David J Breland1, Carolyn A McCarty2, Chuan Zhou2, Elizabeth McCauley3, Carol Rockhill3, Wayne Katon4, Laura P Richardson2. 1. Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA. Electronic address: david.breland@seattlechildrens.org. 2. Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA. 3. Seattle Children's Hospital, Seattle, WA, USA; Psychiatry and Behavioral Medicine, University of Washington School of Medicine, Seattle, WA, USA. 4. Department of Psychiatry & Behavioral Sciences; UW School of Medicine, Seattle, WA, USA.
Abstract
OBJECTIVE: Evaluate determinants of mental health service use among depressed adolescents. METHOD: We assessed mental health services use over the 12 months following screening among 113 adolescents (34 males, 79 females) from an integrated healthcare system who screened positive for depression (Patient Health Questionnaire-9 score ≥11). Youth characteristics (demographics, depression severity, and co-morbidity) and parent characteristics (parent history of depression, parent-report of youth externalizing and internalizing problems) were compared among youth who had received mental health services and those who had not. Multivariate regression was used to evaluate the strongest factors associated with mental health service use. RESULTS: Overall, 52% of adolescents who screened positive for depression received mental health service in the year following screening. Higher parent-reported youth internalizing problems (OR 5.37, CI 1.77-16.35), parental history of depression/anxiety (OR 4.12, CI 1.36-12.48) were significant factors associated with mental health service use. Suicidality and functional impairment were not associated with increased mental health services use. CONCLUSION: Parental factors including recognition of the adolescent's internalizing symptoms and parental experience with depression/anxiety are strongly associated with mental health service use for depressed adolescents. This highlights the importance of educating parents about depression and developing systems to actively screen and engage youth in treatment for depression.
OBJECTIVE: Evaluate determinants of mental health service use among depressed adolescents. METHOD: We assessed mental health services use over the 12 months following screening among 113 adolescents (34 males, 79 females) from an integrated healthcare system who screened positive for depression (Patient Health Questionnaire-9 score ≥11). Youth characteristics (demographics, depression severity, and co-morbidity) and parent characteristics (parent history of depression, parent-report of youth externalizing and internalizing problems) were compared among youth who had received mental health services and those who had not. Multivariate regression was used to evaluate the strongest factors associated with mental health service use. RESULTS: Overall, 52% of adolescents who screened positive for depression received mental health service in the year following screening. Higher parent-reported youth internalizing problems (OR 5.37, CI 1.77-16.35), parental history of depression/anxiety (OR 4.12, CI 1.36-12.48) were significant factors associated with mental health service use. Suicidality and functional impairment were not associated with increased mental health services use. CONCLUSION: Parental factors including recognition of the adolescent's internalizing symptoms and parental experience with depression/anxiety are strongly associated with mental health service use for depressed adolescents. This highlights the importance of educating parents about depression and developing systems to actively screen and engage youth in treatment for depression.
Authors: Carolyn A McCarty; Joan Russo; David C Grossman; Wayne Katon; Carol Rockhill; Elizabeth McCauley; Julie Richards; Laura Richardson Journal: Acad Pediatr Date: 2011-03-11 Impact factor: 3.107
Authors: Ana Radovic; Kerry Reynolds; Heather L McCauley; Gina S Sucato; Bradley D Stein; Elizabeth Miller Journal: J Pediatr Date: 2015-07-02 Impact factor: 4.406