Annotation: Pathways to care for children with mental health problems / Kapil SAYAL in Journal of Child Psychology and Psychiatry, 47-7 (July 2006)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 47-7 (July 2006) . - p.649–659 Titre : Annotation: Pathways to care for children with mental health problems Type de document : Texte imprimé et/ou numérique Auteurs : Kapil SAYAL, Auteur Année de publication : 2006 Article en page(s) : p.649–659 Langues : Anglais (eng) Mots-clés : Pathways-to-care parental-perceptions primary-care recognition referral service-use Index. décimale : PER Périodiques Résumé : Background: Although many children with mental health problems are in contact with primary health care services, few receive appropriate help. Methods: Using a pathways to care model, this paper systematically reviews the literature relating to access to services. It separates out the various stages of help-seeking: parental perception of problems, use of primary care services, recognition within primary care, and referral to or use of specialist health services. Results: Following parental awareness of child symptoms, parental perception of problems is the key initial step in the help-seeking process. Although children with mental health problems or disorders are regular attenders within primary care and most parents acknowledge that it is appropriate to discuss concerns about psychosocial issues in this setting, few children are presented with mental health symptoms even if their parents have such concerns. Subsequently, less than half of children with disorders are recognised in primary care. Amongst recognised children, about half are referred to specialist services. Overall, up to one-third of children with disorders receive services for mental health problems. Factors such as the type and severity of disorder, parental perceptions, child age and gender, and family and social background factors determine which affected children access services. Conclusions: As there are inequities in patterns of service use, a greater emphasis on developing resources at population and primary care levels is required. Barriers involving parental perceptions and expression of concerns within consultations should be minimised at these levels. This requires both public education approaches and improved training and specialist support for primary care services to enhance their ability to provide for these children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01543.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=750 [article] Annotation: Pathways to care for children with mental health problems [Texte imprimé et/ou numérique] / Kapil SAYAL, Auteur . - 2006 . - p.649–659. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 47-7 (July 2006) . - p.649–659 Mots-clés : Pathways-to-care parental-perceptions primary-care recognition referral service-use Index. décimale : PER Périodiques Résumé : Background: Although many children with mental health problems are in contact with primary health care services, few receive appropriate help. Methods: Using a pathways to care model, this paper systematically reviews the literature relating to access to services. It separates out the various stages of help-seeking: parental perception of problems, use of primary care services, recognition within primary care, and referral to or use of specialist health services. Results: Following parental awareness of child symptoms, parental perception of problems is the key initial step in the help-seeking process. Although children with mental health problems or disorders are regular attenders within primary care and most parents acknowledge that it is appropriate to discuss concerns about psychosocial issues in this setting, few children are presented with mental health symptoms even if their parents have such concerns. Subsequently, less than half of children with disorders are recognised in primary care. Amongst recognised children, about half are referred to specialist services. Overall, up to one-third of children with disorders receive services for mental health problems. Factors such as the type and severity of disorder, parental perceptions, child age and gender, and family and social background factors determine which affected children access services. Conclusions: As there are inequities in patterns of service use, a greater emphasis on developing resources at population and primary care levels is required. Barriers involving parental perceptions and expression of concerns within consultations should be minimised at these levels. This requires both public education approaches and improved training and specialist support for primary care services to enhance their ability to provide for these children. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01543.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=750

Barriers to the identification of children with attention deficit/hyperactivity disorder / Kapil SAYAL in Journal of Child Psychology and Psychiatry, 47-7 (July 2006)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 47-7 (July 2006) . - p.744–750 Titre : Barriers to the identification of children with attention deficit/hyperactivity disorder Type de document : Texte imprimé et/ou numérique Auteurs : Kapil SAYAL, Auteur ; Robert GOODMAN, Auteur ; Tamsin FORD, Auteur Année de publication : 2006 Article en page(s) : p.744–750 Langues : Anglais (eng) Mots-clés : ADHD help-seeking parental-recognition-of-problems service-contact Index. décimale : PER Périodiques Résumé : Background: In most countries, the majority of children with attention deficit/hyperactivity disorder (ADHD) are undiagnosed. In the United Kingdom, a major barrier to accessing specialist services is the limited recognition of disorders by general practitioners. However, it is unclear whether there are also barriers at other stages of the help-seeking process. For children with ADHD, this study aims to examine the correlates of the different stages of help-seeking. Method: Children with ADHD (n = 232) were identified from the 1999 British Child and Adolescent Mental Health Survey. Rates and correlates of parental recognition of child mental health problems and contact with services for these problems were examined. Children who had used particular types of services were compared with those who had not. Results: Most (80%) parents of children with ADHD recognise that their child has a problem although few (35%) construe this in terms of hyperactivity. The impact of the symptoms on key adults, rather than child factors, best predicted parental recognition of problems. Most parents had been in contact with education-based professionals but few had consulted primary care for these problems or had sought help from relevant specialist health services. Parental recognition of problems and perceived burden, rather than child factors, were the main correlates of contact with services. Parental views that their child has hyperactivity were associated with greater severity of symptoms. Conclusions: The main barrier to care for ADHD is the limited presentation of these problems to primary care. The majority of parents discuss their concerns with professionals based in education services. There is a need for parental education about ADHD and for health service input to support education professionals in their contact with concerned parents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01553.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=759 [article] Barriers to the identification of children with attention deficit/hyperactivity disorder [Texte imprimé et/ou numérique] / Kapil SAYAL, Auteur ; Robert GOODMAN, Auteur ; Tamsin FORD, Auteur . - 2006 . - p.744–750. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 47-7 (July 2006) . - p.744–750 Mots-clés : ADHD help-seeking parental-recognition-of-problems service-contact Index. décimale : PER Périodiques Résumé : Background: In most countries, the majority of children with attention deficit/hyperactivity disorder (ADHD) are undiagnosed. In the United Kingdom, a major barrier to accessing specialist services is the limited recognition of disorders by general practitioners. However, it is unclear whether there are also barriers at other stages of the help-seeking process. For children with ADHD, this study aims to examine the correlates of the different stages of help-seeking. Method: Children with ADHD (n = 232) were identified from the 1999 British Child and Adolescent Mental Health Survey. Rates and correlates of parental recognition of child mental health problems and contact with services for these problems were examined. Children who had used particular types of services were compared with those who had not. Results: Most (80%) parents of children with ADHD recognise that their child has a problem although few (35%) construe this in terms of hyperactivity. The impact of the symptoms on key adults, rather than child factors, best predicted parental recognition of problems. Most parents had been in contact with education-based professionals but few had consulted primary care for these problems or had sought help from relevant specialist health services. Parental recognition of problems and perceived burden, rather than child factors, were the main correlates of contact with services. Parental views that their child has hyperactivity were associated with greater severity of symptoms. Conclusions: The main barrier to care for ADHD is the limited presentation of these problems to primary care. The majority of parents discuss their concerns with professionals based in education services. There is a need for parental education about ADHD and for health service input to support education professionals in their contact with concerned parents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01553.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=759

Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis / Rob ANDERSON in Journal of Child Psychology and Psychiatry, 55-12 (December 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1390-1397 Titre : Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis Type de document : Texte imprimé et/ou numérique Auteurs : Rob ANDERSON, Auteur ; Obioha C. UKOUMUNNE, Auteur ; Kapil SAYAL, Auteur ; Rhiannon PHILLIPS, Auteur ; John A. TAYLOR, Auteur ; Melissa SPEARS, Auteur ; Ricardo ARAYA, Auteur ; Glyn LEWIS, Auteur ; Abigail MILLINGS, Auteur ; Alan A. MONTGOMERY, Auteur ; Paul STALLARD, Auteur Article en page(s) : p.1390-1397 Langues : Anglais (eng) Mots-clés : Depression prevention  schools  CBT  cognitive behavioural therapy  cost-effectiveness  adolescents Index. décimale : PER Périodiques Résumé : Background A substantial minority of adolescents suffer from depression and it is associated with increased risk of suicide, social and educational impairment, and mental health problems in adulthood. A recently conducted randomized controlled trial in England evaluated the effectiveness of a manualized universally delivered age-appropriate CBT programme in school classrooms. The cost-effectiveness of the programme for preventing low mood and depression for all participants from a health and social care sector perspective needs to be determined. Methods A trial-based cost-effectiveness analysis based on a cluster-randomized controlled trial (trial registration – ISRCTN 19083628) comparing classroom-based CBT with usual school provision of Personal Social and Health Education. Per-student cost of intervention was estimated from programme records. The study was undertaken in eight mixed-sex UK secondary schools, and included 3,357 school children aged 12 to 16 years (in the two trial arms evaluated in the cost-effectiveness analysis). The main outcome measures were individual self-reported data on care costs, Quality-Adjusted Life-Years (QALYs, based on the EQ-5D health-related quality-of-life instrument) and symptoms of depression (Short Mood and Feelings Questionnaire) at baseline, 6 and 12 months. Results Although there was lower quality-adjusted life-years over 12 months (?.05 QALYs per person, 95% confidence interval ?.09 to ?.005, p = .03) with CBT, this is a ‘clinically’ negligible difference, which was not found in the complete case analyses. There was little evidence of any between-arm differences in SMFQ scores (0.19, 95% CI ?0.57 to 0.95, p = .62), or costs (£142, 95% CI ?£132 to £415, p = .31) per person for CBT versus usual school provision. Conclusions Our analysis suggests that the universal provision of classroom-based CBT is unlikely to be either more effective or less costly than usual school provision. En ligne : http://dx.doi.org/10.1111/jcpp.12248 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243 [article] Cost-effectiveness of classroom-based cognitive behaviour therapy in reducing symptoms of depression in adolescents: a trial-based analysis [Texte imprimé et/ou numérique] / Rob ANDERSON, Auteur ; Obioha C. UKOUMUNNE, Auteur ; Kapil SAYAL, Auteur ; Rhiannon PHILLIPS, Auteur ; John A. TAYLOR, Auteur ; Melissa SPEARS, Auteur ; Ricardo ARAYA, Auteur ; Glyn LEWIS, Auteur ; Abigail MILLINGS, Auteur ; Alan A. MONTGOMERY, Auteur ; Paul STALLARD, Auteur . - p.1390-1397. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1390-1397 Mots-clés : Depression prevention  schools  CBT  cognitive behavioural therapy  cost-effectiveness  adolescents Index. décimale : PER Périodiques Résumé : Background A substantial minority of adolescents suffer from depression and it is associated with increased risk of suicide, social and educational impairment, and mental health problems in adulthood. A recently conducted randomized controlled trial in England evaluated the effectiveness of a manualized universally delivered age-appropriate CBT programme in school classrooms. The cost-effectiveness of the programme for preventing low mood and depression for all participants from a health and social care sector perspective needs to be determined. Methods A trial-based cost-effectiveness analysis based on a cluster-randomized controlled trial (trial registration – ISRCTN 19083628) comparing classroom-based CBT with usual school provision of Personal Social and Health Education. Per-student cost of intervention was estimated from programme records. The study was undertaken in eight mixed-sex UK secondary schools, and included 3,357 school children aged 12 to 16 years (in the two trial arms evaluated in the cost-effectiveness analysis). The main outcome measures were individual self-reported data on care costs, Quality-Adjusted Life-Years (QALYs, based on the EQ-5D health-related quality-of-life instrument) and symptoms of depression (Short Mood and Feelings Questionnaire) at baseline, 6 and 12 months. Results Although there was lower quality-adjusted life-years over 12 months (?.05 QALYs per person, 95% confidence interval ?.09 to ?.005, p = .03) with CBT, this is a ‘clinically’ negligible difference, which was not found in the complete case analyses. There was little evidence of any between-arm differences in SMFQ scores (0.19, 95% CI ?0.57 to 0.95, p = .62), or costs (£142, 95% CI ?£132 to £415, p = .31) per person for CBT versus usual school provision. Conclusions Our analysis suggests that the universal provision of classroom-based CBT is unlikely to be either more effective or less costly than usual school provision. En ligne : http://dx.doi.org/10.1111/jcpp.12248 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243

Parents Anticipating Misbehaviour: An Observational Study of Strategies Parents Use to Prevent Conflict with Behaviour Problem Children / Frances E. M. GARDNER in Journal of Child Psychology and Psychiatry, 40-8 (November 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-8 (November 1999) . - p.1185-1196 Titre : Parents Anticipating Misbehaviour: An Observational Study of Strategies Parents Use to Prevent Conflict with Behaviour Problem Children Type de document : Texte imprimé et/ou numérique Auteurs : Frances E. M. GARDNER, Auteur ; Edmund J. S. SONUGA-BARKE, Auteur ; Kapil SAYAL, Auteur Année de publication : 1999 Article en page(s) : p.1185-1196 Langues : Anglais (eng) Mots-clés : Parenting  parenting strategies  behaviour problems  conduct problems  observational methods  preschool children Index. décimale : PER Périodiques Résumé : Research on the role of parenting styles in the development of disruptive behaviour problems has focused primarily on how parents handle conflict once it has occurred. This home observational study examined strategies used by 52 mothers to prevent conflict with 3-year-olds. It was predicted that mothers of children with behaviour problems would use fewer “positive” strategies to resolve conflict, and would use reactive rather than pre-emptive strategies. Results showed frequency of positive strategies did not differ between the groups. Mothers of children with behaviour problems were less likely to use pre-emptive, and more likely to use reactive, strategies. Further analysis showed child conduct problems, rather than other characteristics, best discriminated pre-emptive from reactive strategy users. Follow-up of a subsample found that reactive strategies at age 3 predicted age 5 behaviour problems, even after controlling for age 3 behaviour problems. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125 [article] Parents Anticipating Misbehaviour: An Observational Study of Strategies Parents Use to Prevent Conflict with Behaviour Problem Children [Texte imprimé et/ou numérique] / Frances E. M. GARDNER, Auteur ; Edmund J. S. SONUGA-BARKE, Auteur ; Kapil SAYAL, Auteur . - 1999 . - p.1185-1196. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-8 (November 1999) . - p.1185-1196 Mots-clés : Parenting  parenting strategies  behaviour problems  conduct problems  observational methods  preschool children Index. décimale : PER Périodiques Résumé : Research on the role of parenting styles in the development of disruptive behaviour problems has focused primarily on how parents handle conflict once it has occurred. This home observational study examined strategies used by 52 mothers to prevent conflict with 3-year-olds. It was predicted that mothers of children with behaviour problems would use fewer “positive” strategies to resolve conflict, and would use reactive rather than pre-emptive strategies. Results showed frequency of positive strategies did not differ between the groups. Mothers of children with behaviour problems were less likely to use pre-emptive, and more likely to use reactive, strategies. Further analysis showed child conduct problems, rather than other characteristics, best discriminated pre-emptive from reactive strategy users. Follow-up of a subsample found that reactive strategies at age 3 predicted age 5 behaviour problems, even after controlling for age 3 behaviour problems. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125

Practitioner Review: Pathways to care for ADHD – a systematic review of barriers and facilitators / Nicola WRIGHT in Journal of Child Psychology and Psychiatry, 56-6 (June 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-6 (June 2015) . - p.598-617 Titre : Practitioner Review: Pathways to care for ADHD – a systematic review of barriers and facilitators Type de document : Texte imprimé et/ou numérique Auteurs : Nicola WRIGHT, Auteur ; Maria MOLDAVSKY, Auteur ; Justine SCHNEIDER, Auteur ; Ipsita CHAKRABARTI, Auteur ; Janine COATES, Auteur ; David DALEY, Auteur ; Puja KOCHHAR, Auteur ; Jon MILLS, Auteur ; Walid SOROUR, Auteur ; Kapil SAYAL, Auteur Article en page(s) : p.598-617 Langues : Anglais (eng) Mots-clés : Attention-deficit disorder with hyperactivity  child  continuity of patient care  health service needs and demands  developmental disability Index. décimale : PER Périodiques Résumé : Background Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD. Method Studies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings. Results Twenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified. Conclusion This review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research. En ligne : http://dx.doi.org/10.1111/jcpp.12398 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 [article] Practitioner Review: Pathways to care for ADHD – a systematic review of barriers and facilitators [Texte imprimé et/ou numérique] / Nicola WRIGHT, Auteur ; Maria MOLDAVSKY, Auteur ; Justine SCHNEIDER, Auteur ; Ipsita CHAKRABARTI, Auteur ; Janine COATES, Auteur ; David DALEY, Auteur ; Puja KOCHHAR, Auteur ; Jon MILLS, Auteur ; Walid SOROUR, Auteur ; Kapil SAYAL, Auteur . - p.598-617. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-6 (June 2015) . - p.598-617 Mots-clés : Attention-deficit disorder with hyperactivity  child  continuity of patient care  health service needs and demands  developmental disability Index. décimale : PER Périodiques Résumé : Background Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD. Method Studies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings. Results Twenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified. Conclusion This review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research. En ligne : http://dx.doi.org/10.1111/jcpp.12398 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260

Preschool hyperactivity is associated with long-term economic burden: evidence from a longitudinal health economic analysis of costs incurred across childhood, adolescence and young adulthood / Maria CHOROZOGLOU in Journal of Child Psychology and Psychiatry, 56-9 (September 2015)  

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Sex differences in attention-deficit hyperactivity disorder diagnosis and clinical care: a national study of population healthcare records in Wales / Joanna MARTIN in Journal of Child Psychology and Psychiatry, 65-12 (December 2024)  

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