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Service utilization by children with conduct disorders: findings from the 2004 Great Britain child mental health survey.
- Source :
-
European child & adolescent psychiatry [Eur Child Adolesc Psychiatry] 2009 Sep; Vol. 18 (9), pp. 555-63. Date of Electronic Publication: 2009 Apr 08. - Publication Year :
- 2009
-
Abstract
- Children with conduct disorders (CD) and their families are in contact with multiple agencies, but there is limited evidence on their patterns of service utilization. The aim of this study was to establish the patterns, barriers and correlates of service use by analysing the cohort of the 2004 Great Britain child mental health survey (N = 7,977). Use of social services was significantly higher by children with CD than emotional disorders (ED) in the absence of co-morbidity, while use of specialist child mental health and paediatric was significantly higher by children with hyperkinetic disorders (HD) than CD. Children who had comorbid physical disorders used more primary healthcare services compared to those without physical disorders. Utilization of specialist child mental heath and social services was significantly higher among children with unsocialized CD than socialized CD and oppositional defiant disorders. Services utilization and its correlates varied with the type of service. Overall, specialist services use was associated with co-morbidity with learning disabilities, physical and psychiatric disorders. Several correlates of services use in CD appeared non-specific, i.e. associated with use of different services indicating the possibility of indiscriminate use of different types of services. The findings led to the conclusion that there is the need for effective organization and co-ordination of services, and clear care pathways. Involvement of specialist child mental health services should be requested in the presence of mental health co-morbidity.
- Subjects :
- Adolescent
Attention Deficit and Disruptive Behavior Disorders epidemiology
Child
Child Behavior Disorders epidemiology
Child Behavior Disorders therapy
Child, Preschool
Community Mental Health Services statistics & numerical data
Comorbidity
Conduct Disorder epidemiology
Developmental Disabilities epidemiology
Female
Health Services Accessibility
Health Surveys
Humans
Learning Disabilities epidemiology
Male
Primary Health Care statistics & numerical data
Social Work statistics & numerical data
Socioeconomic Factors
United Kingdom epidemiology
Attention Deficit and Disruptive Behavior Disorders therapy
Conduct Disorder therapy
Health Services statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1435-165X
- Volume :
- 18
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- European child & adolescent psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 19353233
- Full Text :
- https://doi.org/10.1007/s00787-009-0012-0