“…In an extensive review of the National Institute of Mental Health psychiatric case register (Rosen, Bahn, Shellow, & Bower, 1965), 14-15-year-olds were found to have the highest clinic utilization rates. Other studies have also found mid-adolescence (ages 14-17) to be highly related to service use (Mitchell & Smith, 1981; Roughmann, Babigian, Goldberg, & Zastowny, 1982).…”