Julian Edbrooke-Childs1,2, Anisatu Rashid3, Benjamin Ritchie3, Jessica Deighton4. 1. Evidence Based Practice Unit, UCL and Anna Freud Centre, 4-8 Rodney Street, London, N1 9JH, UK. Julian.Edbrooke-Childs@annafreud.org. 2. Child Outcomes Research Consortium, Anna Freud Centre, London, UK. Julian.Edbrooke-Childs@annafreud.org. 3. Child Outcomes Research Consortium, Anna Freud Centre, London, UK. 4. Evidence Based Practice Unit, UCL and Anna Freud Centre, 4-8 Rodney Street, London, N1 9JH, UK.
Abstract
BACKGROUND: To examine the predictors of treatment outcome or improvement in mental health difficulties for young people accessing child and adolescent mental health services. METHODS: We conducted a secondary analysis of routinely collected data from services in England using the Mental Health Services Data Set. We conducted multilevel regressions on N = 5907 episodes from 14 services (Mage = 13.76 years, SDage = 2.45, range = 8-25 years; 3540 or 59.93% female) with complete information on mental health difficulties at baseline. We conduct similar analyses on N = 1805 episodes from 10 services (Mage = 13.59 years, SDage = 2.33, range = 8-24 years; 1120 or 62.05% female) also with complete information on mental health difficulties at follow up. RESULTS: Girls had higher levels of mental health difficulties at baseline than boys (β = 0.28, 95% CI = 0.24-0.32). Young people with higher levels of mental health difficulties at baseline also had higher levels of deterioration in mental health difficulties at follow up (β = 0.72, 95% CI = 0.67-0.76), and girls had higher levels of deterioration in mental health difficulties at follow up than boys (β = 0.09, 95% CI = 0.03-0.16). Young people with social anxiety, panic disorder, low mood, or self-harm had higher levels of mental health difficulties at baseline and of deterioration in mental health difficulties at follow up compared to young people without these presenting problems. CONCLUSIONS: Services seeing higher proportions of young people with higher levels of mental health difficulties at baseline, social anxiety, panic disorder, low mood, or self-harm may be expected to show lower levels of improvement in mental health difficulties at follow up.
BACKGROUND: To examine the predictors of treatment outcome or improvement in mental health difficulties for young people accessing child and adolescent mental health services. METHODS: We conducted a secondary analysis of routinely collected data from services in England using the Mental Health Services Data Set. We conducted multilevel regressions on N = 5907 episodes from 14 services (Mage = 13.76 years, SDage = 2.45, range = 8-25 years; 3540 or 59.93% female) with complete information on mental health difficulties at baseline. We conduct similar analyses on N = 1805 episodes from 10 services (Mage = 13.59 years, SDage = 2.33, range = 8-24 years; 1120 or 62.05% female) also with complete information on mental health difficulties at follow up. RESULTS: Girls had higher levels of mental health difficulties at baseline than boys (β = 0.28, 95% CI = 0.24-0.32). Young people with higher levels of mental health difficulties at baseline also had higher levels of deterioration in mental health difficulties at follow up (β = 0.72, 95% CI = 0.67-0.76), and girls had higher levels of deterioration in mental health difficulties at follow up than boys (β = 0.09, 95% CI = 0.03-0.16). Young people with social anxiety, panic disorder, low mood, or self-harm had higher levels of mental health difficulties at baseline and of deterioration in mental health difficulties at follow up compared to young people without these presenting problems. CONCLUSIONS: Services seeing higher proportions of young people with higher levels of mental health difficulties at baseline, social anxiety, panic disorder, low mood, or self-harm may be expected to show lower levels of improvement in mental health difficulties at follow up.
Authors: S D Phillips; M B Hargis; T L Kramer; S Y Lensing; J L Taylor; B J Burns; J M Robbins Journal: J Am Acad Child Adolesc Psychiatry Date: 2000-12 Impact factor: 8.829
Authors: Graham Reid; Shannon L Stewart; Gregory S Zaric; Jeffrey R Carter; Richard W J Neufeld; Juliana I Tobon; Melanie Barwick; Evelyn R Vingilis Journal: Adm Policy Ment Health Date: 2015-11
Authors: Karolin R Krause; Sophie Chung; Abiodun O Adewuya; Anne Marie Albano; Rochelle Babins-Wagner; Laura Birkinshaw; Peter Brann; Cathy Creswell; Kathleen Delaney; Bruno Falissard; Christopher B Forrest; Jennifer L Hudson; Shin-Ichi Ishikawa; Meghna Khatwani; Christian Kieling; Judi Krause; Kanika Malik; Vania Martínez; Faraz Mughal; Thomas H Ollendick; Say How Ong; George C Patton; Ulrike Ravens-Sieberer; Peter Szatmari; Evie Thomas; Lucas Walters; Bryan Young; Yue Zhao; Miranda Wolpert Journal: Lancet Psychiatry Date: 2021-01 Impact factor: 27.083
Authors: Holly Alice Bear; Julian Edbrooke-Childs; Sam Norton; Karolin Rose Krause; Miranda Wolpert Journal: J Am Acad Child Adolesc Psychiatry Date: 2019-12-24 Impact factor: 8.829