Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care.

Details

Serval ID
serval:BIB_8341B3791D5E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Systematic identification and stratification of help-seeking school-aged youth with mental health problems: a novel approach to stage-based stepped-care.
Journal
European child & adolescent psychiatry
Author(s)
Wolf R.T., Puggaard L.B., Pedersen MMA, Pagsberg A.K., Silverman W.K., Correll C.U., Plessen K.J., Neumer S.P., Gyrd-Hansen D., Thastum M., Bilenberg N., Thomsen P.H., Jeppesen P.
ISSN
1435-165X (Electronic)
ISSN-L
1018-8827
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
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.
Keywords
Children and adolescents, Mental health problems, Mental health services, Stage-based stepped-care, Visitation, Youth
Pubmed
Web of science
Open Access
Yes
Create date
26/01/2021 14:51
Last modification date
16/02/2021 7:26
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