Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data / Tom SNELL in Journal of Child Psychology and Psychiatry, 54-9 (September 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985 Titre : Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data Type de document : Texte imprimé et/ou numérique Auteurs : Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.977-985 Langues : Anglais (eng) Mots-clés : Cost  economic impact  child  adolescent  mental health  psychiatric  hyperactivity  conduct  emotional  disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212 [article] Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data [Texte imprimé et/ou numérique] / Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.977-985. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985 Mots-clés : Cost  economic impact  child  adolescent  mental health  psychiatric  hyperactivity  conduct  emotional  disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212

Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial / N. MULFINGER in Journal of Child Psychology and Psychiatry, 59-6 (June 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-6 (June 2018) . - p.684-691 Titre : Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : N. MULFINGER, Auteur ; S. MULLER, Auteur ; I. BOGE, Auteur ; V. SAKAR, Auteur ; P. W. CORRIGAN, Auteur ; Sara EVANS-LACKO, Auteur ; L. NEHF, Auteur ; J. DJAMALI, Auteur ; A. SAMARELLI, Auteur ; M. KEMPTER, Auteur ; C. RUCKES, Auteur ; G. LIBAL, Auteur ; N. OEXLE, Auteur ; M. NOTERDAEME, Auteur ; N. RUSCH, Auteur Article en page(s) : p.684-691 Langues : Anglais (eng) Mots-clés : Coming Out Proud  Honest, Open, Proud  Randomized controlled trial  adolescents  disclosure  mental illness  secrecy Index. décimale : PER Périodiques Résumé : BACKGROUND: Due to public stigma or self-stigma and shame, many adolescents with mental illness (MI) struggle with the decision whether to disclose their MI to others. Both disclosure and nondisclosure are associated with risks and benefits. Honest, Open, Proud (HOP) is a peer-led group program that supports participants with disclosure decisions in order to reduce stigma's impact. Previously, HOP had only been evaluated among adults with MI. METHODS: This two-arm pilot randomized controlled trial included 98 adolescents with MI. Participants were randomly assigned to HOP and treatment as usual (TAU) or to TAU alone. Outcomes were assessed pre (T0/baseline), post (T1/after the HOP program), and at 3-week follow-up (T2/6 weeks after T0). Primary endpoints were stigma stress at T1 and quality of life at T2. Secondary outcomes included self-stigma, disclosure-related distress, empowerment, help-seeking intentions, recovery, and depressive symptoms. The trial is registered on ClinicalTrials (NCT02751229; http://www.clinicaltrials.gov). RESULTS: Compared to TAU, adolescents in the HOP program showed significantly reduced stigma stress at T1 (d = .92, p < .001) and increased quality of life at T2 (d = .60, p = .004). In a longitudinal mediation model, the latter effect was fully mediated by stigma stress reduction at T1. HOP further showed significant positive effects on self-stigma, disclosure-related distress, secrecy, help-seeking intentions, attitudes to disclosure, recovery, and depressive symptoms. Effects at T1 remained stable or improved further at follow-up. In a limited economic evaluation HOP was cost-efficient in relation to gains in quality of life. CONCLUSIONS: As HOP is a compact three-session program and showed positive effects on stigma and disclosure variables as well as on symptoms and quality of life, it could help to reduce stigma's negative impact among adolescents with MI. En ligne : http://dx.doi.org/10.1111/jcpp.12853 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=363 [article] Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial [Texte imprimé et/ou numérique] / N. MULFINGER, Auteur ; S. MULLER, Auteur ; I. BOGE, Auteur ; V. SAKAR, Auteur ; P. W. CORRIGAN, Auteur ; Sara EVANS-LACKO, Auteur ; L. NEHF, Auteur ; J. DJAMALI, Auteur ; A. SAMARELLI, Auteur ; M. KEMPTER, Auteur ; C. RUCKES, Auteur ; G. LIBAL, Auteur ; N. OEXLE, Auteur ; M. NOTERDAEME, Auteur ; N. RUSCH, Auteur . - p.684-691. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-6 (June 2018) . - p.684-691 Mots-clés : Coming Out Proud  Honest, Open, Proud  Randomized controlled trial  adolescents  disclosure  mental illness  secrecy Index. décimale : PER Périodiques Résumé : BACKGROUND: Due to public stigma or self-stigma and shame, many adolescents with mental illness (MI) struggle with the decision whether to disclose their MI to others. Both disclosure and nondisclosure are associated with risks and benefits. Honest, Open, Proud (HOP) is a peer-led group program that supports participants with disclosure decisions in order to reduce stigma's impact. Previously, HOP had only been evaluated among adults with MI. METHODS: This two-arm pilot randomized controlled trial included 98 adolescents with MI. Participants were randomly assigned to HOP and treatment as usual (TAU) or to TAU alone. Outcomes were assessed pre (T0/baseline), post (T1/after the HOP program), and at 3-week follow-up (T2/6 weeks after T0). Primary endpoints were stigma stress at T1 and quality of life at T2. Secondary outcomes included self-stigma, disclosure-related distress, empowerment, help-seeking intentions, recovery, and depressive symptoms. The trial is registered on ClinicalTrials (NCT02751229; http://www.clinicaltrials.gov). RESULTS: Compared to TAU, adolescents in the HOP program showed significantly reduced stigma stress at T1 (d = .92, p < .001) and increased quality of life at T2 (d = .60, p = .004). In a longitudinal mediation model, the latter effect was fully mediated by stigma stress reduction at T1. HOP further showed significant positive effects on self-stigma, disclosure-related distress, secrecy, help-seeking intentions, attitudes to disclosure, recovery, and depressive symptoms. Effects at T1 remained stable or improved further at follow-up. In a limited economic evaluation HOP was cost-efficient in relation to gains in quality of life. CONCLUSIONS: As HOP is a compact three-session program and showed positive effects on stigma and disclosure variables as well as on symptoms and quality of life, it could help to reduce stigma's negative impact among adolescents with MI. En ligne : http://dx.doi.org/10.1111/jcpp.12853 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=363

How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample / Martin KNAPP 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.667-676 Titre : How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample Type de document : Texte imprimé et/ou numérique Auteurs : Martin KNAPP, Auteur ; Tom SNELL, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.667-676 Langues : Anglais (eng) Mots-clés : Psychiatric practice  education  social work  economic evaluation Index. décimale : PER Périodiques Résumé : Background Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. Methods Analysis of service uses data and associated costs for 2461 children aged 5–15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. Results Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. Conclusions Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems. En ligne : http://dx.doi.org/10.1111/jcpp.12327 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 [article] How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample [Texte imprimé et/ou numérique] / Martin KNAPP, Auteur ; Tom SNELL, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.667-676. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-6 (June 2015) . - p.667-676 Mots-clés : Psychiatric practice  education  social work  economic evaluation Index. décimale : PER Périodiques Résumé : Background Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. Methods Analysis of service uses data and associated costs for 2461 children aged 5–15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. Results Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. Conclusions Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems. En ligne : http://dx.doi.org/10.1111/jcpp.12327 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260

Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life / Mauricio SCOPEL HOFFMANN in Journal of Child Psychology and Psychiatry, 64-3 (March 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-3 (March 2023) . - p.397-407 Titre : Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life Type de document : Texte imprimé et/ou numérique Auteurs : Mauricio SCOPEL HOFFMANN, Auteur ; Sara EVANS-LACKO, Auteur ; Stephan COLLISHAW, Auteur ; Martin KNAPP, Auteur ; Andrew PICKLES, Auteur ; Christina SHEARER, Auteur ; Barbara MAUGHAN, Auteur Article en page(s) : p.397-407 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14-15 years old (n=2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44-45 years, n=1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course. En ligne : https://doi.org/10.1111/jcpp.13707 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493 [article] Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life [Texte imprimé et/ou numérique] / Mauricio SCOPEL HOFFMANN, Auteur ; Sara EVANS-LACKO, Auteur ; Stephan COLLISHAW, Auteur ; Martin KNAPP, Auteur ; Andrew PICKLES, Auteur ; Christina SHEARER, Auteur ; Barbara MAUGHAN, Auteur . - p.397-407. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-3 (March 2023) . - p.397-407 Index. décimale : PER Périodiques Résumé : Background Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14-15 years old (n=2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44-45 years, n=1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course. En ligne : https://doi.org/10.1111/jcpp.13707 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493

---

1 (1 - 4 / 4)