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Evaluation of practice nurses' management of paediatric psychosocial problems in general practice.
- Source :
- Journal of Public Health; Jun2024, Vol. 46 Issue 2, pe261-e268, 8p
- Publication Year :
- 2024
-
Abstract
- Background Child mental health services are under major pressure worldwide. In the Netherlands, Youth Mental Health Practice Nurses (YMHPNs) have been introduced in general practice to improve access to care. In this study, we evaluated care delivered by YMHPNs. Methods We used medical records of a population-based cohort (21 717 children, 0–17 years). Characteristics of children consulting a YMHPN, type of problem, care delivered by YMHPNs and referrals were assessed using quantitative content analysis. Results Records of 375 children (mean age 12.9 years, 59.2% girl) were analysed. These children were often in their adolescence (57.3% was between 13 and 17 years), and more often female than male (59.2% vs 40.8%). YMHPNs had a median of four consultations (IQR 2–7) with the child. YMHPNs managed a variety of psychosocial problems. YMHPNs managed 22.4% of children without need of referral, 52.0% were eventually referred for additional care. 13.3% of children dropped out during the treatment trajectory. In the remaining 12.3% of children, the treatment trajectory was stopped because the child was already attending specialized services, the treatment trajectory was still ongoing or the medical record was inconclusive. Conclusions YMHPNs successfully managed one in four children with psychosocial problems without need for referral. Nevertheless, most children were eventually referred for additional care. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
HEALTH services accessibility
FAMILY medicine
MENTAL health services
T-test (Statistics)
MENTAL illness
CONTENT analysis
SEX distribution
QUANTITATIVE research
AGE distribution
DESCRIPTIVE statistics
PEDIATRICS
LONGITUDINAL method
NURSING practice
PSYCHOLOGICAL stress
MEDICAL records
RESEARCH
MEDICAL referrals
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 46
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 177611408
- Full Text :
- https://doi.org/10.1093/pubmed/fdae008