Ethnic minority populations and child psychiatry services: An Irish study

Skokauskas, Norbert; Dunne, Maria; Gallogly, Alan; Clark, Ciaran

doi:10.1016/j.childyouth.2010.04.014

Cited by 13 publications

(13 citation statements)

References 8 publications

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“…Existing literature shows an inconsistent pattern of associations between ethnicity and treatment continuation. On the one hand, studies have reported that children from BAME backgrounds have a shorter treatment duration and are more likely to stop attending before treatment is complete (Miller, et al, 2009;Skokauskas, et al, 2010). On the other hand, studies have reported no significant associations between ethnicity and attendance (Daryani, et al, 2001) and that ethnic minority status predicts treatment continuation for younger children (Baruch, et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Premature treatment termination and appointment non-attendance are major problems in CAMHS (Arai, Stapley, & Roberts, 2014), with some studies reporting 22% do not attend their first appointment (Minty & Anderson, 2004). In the studies cited above, there were reports of no significant associations between ethnicity and attendance of first appointment (Daryani et al, 2001) and reports that, although BAME children were no more likely to not attend their first appointment, they were more likely to terminate treatment prematurely (Skokauskas et al, 2010). Other evidence suggests that children from ethnic minority backgrounds have a shorter treatment duration and are more likely to stop attending before treatment is complete (Miller, Southam-Gerow, & Allin Jr, 2009), although the opposite finding has also been reported in that ethnic minority status predicted treatment continuation for younger children (Baruch, Vrouva, & Fearon, 2009).…”

mentioning

confidence: 94%

“…A number of other studies also suggest that BAME children are less likely to be referred to CAMHS through primary care services than White children (Daryani, Hindley, Evans, Fahy, & Turk, 2001;R. Goodman & Richards, 1995;Roberts & Cawthrope, 1995;Skokauskas, Dunne, Gallogly, & Clark, 2010).…”

mentioning

confidence: 99%

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The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data

Edbrooke‐Childs

Newman

Fleming

et al. 2015

Eur Child Adolesc Psychiatry

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 94%

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The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data

Edbrooke‐Childs

Newman

Fleming

et al. 2015

Eur Child Adolesc Psychiatry

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“…It draws on a sample of young people from seven different CAMHS teams in four services, both urban and rural, in different regions in Ireland. The sample's ethnic homogeneity reflects the profile of CAMHS attendees in Ireland where 90% are White Irish [40] although this profile is changing in some areas of higher immigration [41,42].…”

Section: Strengths and Limitations Of The Present Studymentioning

confidence: 99%

Transitioning from child and adolescent mental health services with attention‐deficit hyperactivity disorder in Ireland: Case note review

Tatlow‐Golden

Gavin

McNamara

et al. 2017

Early Intervention Psych

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KeywordsAttention-deficit hyperactivity disorder, ADHD, transition, child and adolescent mental health services, adult mental health services, CAMHS, AMHS ADHD transitions case note review Ireland Abstract AimIn a context of international concern about early adult mental health service provision, this study identifies characteristics and service outcomes of young people with attention-deficit hyperactivity disorder (ADHD) reaching the child and adolescent mental health service (CAMHS) transition boundary in Ireland. MethodsThe iTRACK study invited all 60 CAMHS teams in Ireland to participate; 8 teams retrospectively identified clinical case files for 62 eligible young people reaching the CAMHS transition boundary in all four Health Service Executive Regions. A secondary case note analysis identified characteristics, co-morbidities, referral and service outcomes for iTRACK cases with ADHD (n = 20). ResultsTwo-thirds of young people with ADHD were on psychotropic medication and half had mental health co-morbidities, yet none was directly transferred to public adult mental health services (AMHS) at the transition boundary. Nearly half were retained in CAMHS, for an average of over a year; most either disengaged from services (40%) and/or actively refused transfer to AMHS (35%) at or after the transition boundary. There was a perception by CAMHS clinicians that adult services did not accept ADHD cases or lacked relevant service/expertise. ConclusionsDespite high rates of medication use and comorbid mental health difficulties, there appears to be a complete absence of referral to publically available adult mental health services for ADHD youth transitioning from CAMHS in Ireland. More understanding of obstacles and optimum service configuration is essential to ensure that care is both available and accessible to young people with ADHD.

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“…Such trends were also evident for immigrants internationally. For example, immigrant adolescents in Ireland were more frequently diagnosed with attention-deficit hyperactivity and pervasive developmental problems than national Irish [13]. Likewise, a cross-national European study including Finland, the Netherlands, Norway, Portugal, and Sweden (using a subset of the International Comparative Study of Ethnocultural Youth data; [14]), reported that immigrant adolescents showed worsened psychological adaptation [3].…”

Section: Introductionmentioning

confidence: 99%

Psychological and Socio-Cultural Adaptation of Immigrant and National Adolescents in Australia: A Test of the Acculturative Stress Hypothesis

Abu-Rayya¹

2013

AJAP

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Abstract:Purpose: The first aim of this study was to test the acculturative stress hypothesis within the Australian context predicting that immigrant adolescents are more prone to psychological and socio-cultural adaptation problems than their national Australian peers. The second aim of the study was to profile the socio-demographic factors underlying adaptation problems. Methods: The study utilised stratified surveys conducted by the New South Wales Ministry of Health during the years [2005][2006][2007][2008]. The surveys collected information on socio-demographics, and psychological problems (i.e. emotional problems) and socio-cultural problems (i.e. hyperactivity-inattention, peer problems, and conduct problems). Adolescents aged 11-15 years (n = 5,779 for the total sample; n = 638, n = 5054, for immigrants and nationals, respectively) were included. Logistic regression analyses, taking observations' weights into account, were used for the adaptation problems outcomes. Results: The two groups differed in socio-cultural adaptation problems only (specifically in hyperactivityinattention), with nationals having greater odds for this than immigrants even after adjusting for socio-demographics (adjusted OR = 2.23; 95% CI = 1.23-4.06). While immigrant adolescents' sex was associated with hyperactivity-inattention problems only, sex was associated with emotional problems, hyperactivity-inattention problems, and conduct problems among national adolescents. In addition, mothers' education was associated with conduct problems and household income was associated with peer problems among national adolescents only. Conclusions: Contrary to the acculturative stress hypothesis, this study shows that immigrant adolescents do not seem maladaptive. In addition, certain socio-demographic factors play a differential role in the emergence of adaptation problems among immigrant and national adolescents.

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Ethnic minority populations and child psychiatry services: An Irish study

Cited by 13 publications

References 8 publications

The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data

The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data

Transitioning from child and adolescent mental health services with attention‐deficit hyperactivity disorder in Ireland: Case note review

Psychological and Socio-Cultural Adaptation of Immigrant and National Adolescents in Australia: A Test of the Acculturative Stress Hypothesis

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