The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/181640 |
Resumo: | Introduction: Worldwide, a minority of disordered children/adolescents receives mental health assistance. In order to improve service access, it is important to investigate factors that influence the process leading to receiving care. Data on frequency and barriers for mental health service use (MHSU) among Brazilian children/adolescents are extremely scarce and are needed to guide public policy. Objectives: To establish the frequency of MHSU among 6-to-16-year-old with psychiatric disorders from four Brazilian regions; and to identify structural/psychosocial/demographic barriers associated with child/adolescent MHSU. Methods: Multicenter cross-sectional-study involving four towns from four out of five Brazilian regions. In each town, a representative sample of elementary public school students was randomly selected (sample: 1,721). Child/adolescent MHSU was defined as being seen by a psychologist/psychiatrist/neurologist in the previous 12 months. Standardized instruments measured: (1) children/adolescent characteristics [(1.1) Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL)-psychiatric disorders; (1.2) Ten Questions Screen-neurodevelopment problems; (1.3) two subtests of WISC-III-estimated IQ; (1.4) Academic Performance Test-school performance)], (2) factors related to mothers/main caregivers (Self-Reporting Questionnaire-anxiety/depression), (3) family (Brazilian Research-Companies-Association’s Questionnaire- SES) Results: Only 19.8% of children/adolescents with psychiatric disorder have used mental health services in the previous 12 months. Multiple logistic regression modeling identified five factors associated with lower rates of MHSU (female gender, adequate school performance, mother/main caregiver living with a partner, lower SES, residing in deprived Brazilian regions) regardless of the presence of any psychiatric disorders/neurodevelopmental problems. Conclusions: Only a small proportion of children/adolescents with psychiatric disorders had been seen by a mental health specialist in the previous 12 months. Structural/psychosocial/demographic factors were associated with uneven access to service for certain groups of children/adolescents. These results call attention to the urgent need to implement programs to help reduce this large unmet mental health need; inequalities must be considered by policy makers when planning strategies to address barriers for care. |
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Paula, Cristiane Silvestre deBordin, Isabel Altenfelder SantosMari, Jair de JesusVelasque, Luciane de SouzaRohde, Luis Augusto PaimCoutinho, Evandro da Silva Freire2018-09-05T02:29:00Z20141932-6203http://hdl.handle.net/10183/181640001074086Introduction: Worldwide, a minority of disordered children/adolescents receives mental health assistance. In order to improve service access, it is important to investigate factors that influence the process leading to receiving care. Data on frequency and barriers for mental health service use (MHSU) among Brazilian children/adolescents are extremely scarce and are needed to guide public policy. Objectives: To establish the frequency of MHSU among 6-to-16-year-old with psychiatric disorders from four Brazilian regions; and to identify structural/psychosocial/demographic barriers associated with child/adolescent MHSU. Methods: Multicenter cross-sectional-study involving four towns from four out of five Brazilian regions. In each town, a representative sample of elementary public school students was randomly selected (sample: 1,721). Child/adolescent MHSU was defined as being seen by a psychologist/psychiatrist/neurologist in the previous 12 months. Standardized instruments measured: (1) children/adolescent characteristics [(1.1) Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL)-psychiatric disorders; (1.2) Ten Questions Screen-neurodevelopment problems; (1.3) two subtests of WISC-III-estimated IQ; (1.4) Academic Performance Test-school performance)], (2) factors related to mothers/main caregivers (Self-Reporting Questionnaire-anxiety/depression), (3) family (Brazilian Research-Companies-Association’s Questionnaire- SES) Results: Only 19.8% of children/adolescents with psychiatric disorder have used mental health services in the previous 12 months. Multiple logistic regression modeling identified five factors associated with lower rates of MHSU (female gender, adequate school performance, mother/main caregiver living with a partner, lower SES, residing in deprived Brazilian regions) regardless of the presence of any psychiatric disorders/neurodevelopmental problems. Conclusions: Only a small proportion of children/adolescents with psychiatric disorders had been seen by a mental health specialist in the previous 12 months. Structural/psychosocial/demographic factors were associated with uneven access to service for certain groups of children/adolescents. These results call attention to the urgent need to implement programs to help reduce this large unmet mental health need; inequalities must be considered by policy makers when planning strategies to address barriers for care.application/pdfengPLoS ONE. San Francisco. Vol. 9, no. 2 (Feb. 2014), e88241, 9 p.Acesso aos serviços de saúdeDisparidades em assistência à saúdeTranstornos mentaisSaúde mentalReprodutibilidade dos testesInquéritos e questionáriosBrasilThe mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regionsEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001074086.pdfTexto completo (inglês)application/pdf176171http://www.lume.ufrgs.br/bitstream/10183/181640/1/001074086.pdf4596410eb12c6da7268422cf8fbb080eMD51TEXT001074086.pdf.txt001074086.pdf.txtExtracted Texttext/plain55107http://www.lume.ufrgs.br/bitstream/10183/181640/2/001074086.pdf.txt6fd4a2b51745b3f2679ec8777e0f8ec6MD52THUMBNAIL001074086.pdf.jpg001074086.pdf.jpgGenerated Thumbnailimage/jpeg2204http://www.lume.ufrgs.br/bitstream/10183/181640/3/001074086.pdf.jpge357202408eccbf3e70d116a63d8bcfcMD5310183/1816402018-10-05 07:46:21.714oai:www.lume.ufrgs.br:10183/181640Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-05T10:46:21Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
title |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
spellingShingle |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions Paula, Cristiane Silvestre de Acesso aos serviços de saúde Disparidades em assistência à saúde Transtornos mentais Saúde mental Reprodutibilidade dos testes Inquéritos e questionários Brasil |
title_short |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
title_full |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
title_fullStr |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
title_full_unstemmed |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
title_sort |
The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions |
author |
Paula, Cristiane Silvestre de |
author_facet |
Paula, Cristiane Silvestre de Bordin, Isabel Altenfelder Santos Mari, Jair de Jesus Velasque, Luciane de Souza Rohde, Luis Augusto Paim Coutinho, Evandro da Silva Freire |
author_role |
author |
author2 |
Bordin, Isabel Altenfelder Santos Mari, Jair de Jesus Velasque, Luciane de Souza Rohde, Luis Augusto Paim Coutinho, Evandro da Silva Freire |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Paula, Cristiane Silvestre de Bordin, Isabel Altenfelder Santos Mari, Jair de Jesus Velasque, Luciane de Souza Rohde, Luis Augusto Paim Coutinho, Evandro da Silva Freire |
dc.subject.por.fl_str_mv |
Acesso aos serviços de saúde Disparidades em assistência à saúde Transtornos mentais Saúde mental Reprodutibilidade dos testes Inquéritos e questionários Brasil |
topic |
Acesso aos serviços de saúde Disparidades em assistência à saúde Transtornos mentais Saúde mental Reprodutibilidade dos testes Inquéritos e questionários Brasil |
description |
Introduction: Worldwide, a minority of disordered children/adolescents receives mental health assistance. In order to improve service access, it is important to investigate factors that influence the process leading to receiving care. Data on frequency and barriers for mental health service use (MHSU) among Brazilian children/adolescents are extremely scarce and are needed to guide public policy. Objectives: To establish the frequency of MHSU among 6-to-16-year-old with psychiatric disorders from four Brazilian regions; and to identify structural/psychosocial/demographic barriers associated with child/adolescent MHSU. Methods: Multicenter cross-sectional-study involving four towns from four out of five Brazilian regions. In each town, a representative sample of elementary public school students was randomly selected (sample: 1,721). Child/adolescent MHSU was defined as being seen by a psychologist/psychiatrist/neurologist in the previous 12 months. Standardized instruments measured: (1) children/adolescent characteristics [(1.1) Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL)-psychiatric disorders; (1.2) Ten Questions Screen-neurodevelopment problems; (1.3) two subtests of WISC-III-estimated IQ; (1.4) Academic Performance Test-school performance)], (2) factors related to mothers/main caregivers (Self-Reporting Questionnaire-anxiety/depression), (3) family (Brazilian Research-Companies-Association’s Questionnaire- SES) Results: Only 19.8% of children/adolescents with psychiatric disorder have used mental health services in the previous 12 months. Multiple logistic regression modeling identified five factors associated with lower rates of MHSU (female gender, adequate school performance, mother/main caregiver living with a partner, lower SES, residing in deprived Brazilian regions) regardless of the presence of any psychiatric disorders/neurodevelopmental problems. Conclusions: Only a small proportion of children/adolescents with psychiatric disorders had been seen by a mental health specialist in the previous 12 months. Structural/psychosocial/demographic factors were associated with uneven access to service for certain groups of children/adolescents. These results call attention to the urgent need to implement programs to help reduce this large unmet mental health need; inequalities must be considered by policy makers when planning strategies to address barriers for care. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014 |
dc.date.accessioned.fl_str_mv |
2018-09-05T02:29:00Z |
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Estrangeiro info:eu-repo/semantics/article |
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001074086 |
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PLoS ONE. San Francisco. Vol. 9, no. 2 (Feb. 2014), e88241, 9 p. |
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