1. Unmet Need for Specialty Mental Health Services Among Children Across Europe
- Author
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Viviane Kovess-Masfety, Christophe Fermanian, Adina Bitfoi, Dietmar Goelitz, Roy Otten, Zlatka Mihova, Mathilde M. Husky, Sigita Lesinskiene, Ceren Koç, Lisanne L. Stone, Mauro Giovanni Carta, Ondine Pez, Julia Van Engelen, École des Hautes Études en Santé Publique [EHESP] (EHESP), Unité de recherche clinique, and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Ambroise Paré [AP-HP]
- Subjects
Male ,Mental Health Services ,medicine.medical_specialty ,Child psychiatry/general ,Child Health Services ,Specialty ,Poison control ,Access to care ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Physicians ,Injury prevention ,medicine ,Humans ,0501 psychology and cognitive sciences ,Psychiatry ,Child ,Determinants ,Health Services Needs and Demand ,Schools ,business.industry ,Mental Disorders ,05 social sciences ,Human factors and ergonomics ,Strengths and Difficulties Questionnaire ,Mental health ,030227 psychiatry ,Mental health systems/hospitals ,Europe ,Psychiatry and Mental health ,Female ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business ,Developmental Psychopathology ,050104 developmental & child psychology ,Unmet need - Abstract
Item does not contain fulltext Objective:The aim of this study was to examine the determinants of use of mental health services for children across Europe, with a specific focus on differences in the availability of mental health resources. Methods: Data were drawn from the School Children Mental Health in Europe Project. Parent- and teacher-reported child mental health status was based on the Strengths and Difficulties Questionnaire. Sociodemographic characteristics of parents and children, as well as academic performance and use of mental health services in the previous 12 months, were collected. Countries were categorized as having high versus low mental health resources. The sample comprised 4,894 schoolchildren in seven countries. Results: Across Europe, only 25.6% of children with a mental disorder had received mental health services in the previous 12 months, including 31.5% in high-resources countries and 18.9% in low-resources countries (p=.001) (N=4,867). The presence of any mental disorder, maternal psychological distress, gender, living in a single-parent home, and low academic performance were determinants of service use. The effect of resources group on the likelihood of receiving services remained significant when the analyses controlled for all predictors (odds ratio=1.41, p
- Published
- 2017