Abstract
AbstractChildren and young people’s mental health services have been under increasing pressure following COVID-19. Understanding, for which channels help is sought from, will highlight services needing support. This study aims to explore the professional services that parents of children, and young people get help from when they have a concern for the child’s/their mental health. Secondary analysis of data is taken from Mental Health of Children and Young People in England Survey, 2017. 7608 reports of mental health-related contact with professional services from parents of 5–16 year-olds and self-reports from young people aged 17–19 were available. Service contact was reported by Diagnostic and Statistical Manual of Mental Disorders (DSM-V) diagnosis, age, gender and ethnicity. Less than two-thirds of children and young people with a DSM-V diagnosis (63.5% (95% CI 58.6–68.1) aged 5–10, and 64.0% (95% CI 59.4–68.4) aged 11–16) reported contact with any professional services. The figure was lower for those aged 17–19; 50.1% (95% CI 42.8–58.2), p = 0.005. Children and young people aged 5–16 from Black (11.7%; 95% CI 2.4–41.4), Asian (55.1%; 95% CI 34.7–73.9) and Mixed (46.0%; 95% CI 32.4–60.3) ethnic groups reported less contact with professional services compared to those from the White group (66.9%; 95% CI 63.5–70.2). Patterns of service access during the three main educational stages aid with understanding service need during childhood. These lower levels of reported service access for young people aged 17–19 with a DSM-V diagnosis and those in ethnic minority groups demand further investigation.
Funder
National Institute for Health and Care Research
Department of Health and Social Care
NIHR Cambridge Biomedical Research Centre
National Institute for Health and Care Research Applied Research Collaboration South West Peninsula
Publisher
Springer Science and Business Media LLC
Reference42 articles.
1. Copeland WE, Tong G, Shanahan L (2022) Do “real world” childhood mental health services reduce risk for adult psychiatric disorders? J Am Acad Child Adolesc Psychiatry 61(8):1041-1049.e7. https://doi.org/10.1016/j.jaac.2021.12.014
2. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602. https://doi.org/10.1001/archpsyc.62.6.593(Erratum in: Arch Gen Psychiatry. 2005 Jul;62(7):768)
3. Moffitt TE (2006) Life-course-persistent versus adolescence-limited antisocial behavior. In: Cicchetti D, Cohen DJ (eds) Developmental psychopathology: risk, disorder, and adaptation. Wiley, pp 570–598
4. Lennon M (2021) The state of children’s mental health services 2020/21. Children’s Commissioner for England, England
5. Kovess-Masfety V, Van Engelen J, Stone L, Otten R, Carta MG, Bitfoi A, Koc C, Goelitz D, Lesinskiene S, Mihova Z, Fermanian C, Pez O, Husky M (2017) Unmet need for specialty mental health services among children across Europe. Psychiatr Serv 68(8):789–795. https://doi.org/10.1176/appi.ps.201600409