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This study examined sociodemographic and clinical characteristics of treatment completers (N = 114) and non-completers (N = 136) at a child and adolescent community mental health clinic. Results indicated that children who completed treatment significantly differ from those who prematurely drop out of treatment. Noncompleters presented with considerably more impairment in functioning and psychiatric symptoms, and their caregiver reported experiencing significantly more parenting stress and depressive symptoms. Results suggest that mental health treatment is not readily provided to the most difficult to reach and most at-risk youth and their families.

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An Examination of Treatment Completers and Non-Completers at a Child and Adolescent Community Mental Health Clinic

Pellerin

Costa

Weems

et al. 2010

Community Ment Health J

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A systematic review of mental health outcome measures for young people aged 12 to 25 years

Kwan

Rickwood

2015

BMC Psychiatry

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BackgroundMental health outcome measures are used to monitor the quality and effectiveness of mental health services. There is also a growing expectation for implementation of routine measurement and measures being used by clinicians as a feedback monitoring system to improve client outcomes. The recent focus in Australia and elsewhere targeting mental health services to young people aged 12–25 years has meant that outcome measures relevant to this age range are now needed. This is a shift from the traditional divide of child and adolescent services versus adult services with a transitioning age at 18 years. This systematic review is the first to examine mental health outcome measures that are appropriate for the 12 to 25 year age range.MethodsMEDLINE and PsychINFO databases were systematically searched to identify studies using mental health outcome measures with young people aged 12 to 25 years. The search strategy complied with the relevant sections of the PRISMA statement.ResultsA total of 184 published articles were identified, covering 29 different outcome measures. The measures were organised into domains that consisted of eight measures of cognition and emotion, nine functioning measures, six quality of life measures, and six multidimensional mental health measures. No measures were designed specifically for young people aged 12 to 25 years and only two had been used by clinicians as a feedback monitoring system. Five measures had been used across the whole 12 to 25 year age range, in a range of mental health settings and were deemed most appropriate for this age group.ConclusionsWith changes to mental health service systems that increasingly focus on early intervention in adolescence and young adulthood, there is a need for outcome measures designed specifically for those aged 12 to 25 years. In particular, multidimensional measures that are clinically meaningful need to be developed to ensure quality and effectiveness in youth mental health. Additionally, outcome measures can be clinically useful when designed to be used within routine feedback monitoring systems.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-015-0664-x) contains supplementary material, which is available to authorized users.

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Mental health system in Saudi Arabia: an overview

Qureshi¹,

Alhabeeb²,

Koenig³

2013

NDT

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BackgroundThere is evidence that mapping mental health systems (MHSs) helps in planning and developing mental health care services for users, families, and other caregivers. The General Administration of Mental Health and Social Services of the Ministry of Health over the past 4 years has sought to streamline the delivery of mental health care services to health consumers in Saudi Arabia.ObjectiveWe overview here the outcome of a survey that assessed the Saudi MHS and suggest strategic steps for its further improvement.MethodThe World Health Organization Assessment Instrument for Mental Health Systems was used systematically to collect information on the Saudi MHS in 2009–2010, 4 years after a baseline assessment.ResultsSeveral mental health care milestones, especially provision of inpatient mental health services supported by a ratified Mental Health Act, were achieved during this period. However, community mental health care services are needed to match international trends evident in developed countries. Similarly, a larger well-trained mental health workforce is needed at all levels to meet the ever-increasing demand of Saudi society.ConclusionThis updated MHS information, discussed in light of international data, will help guide further development of the MHS in Saudi Arabia in the future, and other countries in the Eastern Mediterranean region may also benefit from Saudi experience.

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Cited by 4 publications

References 10 publications

An Examination of Treatment Completers and Non-Completers at a Child and Adolescent Community Mental Health Clinic

An Examination of Treatment Completers and Non-Completers at a Child and Adolescent Community Mental Health Clinic

A systematic review of mental health outcome measures for young people aged 12 to 25 years

Mental health system in Saudi Arabia: an overview

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