Children’s Mental Health Service Use Across Service Sectors

Duke University, Durham, North Carolina, United States
Health Affairs (Impact Factor: 4.97). 02/1995; 14(3):147-59. DOI: 10.1377/hlthaff.14.3.147
Source: PubMed


This DataWatch explores the roles of human service sectors (mental health, education, health, child welfare, and juvenile justice) in providing mental health services for children. The data are from the first wave of the Great Smoky Mountains Study of Youth, a population-based study of psychopathology and mental health service use among children. The results show somewhat higher rates of mental health service use than has been reported previously, while continuing to show a substantial amount of unmet need, even among children with both a psychiatric diagnosis and functional impairment. The findings point to a significant role for the education sector, suggesting that schools may function as the de facto mental health system for children and adolescents.

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Available from: Dalene Stangl, Aug 26, 2014
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    • "For example, research has demonstrated that a large percentage of children and adolescents (70–80%) utilise the education sector (e.g. guidance counsellors and school nurses) as their sole source of mental health care (Sawyer et al., 2001; Burns et al., 1995). The majority of these providers are not trained in CBT even if they know of its efficacy, and they are frequently required to refer students on to psychologists for CBT treatment. "
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    • "(Burns et al., 1995; Stiffman et al., 2000 "
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    • "a school roll . The association between the use of child and adolescent mental health services ( CAMHS ) and specialist education services ( Ford et al . 2007 ) emphasises the need for joint collaborative working and a shared responsibility . In the USA , 70 – 80% of children who receive mental health services do so within the school environment ( Burns et al . 1995 ) . The costs of educating a child or young person in alternative provision vary but are high ( Taylor 2012 ; Centre for Social Justice 2011 ) and there are additional costs to CAMHS ."
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