Mental Health Services for Children and Adolescents in the European Region

Remschmidt, H

doi:10.1080/00207411.1978.11448793

Cited by 5 publications

(6 citation statements)

References 3 publications

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“…It has previously been criticized that the coordination of the different health care sectors is often insufficient, thus representing a barrier for the patients and impairing the supply with appropriate treatments [64]. By raising the awareness of unidirectional referral patterns of school mental health services, our results may pave the way to improve the school mental health service system and multilateral collaborations between sectors where required, which is in line with current strategic research goals and task forces [10,63].…”

Section: Discussionsupporting

confidence: 62%

“…Whether the here presented role of school mental health services as a guide to out-of-school services for mental disorders in the United States is generalizable to other countries remains to be elucidated, as not only the school mental health system but also insurance and health care systems, including access to mental health care systems, vary considerably worldwide [64,68].…”

Section: Discussionmentioning

confidence: 99%

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School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

Tegethoff¹,

Stalujanis²,

Belardi³

et al. 2015

Adolescent Mental Health

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Background: School mental health services are important contact points for children and adolescents with mental disorders, but their ability to provide comprehensive treatment is limited. The main objective was to estimate in mentally disordered adolescents of a nationally representative United States cohort the role of school mental health services as guide to mental health care in different out-of-school service sectors.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

Tegethoff¹,

Stalujanis²,

Belardi³

et al. 2015

Adolescent Mental Health

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“…These groups have been shown to be at greater risk of experiencing unmet health care needs in other studies. 2,26,27 Yet even without these within-group risk factors, sex workers were more likely to report unmet health care needs compared with CCHS respondents. Although trans sex workers were more likely than other sex workers to report unmet health care needs, there was no trans gender identity option in Statistics Canada's surveys to allow for comparison.…”

Section: Discussionmentioning

confidence: 99%

Unmet health care needs among sex workers in five census metropolitan areas of Canada

Benoit

Ouellet

Jansson

2016

Can J Public Health

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OBJECTIVES: This paper examines unmet health care needs in one of Canada's most hard-to-reach populations, adult sex workers, and investigates whether their reasons for not accessing health care are different from those of other Canadians.METHODS: Data gathered in 2012-2013 from sex workers aged 19 and over (n = 209) in five Canadian census metropolitan areas (CMAs) were analyzed to estimate the perceived health, health care access and level of unmet health care needs of sex workers, and their principal reasons for not accessing health care. These data were collected using questions identical to those of the Canadian Community Health Survey (CCHS) Cycle 2.1, 2003. The results were compared with those of residents aged 19 and over in the same CMAs who had participated in the CCHS.RESULTS: Sex workers reported notably worse perceived mental health, poorer social determinants of health (with the exception of income) and nearly triple the prevalence of unmet health care needs (40.4% vs. 14.9%). Those with the greatest unmet health care needs in both groups were younger, unmarried or single and in poorer health, and reported lower income and a weaker sense of community belonging. Even without these within-group risk factors, sex workers were more likely to report unmet health care needs compared with CCHS respondents. Sex workers were also more likely to identify "didn't get around to it", "too busy", "cost", "transportation problems" and "dislike doctors/afraid" as reasons for eschewing care.CONCLUSION: Equity policies that reduce cost and transportation barriers may go some way in helping sex workers access needed health care. Qualitative research is needed to better understand the realities of sex workers' personal and work lives, including the degree of freedom they have in accessing health care when they need it, but also their experiences when they do manage to engage with the health care system. KEY WORDS: Social determinants of health; access to health care; sex workers; unmet health care needs; barriers La traduction du résumé se trouve à la fin de l'article.

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“…Little is known, however, about the predictors of poor mental health in low-and middle-income countries (Hackett and Hackett, 1999;Remschmidt and Belfer, 2005).. Moreover, all studies to date in low-and middle-income countries have provided data on cross-sectional associations only, which can make it difficult to decide what is causaing what.…”

Section: Introductionmentioning

confidence: 99%

Child, Family, School and Community Risk Factors for Poor Mental Health in Brazilian Schoolchildren

Goodman

Fleitlich-Bilyk

Patel

et al. 2007

Journal of the American Academy of Child & Adolescent Psych

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Objective: To identify risk factors for poor child mental health in the south-eastern Brazilian municipality of Taubaté Method: In 2001 we carried out a representative school-based survey of Brazilian schoolchildren aged 7-14 years (response rate 83%). We collected extensive data on child mental health and on potential risk and protective factors at baseline (N=1112) and collected follow-up information on mental health outcome after three years (N=760). We used the Strengths and Difficulties Questionnaire as a dimensional measure of mental health at both time points and the Development and Well-Being Assessment to diagnose psychiatric disorder at baseline. Results: Cross-sectionally, both dimensional and diagnostic measures of child psychopathology were associated with dangerous area, non-traditional family, parental stress, harsh physical punishment, poor general health, low IQ, repeating a year at school and male gender. There were different cross-sectional associations with different types of psychopathology. Psychological difficulties were moderately persistent across time.Younger age, lower maternal education and lower child"s IQ predicted a worse prognosis even after adjusting for initial psychopathology. Conclusion:The multiple factors associated with Brazilian child mental health are broadly in line with previous findings elsewhere. Public health programmes to foster child mental health need multiple targets, but may benefit a wide range of the population.

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Mental Health Services for Children and Adolescents in the European Region

Cited by 5 publications

References 3 publications

School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

Unmet health care needs among sex workers in five census metropolitan areas of Canada

Child, Family, School and Community Risk Factors for Poor Mental Health in Brazilian Schoolchildren

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