Search results for ‘Subject term:"mental health problems"’ Sort:
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Detecting emotional and behavioural problems in paediatric clinics
- Authors:
- GLAZEBROOK C., et al
- Journal article citation:
- Child: Care, Health and Development, 29(2), March 2003, pp.141-149.
- Publisher:
- Wiley
Children with chronic illness have increased rates of mental health problems and psychological difficulties often present as physical conditions. This prevalence survey aimed to determine whether children attending general paediatric out-patient clinics are at increased risk of suffering from emotional and behavioural disturbance and whether there is an unmet need for psychiatric liaison to paediatric clinics by studying 307 children aged 5–15 attending a representative sample of paediatric out-patient clinics in one UK hospital. A national community sample of 10,438 children aged 5–15 was used as a comparison group. Parental ratings of child behaviour were obtained using the Strengths and Difficulties Questionnaire (SDQ). Doctors rated the extent of any emotional difficulties using a modification of the SDQ ‘impact supplement’. Children attending paediatric out-patient clinics were more than twice as likely to score in the abnormal range of the SDQ. Of the 60 (20%) children with a probable psychiatric disorder only 15 had received specialist help from child mental health services. There were no gender differences in the profile of difficulties with emotional symptoms being particularly evident in both boys and girls. The risk of psychiatric disorder was highest among those with brain disorders attending neurological clinics. Clinicians only identified emotional or behaviour problems in a quarter of those children with parent-rated disorder. Concludes there is increased prevalence of emotional and behavioural disturbance in children attending paediatric out-patient clinics. The SDQ could be added to routine paediatric assessments to aid appropriate referral of children with possible psychiatric disorder to child mental health services.
Child mental health: who is responsible?; an overextended remit
- Author:
- GOODMAN Robert
- Journal article citation:
- British Medical Journal, 15.3.97, 1997, pp.813-814.
- Publisher:
- British Medical Association
Argues that the labelling of all childhood ills as mental health problems diverts doctors into child welfare work that is more properly the province of social services or education. The author claims that this results in many children who could have benefited from medical assessment and treatment for their emotional and behavioural problems not getting the help that they need.
Surplus suffering: the search for help when a child has mental-health issues
- Author:
- CLARKE Juanne N.
- Journal article citation:
- Child and Family Social Work, 18(2), 2013, pp.217-225.
- Publisher:
- Wiley
Social theorists have demonstrated the growth in dominance of two central discourses for understanding the ways that children's mental-health issues are understood today –medicalisation and intensive mothering. In this context, this paper reports on a qualitative interview-based study of 16 mothers whose children had received a diagnosis with one or more mental-health or developmental issues such as Tourette's, bipolar, anxiety, depression, autism or attention deficit hyperactivity disorder. It is based on the retrospective accounts of mothers given during interviews, from the time when they noticed what they thought to be unusual behaviours and decided to try to normalise and accommodate to their children's behaviours and then to the various steps they took to seek help. The paper begins with a description of the sorts of problems that mothers noticed. It then moves to the strategies mothers then took to cope, manage and socialise their children. When these failed, mothers sought professional assistance with understanding, remediation and/or a diagnosis for the child(ren). Mothers described uncertainty, confusion and contradictions as they unremittingly sought help. This process may be called surplus suffering. The relevance of the theoretical issues is then reconsidered along with the substantive and practical consequences of the findings. (Publisher abstract)
Extended day treatment: a comprehensive model of after school behavioral health services for youth
- Authors:
- VANDERPLOEG Jeffrey J., et al
- Journal article citation:
- Child and Youth Care Forum, 38(1), February 2009, pp.5-18.
- Publisher:
- Springer
Extended day treatment (EDT) is an innovative intermediate-level service for children and adolescents with serious emotional and behavioural disorders delivered during the after school hours. This paper describes the core components of the EDT model of care within the context of state-wide systems of care, including its core service components, levels of care, focus on evidence-based practices, workforce composition and staff training, and data collection and reporting mechanisms. Recommendations are provided for state-wide implementation, followed by discussion of model development as an approach to systems reform for treating children and youth with emotional and behavioural disorders.
Journal of Child and Family Studies
- Publisher:
- Springer Netherlands
The Journal of Child and Family Studies provides an international forum for issues relating to the mental well-being of children, adolescents, and their families. The journal translates the latest research results into practical applications for clinicians and healthcare practitioners, by addressing all facets of emotional disorders, including issues associated with identification, diagnosis, treatment, rehabilitation, and prevention. Topic areas include emotional or behavioral disorders, child abuse and neglect, respite care, foster care, mental health care financing, homelessness, family stress, AIDS, and substance abuse. Coverage on Social Care Online from this journal is limited to relevant systematic reviews only.
A comparison study of psychiatric and behavior disorders and cognitive ability among homeless and housed children
- Authors:
- YU Mansoo, et al
- Journal article citation:
- Community Mental Health Journal, 44(1), February 2008, pp.1-10.
- Publisher:
- Springer
This study examined the association of homelessness and related factors with child psychiatric and behaviour disorders (diagnosed with structured diagnostic interviews) and child cognitive ability (on the Kaufman Brief Intelligence Test) in a randomly selected US sample of 157 homeless children and their mothers and a comparison of 61 housed children and their mothers. Homeless children had more disruptive behaviour disorders and lower cognitive scores than housed children. In multivariate analyses, maternal verbal scores and child nonverbal scores were associated with child verbal ability; maternal education, homelessness, and child nonverbal scores were related to child behaviour disorders.
The Maudsley long-term follow-up of child and adolescent depression: 1; psychiatric outcomes in adulthood
- Authors:
- FOMBONNE Eric, et al
- Journal article citation:
- British Journal of Psychiatry, 179, September 2001, pp.210-217.
- Publisher:
- Cambridge University Press
Strong links exist between juvenile and adult depression but comorbid conduct disorder in childhood may mitigate this continuity. This article aims to test the impact of comorbid conduct disorder on psychiatric adult outcomes. A group of 149 subjects assessed at the Maudsley Hospital in the period 1970-1983 and meeting DSM-IV criteria for major depressive disorder with or without conduct disorder were interviewed 20 years later. Data were collected on the lifetime history of psychiatric disorders. Found that adult depressive recurrence was high for major depression (62.4%) and any depression (75.2%) and survival analyses showed no difference between the two groups. The group with conduct disorders had higher rates of drug misuse and dependence, alcoholism and antisocial personality disorders. Concludes that adolescent depression carries an elevated risk of adult depression irrespective of comorbidity. Comorbid conduct disorder in childhood is associated with raised rates of other psychiatric outcomes.
Expanding a continuum of care: a report on a partial-day treatment program
- Authors:
- ROBINSON Kristin E., DOW Randal T., NICHOLAS Peter M.
- Journal article citation:
- Child and Youth Care Forum, 28(3), June 1999, pp.221-228.
- Publisher:
- Springer
Day treatment has been used to treat children with disruptive behavior disorders for over 20 years in the USA. This modality is increasingly appealing with the move toward providing children with the least-restrictive treatment. This article describes the design and implementation of an after-school partial-day treatment program for children referred to community mental health services for emotional and behavioral problems. Program evaluation is needed to determine whether these less intensive services can effective in treating referred children.
Empowering children in a hospital school
- Authors:
- STEEL Janette, OFIELD Amanda
- Journal article citation:
- Young Minds Magazine, 35, July 1998, pp.14-15.
- Publisher:
- YoungMinds
Describes the empowering approach of Chelsea Children's Hospital School, which was praised in a recent OFSTED report for enabling children in its psychiatric unit to 'make dramatic progress in a short period of time'.
Sexually inappropriate behaviors in seriously mentally ill children and adolescents
- Authors:
- ADAMS Julie, et al
- Journal article citation:
- Child Abuse and Neglect, 19(5), May 1995, pp.555-568.
- Publisher:
- Elsevier
Examines the prevalence and clinical correlates of sexually inappropriate behaviours in all youth treated at a tertiary care public sector psychiatric hospital over a 5-year period. Those with histories of sexually inappropriate behaviours had much higher rates of being sexually abused, and also had higher rates of physical abuse and neglect, behaviour disorders, developmental problems, and family histories of antisocial behaviour. They were less likely to have affective disorders. The hypersexual group had a higher proportion of females, and was associated in part with variables relating to sexual abuse and posttraumatic stress disorder. The more severe offending groups (exposing and victimizing) were associated with variables related to sexual abuse, developmental delays, lower IQ's, peer problems, and other acting-out behaviour problems. These findings underscore the importance of evaluating for sexually inappropriate behaviours in seriously mentally ill youth, especially in those with histories of sexual abuse.