Characteristics and treatment outcomes of children and adolescents accessing treatment in Child and Youth Mental Health Services

Lu, Zhen Qi and de Geus, Hanna and Roest, Sanna and Payne, Leanne and Krishnamoorthy, Govind ORCID: https://orcid.org/0000-0003-1515-1103 and Littlewood, Robyn and Hoyland, Margaret and Stathis, Stephen and Bor, William and Middeldorp, Christel (2022) Characteristics and treatment outcomes of children and adolescents accessing treatment in Child and Youth Mental Health Services. Early Intervention in Psychiatry. pp. 1-12. ISSN 1751-7885

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Abstract

Aim: To provide insight into the characteristics and treatment outcomes of children and adolescents accessing outpatient Child and Youth Mental Health Services (CYMHS), and to explore whether outcomes differ by age, sex, and ancestry background. This information can guide how to optimize the treatment delivered at these services. Methods: An observational retrospective study was performed based on data from 3098 children and adolescents between age 5 and 18 who received treatment at Brisbane, Australia, community CYMHS between 2013–2018. Patient characteristics, service use, and clinician and parent rated Routine Outcome Measures (ROM) were extracted from electronic health records. Results: Anxiety and mood disorders were the most common mental disorders (37% and 19%). In 1315 children and adolescents (42%), two or more disorders were diagnosed, and the far majority (88%) had experienced at least one psychosocial stressor. The ROM scores improved between start and end of treatment with Cohen's d effect sizes of around 0.9. However, ~50% of the children still scored in the clinical range at the end of treatment. Outcomes did not differ over gender and Indigenous status. Conclusions: Children and adolescents accessing CYMHS have severe and complex mental disorders as reflected by high rates of comorbidity, exposure to adverse circumstances and high symptom scores at the start of treatment. Despite the clinically relevant and substantial improvement, end ROM scores indicated the presence of residual symptoms. As this increases the risk for relapse, services should explore ways to improve treatment to further reduce mental health symptoms.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Psychology and Wellbeing (1 Jan 2022 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 20 Mar 2022 23:25
Last Modified: 04 Apr 2022 07:42
Uncontrolled Keywords: children and adolescent psychiatry; community Child and Youth Mental Health Service, observational study; Routine Outcome Measures; treatment outcome
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170102 Developmental Psychology and Ageing
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Fields of Research (2020): 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920209 Mental Health Services
C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health
20 HEALTH > 2003 Provision of health and support services > 200305 Mental health services
Identification Number or DOI: https://doi.org/10.1111/eip.13275
URI: http://eprints.usq.edu.au/id/eprint/47006

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