Enrolment of children in psychosocial care
Autor: | Sijmen A. Reijneveld, Erik J. Knorth, Danielle Jansen, Marieke Nanninga |
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Přispěvatelé: | Sociology/ICS, Public Health Research (PHR), Developmental and behavioural disorders in education and care: assessment and intervention |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
DUTCH CHILDREN BEHAVIORAL-PROBLEMS Cohort Studies 0302 clinical medicine Health care ADOLESCENTS Developmental and Educational Psychology Child and adolescent psychiatry Medicine Prospective Studies 030212 general & internal medicine Young adult Child Prospective cohort study DIFFICULTIES QUESTIONNAIRE SDQ Response rate (survey) Psychosocial care Parenting 05 social sciences FAMILY ASSESSMENT DEVICE Treatment outcomes Original Contribution General Medicine COMMUNITY Psychiatry and Mental health Treatment Outcome Child Preschool Cohort Female Psychosocial 050104 developmental & child psychology Cohort study Adult medicine.medical_specialty Adolescent DISORDERS Young Adult 03 medical and health sciences Nursing Journal Article Humans 0501 psychology and cognitive sciences VALIDITY SERVICE USE business.industry Health services accessibility Psychotherapy Family medicine Pediatrics Perinatology and Child Health MENTAL-HEALTH-CARE business |
Zdroj: | European Child & Adolescent Psychiatry, 27(5):8, 625-635. SPRINGER European Child & Adolescent Psychiatry |
ISSN: | 1018-8827 |
Popis: | Psychosocial care systems have been designed so that specific problems are treated by specific care types. There is insufficient evidence as to which problem types are actually presented to the various care types. This study assessed types and severity of problems among children and adolescents upon enrolment in psychosocial care, compared to children not enrolled; also outcomes after 3 and 12 months, overall and per care type. We obtained data on a cohort of 1382 Dutch children aged 4-18 years (response rate 56.6%), included upon enrolment in psychosocial care, and on 443 not-enrolled children (response rate 70.3%), all from one region. Results showed that enrolled children had more problems than children not enrolled in care. In child and adolescent mental healthcare (CAMH), relatively many children had internalizing problems, and in child and adolescent social care (CASC) relatively many children had externalizing, parenting, family and multiple problems. Regardless of the type of problem, care duration in preventive child healthcare (PCH) was relatively short; and in CASC and CAMH longer. After 3 and 12 months, rates of problem solution were highest in PCH. These rates were also substantial among children not in care. To conclude, our findings show that the system of psychosocial care functions as intended regarding the distribution of problems across care types. Extended demarcation of clients by problem type and severity towards type and contents of care may further improve the system. |
Databáze: | OpenAIRE |
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