TITLE

Utilization of health services in relation to mental health problems in adolescents: A population based survey

AUTHOR(S)
Zachrisson, Henrik D.; Rödje, Kjetil; Mykletun, Arnstein
PUB. DATE
January 2006
SOURCE
BMC Public Health;2006, Vol. 6, p34
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Only a minority of adolescents reporting symptoms above case-levels on screenings for mental health seeks and receives help from specialist health services. The objective of this study was to a) examine help-seeking for symptoms of anxiety and depression in relation to symptom load dimensionally, b) identify the level of specialization in mental health among service-providers, and c) identify associations between mental health problems and contact with different types of health services. Methods: This cross-sectional school-based study (response-rate 88%, n = 11154) is based on Norwegian health surveys among 15 and 16 year olds. Results: We found a dose-response association between symptom-load and help seeking. Only 34% of individuals with mental symptom-load above 99th percentile reported help-seeking in the last 12 months. Forty percent of help seekers were in contact with specialists (psychiatrists or psychologists), the remaining were mainly in contact with GPs. Mental health problems increased help seeking to all twelve service providers examined. Conclusion: It might not be reasonable to argue that all adolescents with case-level mental health problems are in need of treatment. However, concerning the 99th percentile, claiming treatment need is less controversial. Even in the Norwegian context where mental health services are relatively available and free of charge, help-seeking in individuals with the highest symptom-loads is still low. Most help seekers achieved contact with health care providers, half of them at a non specialized level. Our results suggest that adolescents' recognition of mental health problems or intention to seek help for these are the major "filters" restricting treatment.
ACCESSION #
29362183

 

Related Articles

  • School Guidance Counsellors and Adolescent Depression. Bulkeley, Barbara // New Zealand Journal of Counselling;2010, Vol. 30 Issue 2, p40 

    Adolescent depression is a significant problem in New Zealand. Although school guidance counsellors are ideally placed to identify, assess, and treat adolescents, they are rarely included in mental health research. This article discusses findings from research that used qualitative and...

  • Social and economic correlates of depressive symptoms and perceived stress in South African adults. Hamad, R.; Fernald, L. C. H.; Karlan, D. S.; Zinman, J. // Journal of Epidemiology & Community Health;Jun2008, Vol. 62 Issue 6, p538 

    Objectives: Adults in South Africa demonstrate rates of mental illness at or above levels elsewhere in the developing world. Yet there is a research gap regarding the social context surrounding mental health in this region. The objective of this analysis was to characterize the prevalence and...

  • Review: Benefits of antidepressants outweigh risks of suicidal ideation and attempts in children and adolescents. Hammad, Tarek A. // Evidence Based Mental Health;Nov2007, Vol. 10 Issue 4, p108 

    The article examines the effectiveness of antidepressants for pediatric major depressive disorder (MDD), obsessive compulsive disorder (OCD) and non-OCD anxiety disorders. It also studies whether antidepressants increase suicidal ideation and suicide attempts. The article shows that...

  • Contact with child and adolescent psychiatric services among self-harming and suicidal adolescents in the general population: a cross sectional study. Tørmoen, Anita J.; Rossow, Ingeborg; Mork, Erlend; Mehlum, Lars // Child & Adolescent Psychiatry & Mental Health;2014, Vol. 8 Issue 1, p1 

    Background Studies have shown that adolescents with a history of both suicide attempts and non-suicidal self-harm report more mental health problems and other psychosocial problems than adolescents who report only one or none of these types of self-harm. The current study aimed to examine the...

  • Prevalence of Childhood and Adolescent Depression in the Community Ontario Child Health Study. Fleming, Jan E.; Offord, David R.; Boyle, Michael H. // British Journal of Psychiatry;Nov89, Vol. 155, p647 

    Data from a cross-sectional community survey of 2852 children were used to provide estimates of the prevalence of a 'DSM-lll-like' major depressive syndrome in children aged 6 to 16. The severity of symptoms required to define a 'case' was varied to generate three levels of diagnostic certainty...

  • Teen depression: Overlooked and undertreated. Harper, Gordon; Marks, Andrea; Nelson III, W. Michael // Patient Care for the Nurse Practitioner;Oct2002, Vol. 5 Issue 10, p5 

    The article discusses mental depression in teenagers. Mood swings of adolescents may indicate depression, which may lead to substance abuse, HIV infection, and suicide. Signs and symptoms of depression in teenagers are mentioned. When depression is suspected in a teenager, it is important for a...

  • How prevalent is depression in adolescents?  // Patient Care for the Nurse Practitioner;Oct2002, Vol. 5 Issue 10, p11 

    The article discusses the prevalence of depression in adolescents. Adolescent depression is viewed as a major public health problem because of its high prevalence, under identification, and low treatment rates. Teenagers with at least one depressed parent have a 3 times greater lifetime risk of...

  • Combined treatment with cognitive-behavioural therapy in adolescent depression: meta-analysis. Dubicka, Bernadka; Elvins, Rachel; Roberts, Chris; Chick, Greg; Wilkinson, Paul; Goodyer, Ian M. // British Journal of Psychiatry;Dec2010, Vol. 197 Issue 6, p433 

    Background The treatment of adolescent depression is controversial and studies of combined treatment (antidepressants and cognitive-behavioural therapy, CBT) have produced conflicting findings. Aims To address the question of whether CBT confers additional benefit to antidepressant treatment in...

  • Randomized Clinical Trial of a Primary Care Internet-based Intervention to Prevent Adolescent Depression: One-year Outcomes. Saulsberry, Alexandria; Marko-Holguin, Monika; Blomeke, Kelsey; Hinkle, Clayton; Fogel, Joshua; Gladstone, Tracy; Bell, Carl; Reinecke, Mark; Corden, Marya; Van Voorhees, Benjamin W. // Journal of the Canadian Academy of Child & Adolescent Psychiatry;May2013, Vol. 22 Issue 2, p106 

    Objective: We developed a primary care/Internet-based intervention for adolescents at risk for depression (CATCH-IT, Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training). This phase II clinical trial compares two forms of primary care provider (PCP)...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics