Effect of Co-Occurrence on the Referability of Internalizing and Externalizing Problem Behavior in Adolescents

Weiss, Bahr; Jackson, Elizabeth; Süsser, Karin

doi:10.1207/s15374424jccp2602_8

Cited by 20 publications

(9 citation statements)

References 8 publications

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“…Medical providers in an HMO referred fewer than half of adolescents with a documented Substance Use Disorder to either substance abuse or mental health treatment (Scott et al 2004). Both parents (Weiss et al 1997) and teachers (Summers et al 1973) are more likely to identify externalizing than internalizing behavior, and the presence of an adolescent's externalizing disorder may interfere with parents' noticing commonly comorbid internalizing concerns (Weiss et al 1997).…”

Section: Discussionmentioning

confidence: 99%

Juvenile Probation Officers’ Mental Health Decision Making

Wasserman

McReynolds

Whited

et al. 2008

Adm Policy Ment Health

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We reviewed case records for 583 juvenile delinquency intakes in four county juvenile probation offices; 14.4% were receiving mental health or substance use services at case opening, and 24.9% were newly identified during probation contact. Youths were significantly more likely to be newly identified if they were repeat offenders, if their probation officer knew more about mental health and if they resided in a county without a shortage of available mental health professionals. Probation officers were especially likely to underidentify internalizing disorders. Policy implications for promoting identification of mental health needs and improving linkage to community service providers are discussed.

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Section: Discussionmentioning

confidence: 99%

Juvenile Probation Officers’ Mental Health Decision Making

Wasserman

McReynolds

Whited

et al. 2008

Adm Policy Ment Health

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“…Thus, a response of "hot temper" would be coded as 95 to match CBCL Item 95, 'Temper tantrums or hot temper." This system was used reliably in previous studies (Eastman, 1997;Weiss, Jackson, & Susser, 1997;Weisz, Suwanlert, Chaiyasit, & Walter, 1987;Weisz & Weiss, 1991); our reliability report follows. To maximize use of the data, we added 39 codes (including one to designate "uncodable") to capture responses that did not fit CBCL items.…”

Section: Coding the Problem Listsmentioning

confidence: 96%

Why are we here at the clinic? Parent–child (dis)agreement on referral problems at outpatient treatment entry.

Yeh¹,

Weisz²

2001

Journal of Consulting and Clinical Psychology

220

200

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Do clinic-referred children and their parents agree on the problems for which treatment is undertaken? The authors asked 381 outpatient-clinic-referred children and their parents to list, independently, the child's target problems. Of the parent-child pairs, 63% failed to agree on even a single problem. When problems were grouped into broad categories (e.g., delinquent, withdrawn), more than a third of the pairs still failed to agree on a single broad problem area. Parent-child agreement was higher for externalizing than for internalizing problem categories (though poor for both). Low parent-child agreement may help explain the poor outcomes often reported for clinic-based child therapy. Most episodes of child mental health care are initiated by a parent, who identifies problems for which the child needs help (Kazdin, 1989; Stanger & Lewis, 1993; Weisz et al., 1988). The agenda for the therapy that follows tends to be shaped to a significant degree by the parent's report and focused on problems the parent has identified. In cases in which parent and child perceive the same problems, the process may work well, with parent and child working toward common therapy goals. However, when parent and child disagree about the problems for which help is needed, their ability to work toward common treatment goals may be undermined. Which of these two scenarios is more common: parent-child agreement or disagreement regarding referral problems? To our knowledge, the question has not been addressed in research published to date. Although little is known about parent-child agreement on treatment referral problems (i.e., the problems for which treatment is

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“…The relative likelihood of being referred for externalising or internalising problems is consistent with the low level of recognition of anxiety. Research has found that children with externalising problems are more likely to be referred than children with internalising problems (Weiss, Jackson, & Suesser, 1997;Weisz & Weiss, 1991).…”

Section: Discussionmentioning

confidence: 99%

Childhood anxiety in rural and urban areas: Presentation, impact and help seeking

Lyneham

Rapee

2007

Australian Journal of Psychology

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The current study investigated relationships between anxiety symptoms and residential location on problem recognition, service use and resultant impact. Clinically significant differences between rural and urban residents were not found on mental health symptoms, problem recognition or history of service use. Parent and family interference was found to be strongly linked to a child's anxiety level in both regions, with a child's negative experiences and direct interference on the child's life being attributed a smaller role. The impact of anxiety in rural areas was found to be higher than that experienced by similarly anxious children from urban areas. Finally patterns of service use were found to vary with a greater reliance on medical and school services in rural areas, and specialist and allied health services in urban areas. The findings together provide support for the development of specialised services for rural communities, and have implications for targeted education of parents to improve the number of children receiving appropriate help.

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Effect of Co-Occurrence on the Referability of Internalizing and Externalizing Problem Behavior in Adolescents

Cited by 20 publications

References 8 publications

Juvenile Probation Officers’ Mental Health Decision Making

Juvenile Probation Officers’ Mental Health Decision Making

Why are we here at the clinic? Parent–child (dis)agreement on referral problems at outpatient treatment entry.

Childhood anxiety in rural and urban areas: Presentation, impact and help seeking

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