Lars Wichstrøm1, Jay Belsky2, Thomas Jozefiak3, André Sourander4, Turid Suzanne Berg-Nielsen5. 1. Departments of Psychology andNTNU Social Science, Trondheim, Norway;Department of Child and Adolescent Psychiatry, St Olav's Hospital, Trondheim, Norway; lars.wichstrom@svt.ntnu.no. 2. NTNU Social Science, Trondheim, Norway;Department of Psychology, University of California, Davis, Davis, California; andDepartment of Special Education, King Abdulaziz University, Jeddah, Saudi Arabia; 3. Department of Child and Adolescent Psychiatry, St Olav's Hospital, Trondheim, Norway;Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway; 4. Department of Child Psychiatry, Turku University, Turku, Finland. 5. Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway;
Abstract
OBJECTIVE: To identify sociodemographic, child, parent, and day care provider factors at age 4 that predict Norwegian children's service use for mental health problems at age 7. METHOD: Two birth cohorts of 4-year-old children and their parents living in the city of Trondheim, Norway, were invited (82% consented). We successfully interviewed 995 parents among 1250 drawn to participate using the Preschool Age Psychiatric Assessment to set diagnoses and record parental burden and service use. Information concerning sociodemographics, child impairment, parental social support, and child need for mental health services according to parents, day care teacher, and health nurse were obtained. RESULTS: Rate of service use among those with a behavioral or emotional disorder was 10.7% at age 4 and 25.2% at age 7. Behavioral disorders (odds ratio [OR] 2.6, confidence interval [CI] 1.3-5.3), but not emotional disorders, predicted service use. When adjusted for incapacity (OR 1.3, CI 1.2-1.6), disorders were no longer predictive. Incapacity, in turn, was not predictive once parental burden (OR 1.1, CI 1.0-1.1) and parents' (OR 2.7, CI 1.0-7.9) and day care teachers' (OR 2.1, CI 1.4-3.2) judgment of child need of help were included. Lower socioeconomic status predicted more service use over and beyond these factors (OR 3.0, CI 1.5-6.1). CONCLUSIONS: Behavioral disorders may instigate service use if they result in impairment, and such impairment may operate via increased parental burden and parent and caregiver problem recognition. Service use may be increased through effective screening programs and efforts to increase day care teachers' recognition of emotional problems.
OBJECTIVE: To identify sociodemographic, child, parent, and day care provider factors at age 4 that predict Norwegian children's service use for mental health problems at age 7. METHOD: Two birth cohorts of 4-year-old children and their parents living in the city of Trondheim, Norway, were invited (82% consented). We successfully interviewed 995 parents among 1250 drawn to participate using the Preschool Age Psychiatric Assessment to set diagnoses and record parental burden and service use. Information concerning sociodemographics, child impairment, parental social support, and child need for mental health services according to parents, day care teacher, and health nurse were obtained. RESULTS: Rate of service use among those with a behavioral or emotional disorder was 10.7% at age 4 and 25.2% at age 7. Behavioral disorders (odds ratio [OR] 2.6, confidence interval [CI] 1.3-5.3), but not emotional disorders, predicted service use. When adjusted for incapacity (OR 1.3, CI 1.2-1.6), disorders were no longer predictive. Incapacity, in turn, was not predictive once parental burden (OR 1.1, CI 1.0-1.1) and parents' (OR 2.7, CI 1.0-7.9) and day care teachers' (OR 2.1, CI 1.4-3.2) judgment of child need of help were included. Lower socioeconomic status predicted more service use over and beyond these factors (OR 3.0, CI 1.5-6.1). CONCLUSIONS:Behavioral disorders may instigate service use if they result in impairment, and such impairment may operate via increased parental burden and parent and caregiver problem recognition. Service use may be increased through effective screening programs and efforts to increase day care teachers' recognition of emotional problems.
Authors: Sarah McCue Horwitz; Kimberly Eaton Hoagwood; Fei Guo; L Eugene Arnold; H Gerry Taylor; Andrea S Young; Eric A Youngstrom; Mary A Fristad; Boris Birmaher; Robert L Findling Journal: Adm Policy Ment Health Date: 2021-01
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Authors: Laura Duncan; Katholiki Georgiades; Stephen Birch; Jinette Comeau; Li Wang; Michael H Boyle Journal: Can J Psychiatry Date: 2019-04 Impact factor: 4.356