses for the lighter-birth-weight group only, with no difference in serious health conditions.
JAMAClinical Child Psychology and Psychiatry
337 Citations1997Marcia Slomowitz
The journal Clinical Child Psychology and Psychiatry was established to provide a forum for articles relevant to clinicians who work with children and families, and topics covered in the first three issues are timely and important, including child abuse, suicide, HIV and AIDS in children, and eating disorders.
BMJ Quality & SafetyQualitative methods for assessing health care.
303 Citations1994Ray Fitzpatrick, Mary Boulton
The evaluation of health care and efforts to maintain and improve quality in health care have very largely drawn on quantitative methods.
Archives of General PsychiatryThe Virginia Twin Study of Adolescent Behavioral Development
296 Citations1997Emily Simonoff
The prevalence rates and patterns of findings from this study of twins are consistent with those of other epidemiological studies, supporting previous findings of few differences in rates of psychiatric disorder between twins and singletons.
American PsychologistA continuum of care: More is not always better.
282 Citations1996Leonard Bickman
Archives of General PsychiatryNational Institute of Mental Health Collaborative Multimodal Treatment Study of Children With ADHD (the MTA)
239 Citations1997L. Eugene Arnold
The Collaborative Multimodal Treatment Study of Children with Attention Deficit Hyperactivity Disorder (ADHD), the MTA, is the first child multisite cooperative agreement treatment study of children conducted by the National Institute of Mental Health and compares state-of-the-art treatment with routine community care.
BMJWhy do qualitative research?
216 Citations1995Rachel Jones
In this week's journal Catherine Pope and Nick Mays introduce a series of articles on qualitative research that will describe the characteristics, scope, and applications of qualitative methodologies and, while distinguishing between qualitative and quantitative techniques, will emphasise that the two approaches should be regarded as complementary rather than competitive.
Administration and Policy in Mental Health and Mental Health Services ResearchAdministration and policy in mental health
185 Citations1993Roy W. Menninger
The upshot of these needs for change is both dismaying and exciting, both disturbing in the destruction of long-familiar patterns of dealing with human suffering, and paradoxically hopeful in raising the possibility that significant failures in health care systems of the past may now be addressed more successfully.
BMJSystematic Reviews: Reporting, updating, and correcting systematic reviews of the effects of health care
167 Citations1994Iain Chalmers, Brian Haynes
The large amount of existing evidence that needs to be considered creates a problem for the reporting of systematic reviews: the need to ensure that methods and results of systematic reviews are adequately described has to be reconciled with the limited space available in printed journals.
The Journal of Behavioral Health Services & ResearchExamining the research base for child mental health services and policy
147 Citations1990Barbara J. Burns, Robert M. Friedman
There is a need for a considerable increase in child mental health services research but there has been a recent increase in research that has the potential of building a base to change policy.
PEDIATRICSAbove and Below the Threshold: Severity of Psychiatric Symptoms and Functional Impairment in a Pediatric Sample
109 Citations1992E. Jane Costello, Margaret A. Shugart
In the pediatric sample, most threshold, and all clinical-level disruptive behavior disorders were associated with significant levels of functional impairment, and it is suggested that intervention at low levels of disruptive behavioral symptomatology may be needed if significant functional impairment is to be avoided.
Journal of Child Psychology and PsychiatryCHILDREN WITH PSYCHIATRIC DISORDERS IN PRIMARY CARE
90 Citations1986M. Elena Garralda, D. Bailey
A substantial minority (23%) of children between 7 and 12 years of age attending general practice were found to have psychiatric disorders, and emotional disorder was the most common diagnosis.
Archives of General PsychiatryAdequacy of Interviews vs Checklists for Classifying Childhood Psychiatric Disorder Based on Parent Reports
83 Citations1997Michael H. Boyle
Differences in reliability and validity were small and would appear to have no discernible impact on the knowledge about prevalence and associated features of disorder generated by use of such instruments in general population surveys.
Children & SocietyQualitative Health Research with Children
65 Citations1996Lorraine Ireland, Immy Holloway
The authors of this article identify and discuss some of the practical and ethical issues of qualitative research with children, illustrated through a research study about children's experience of asthma, and the way in which they perceive and interpret their condition.
American PsychologistMore of What? Issues raised by the Fort Bragg study.
49 Citations1997J. R. Weisz, Susan S. Han +1 more
Journal of the American Academy of Child & Adolescent PsychiatryBehavior Therapy with Children and Adolescents: A Twenty-Year Overview
43 Citations1989John S. Werry, Janet P. Wollersheim
It is concluded that behavior therapy has made great progress and has proven applications in child and adolescent disorders but that its precise roles, comparative efficacy, and complementarity to other forms of psychotherapy and other treatments remain to be demonstrated.
Journal of the American Academy of Child & Adolescent PsychiatryFocal Inpatient Treatment Planning
43 Citations1989Gordon Harper
Focal Inpatient Treatment Planning fosters empathy and alliance between the treatment community and the domain of the patient and provides guidelines for its implementation by an inpatient child and adolescent psychiatry service.
Journal of Emotional and Behavioral DisordersThe Challenges Of Child Mental Health Services Research
39 Citations1994Barbara J. Burns
Challenges facing child mental health services research in its context as a recently developed field of research are presented and recommendations for considering issues of design and measurement in future research are discussed.
Clinical Psychology ReviewEvaluation planning for an innovative children's mental health system
37 Citations1992Leonard Bickman, Craig Anne Heflinger +2 more
An evaluation of an innovative mental health system for children and adolescents in North Carolina is described, designed to evaluate the implementation, service quality, clinical outcomes, and costs of this new system of care.
Clinical Child Psychology and PsychiatryPromoting Evidence-Based Practice in Child Protection
35 Citations1998Geraldine Macdonald
Journal of Public HealthSystematic literature review: outcome measures for child and adolescent mental health services
34 Citations1996Jennifer Hunter, Irene J Higginson +1 more
No single tool is suitable for use as a comprehensive outcome measurement tool in routine clinical practice, and a combination of some of the tools short-listed will cover all the necessary outcome items, however, the increase in assessment time will reduce clinical usefulness.
Children & SocietyQualitative Health Research with Children
30 Citations1996Lorraine Ireland, Immy Holloway
International Journal of Clinical PracticeThe body‐worn alarm in the treatment of childhood enuresis
30 Citations1990R. J. Butler, W. I. Forsythe +1 more
Two studies examined the effectiveness of the body‐worn alarm in out‐patient treatment of childhood nocturnal enuresis and compared it with modified dry‐bed training with 48 children previously resistant to treatment.
The Five-Tiered Approach to Evaluation: Context and Implementation
28 Citations2017Francine Jacobs
American PsychologistThe Fort Bragg demonstration and evaluation.
28 Citations1997Saúl Feldman
The negative conclusions were almost inevitable given the way in which the demonstration's mental health services were structured and provided, and the major issues raised by Bickman 's (1996) study are not so much about how it was done but rather about what was studied.
Pediatric Clinics of North AmericaA Preventive Context for Enuresis
25 Citations1986Patrick C. Friman
Prevention of enuresis has not been studied directly, but positive results from a randomized clinical trial evaluating early intervention for children at risk for enureis would establish the value of prevention and help to promote its practice.
New Directions for Program EvaluationDesigning outcome evaluations for children's mental health services: Improving internal validity
17 Citations1992Leonard Bickman
Studies of children's mental health services have suffered from low internal validity, and suggestions are provided on ways to improve the design of future evaluations.
Administration and Policy in Mental Health and Mental Health Services ResearchMulti-stage evaluation for a community mental health system for children
15 Citations1993Krista Kutash, Albert J. Duchnowski +2 more
A model is presented for developing an evaluation of community mental health systems of care for children, and the system changes that may occur due to the operation of a community-based system of care are analyzed.
Child Care Health and DevelopmentPathways to a child mental health service
12 Citations1995Justine Godfrey
The mothers of 46 children who had been assessed by staff from a child mental health service were interviewed about the process by which they had come to be referred, and the sequence of contacts with agencies was described.
Child Care Health and DevelopmentPromoting inter‐agency collaborátion in child services
8 Citations1993Roger Bradford
The protocol, types of children referred and the recommendations made by the team suggest that a MACT does have a role to play in developing high quality services.
Archives of Disease in ChildhoodTypes of psychiatric treatment: overview.
5 Citations1992Philip Graham
The aim of this series is to provide paediatricians with information about therapeutic approaches used in departments of child and adolescent psychiatry, so that information can be seen not just as having general educational value, but also as having clinical value.
Using an Impact Evaluation Model with Too-Early-Childbearing Programs
1 Citations2017Deborah Klein Walker, Anita M. Mitchell