4.5 Article

Sociodemographic and mental health characteristics of children who use mental health care for specific reasons

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CHILDREN AND YOUTH SERVICES REVIEW
卷 149, 期 -, 页码 -

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PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.childyouth.2023.106933

关键词

Mental Health Services; Patient Acceptance of Health Care; Social Determinants of Health; Disease Susceptibility; Health Services Needs and Demand

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This study aimed to identify the reasons for children to receive mental health care and their associations with sociodemographic and mental health characteristics. The results showed that behavioral problems were the most common reason for mental health care use (36%), followed by life events and family problems (15%) and emotional problems (15%). No associations were found for the other reasons such as social problems, physical problems, cognitive developmental problems, and other problems with sociodemographic or mental health characteristics.
Purpose: In this study, we aimed to identify for what reasons children receive mental health care and what sociodemographic and mental health characteristics are associated with these specific reasons. Methods: This study investigated 777 children who consulted a psychologist/psychiatrist between 9 and 13 years old. Data were retrieved from the Generation R Study, a population-based cohort in Rotterdam, the Netherlands. Sociodemographic and mental health characteristics were measured between birth and 13 years old. Logistic regression analyses were used to study the characteristics that were associated with eight parent-reported rea-sons for mental health care use. Results: Behavioural problems were most often mentioned as reason for mental health care use (36 %), followed by life events and family problems (15 %) and emotional problems (15 %). Several sociodemographic and mental health characteristics were associated with some of the reasons for care use. Sex was most frequently associated with the reasons for care use. Life events and family problems as reason for care use were associated with most sociodemographic characteristics, e.g. migrant origin and family situation. No associations were found for the children using mental health care for social problems, physical problems, cognitive developmental problems and other problems. Conclusion: Distinctive profiles of sociodemographic characteristics were found for some reasons for care use, while for other reasons no associations were found with sociodemographic or mental health characteristics. Implications of these findings and suggestions for future research are discussed. In conclusion, this study provides some insights into the profiles of care users, but still many questions remain.

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