Trends in comorbid physical and mental health conditions in children from 1999 to 2017 in England

Panagi, Laura; Newlove‐Delgado, Tamsin; White, Simon R.; Bennett, Sophie; Heyman, Isobel; Shafran, Roz; Ford, Tamsin

doi:10.1007/s00787-022-02112-5

Cited by 5 publications

(2 citation statements)

References 28 publications

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“…CYP with LTCs are at a greater risk of developing mental health problems such as depression, anxiety and disruptive behaviour disorder when compared to their physically healthy peers [ 1 , 5 – 7 ]. Despite regular contact with healthcare providers for physical health symptoms, CYP’s mental health concerns are often overshadowed and overlooked If untreated, mental health conditions can be associated with poor adherence to medication [ 8 ], negative physical health outcomes [ 9 ] and increased hospital stays [ 10 ].…”

Section: Background and Rationale (6a)mentioning

confidence: 99%

Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families – study protocol

Roach,

Bennett,

Heyman

et al. 2024

PLoS ONE

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Background Despite the high prevalence of mental health difficulties in children and young people with long-term health conditions (LTCs), these difficulties and experiences are often overlooked and untreated. Previous research demonstrated the effectiveness of psychological support provided via a drop-in mental health centre located in a paediatric hospital. The aim of this prospective non-randomised single-arm multi-centre interventional study is to determine the clinical effectiveness of drop-in mental health services when implemented at paediatric hospitals in England. Methods It is hypothesised that families who receive psychological interventions through the drop-in services will show improved emotional and behavioural symptoms. Outcomes will be measured at baseline and at 6-month follow-up. The primary outcome is the difference in the total difficulties score on the Strengths and Difficulties Questionnaire (SDQ) reported by parent or child at 6 months. Secondary outcomes include self and parent reported Paediatric Quality of Life Inventory (PedsQL), self-reported depression (PHQ-9) and anxiety measures (GAD-7) and family satisfaction (CSQ-8). Discussion This trial aims to determine the clinical effectiveness of providing psychological support in the context of LTCs through drop-in mental health services at paediatric hospitals in England. These findings will contribute to policies and practice addressing mental health needs in children and young people with other long-term health conditions. Trial registration ISRCTN15063954, Registered on 9 December 2022.

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Section: Background and Rationale (6a)mentioning

confidence: 99%

Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families – study protocol

Roach,

Bennett,

Heyman

et al. 2024

PLoS ONE

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View full text Add to dashboard Cite

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“…Over the last century, there has been a significant epidemiological transition from acute to chronic health conditions in paediatric populations (Ullah & Kaelber, 2021), while comorbidity between mental and physical health conditions is common and increasing (Arango, 2011; Butler et al., 2018; Glassgow et al., 2020; Green et al., 2019; Panagi et al., 2022). Children and young people (CYP) with at least one chronic physical illness is 62% more likely to be diagnosed with a mental health disorder compared with those without chronic medical conditions (Suryavanshi & Yang, 2016).…”

Section: Introductionmentioning

confidence: 99%

Research Review: Integrated healthcare for children and young people in secondary/tertiary care – a systematic review

Pygott

Hartley

Seregni

et al. 2023

Child Psychology Psychiatry

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Background: Children and young people (CYP) with comorbid physical and/or mental health conditions often struggle to receive a timely diagnosis, access specialist mental health care, and more likely to report unmet healthcare needs. Integrated healthcare is an increasingly explored model to support timely access, quality of care and better outcomes for CYP with comorbid conditions. Yet, studies evaluating the effectiveness of integrated care for paediatric populations are scarce. Aim and Methods: This systematic review synthesises and evaluates the evidence for effectiveness and cost-effectiveness of integrated care for CYP in secondary and tertiary healthcare settings. Studies were identified through systematic searches of electronic databases: Medline, Embase, PsychINFO, Child Development and Adolescent Studies, ERIC, ASSIA and British Education Index. Findings: A total of 77 papers describing 67 unique studies met inclusion criteria. The findings suggest that integrated care models, particularly system of care and care coordination, improve access and user experience of care. The results on improving clinical outcomes and acute resource utilisation are mixed, largely due to the heterogeneity of studied interventions and outcome measures used. No definitive conclusion can be drawn on cost-effectiveness since studies focused mainly on costs of service delivery. The majority of studies were rated as weak by the quality appraisal tool used. Conclusions: The evidence of on clinical effectiveness of integrated healthcare models for paediatric populations is limited and of moderate quality. Available evidence is tentatively encouraging, particularly in regard to access and user experience of care. Given the lack of specificity by medical groups, however, the precise model of integration should be undertaken on a best-practice basis taking the specific parameters and contexts of the health and care environment into account. Agreed practical definitions of integrated care and associated key terms, and cost-effectiveness evaluations are a priority for future research.

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Project ECHO: An Evidence-Based Pathway to Build Child and Adolescent Mental Health Workforce in Pakistan

Mahr,

Petrovic-Dovat,

Waschbusch

et al. 2024

Evidence-Based Practice in Child and Adolescent Mental Health

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Trends in comorbid physical and mental health conditions in children from 1999 to 2017 in England

Cited by 5 publications

References 28 publications

Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families – study protocol

Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families – study protocol

Research Review: Integrated healthcare for children and young people in secondary/tertiary care – a systematic review

Project ECHO: An Evidence-Based Pathway to Build Child and Adolescent Mental Health Workforce in Pakistan

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