The mental health care gap among children and adolescents : data from an epidemiological survey from four Brazilian regions

Detalhes bibliográficos
Autor(a) principal: Paula, Cristiane Silvestre de
Data de Publicação: 2014
Outros Autores: Bordin, Isabel Altenfelder Santos, Mari, Jair de Jesus, Velasque, Luciane de Souza, Rohde, Luis Augusto Paim, Coutinho, Evandro da Silva Freire
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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spelling 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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dc.relation.ispartof.pt_BR.fl_str_mv PLoS ONE. San Francisco. Vol. 9, no. 2 (Feb. 2014), e88241, 9 p.
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