Use and predictors of health services among Australian children with mental health problems: A national prospective study

Objective Retrospective, parent‐reported data suggest that 50% of Australian children with mental health disorders miss out on care. In a national sample, we aimed to determine the proportion receiving mental health services and associated characteristics, using prospective, objective data. Method P...

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Main Authors: Harriet Hiscock, Melissa Mulraney, Daryl Efron, Gary Freed, David Coghill, Emma Sciberras, Hayley Warren, Michael Sawyer
Format: Article
Language:English
Published: Taylor & Francis Group 2020-03-01
Series:Australian Journal of Psychology
Subjects:
Online Access:http://dx.doi.org/10.1111/ajpy.12256
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author Harriet Hiscock
Melissa Mulraney
Daryl Efron
Gary Freed
David Coghill
Emma Sciberras
Hayley Warren
Michael Sawyer
author_facet Harriet Hiscock
Melissa Mulraney
Daryl Efron
Gary Freed
David Coghill
Emma Sciberras
Hayley Warren
Michael Sawyer
author_sort Harriet Hiscock
collection DOAJ
description Objective Retrospective, parent‐reported data suggest that 50% of Australian children with mental health disorders miss out on care. In a national sample, we aimed to determine the proportion receiving mental health services and associated characteristics, using prospective, objective data. Method Prospective analysis of linked Medicare Benefits Scheme (MBS)‐rebated mental health service use in children aged 8–9, 10–11, and 12–13-years, from the Longitudinal Study of Australian Children K cohort (N = 4,983). Analyses were conducted separately for children scoring above the cut points on the Strength and Difficulties Questionnaire (SDQ) emotional and externalising problems subscales. Characteristics were compared using logistic regressions. Results Nine to 27% of children scoring above SDQ cut points accessed MBS‐rebated mental health services, typically from general practitioners, psychologists and paediatricians. Greater symptom severity, parent perception that child needs help, being a young boy and older were associated with increased service use. Children from more disadvantaged families or families speaking a language other than English were less likely to receive services for internalising problems. Conclusion In the first prospective, objective analysis, most children do not receive mental health services.
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spelling doaj.art-cf2d3bc33a5b4579a50f283102f1df2c2023-09-19T08:54:47ZengTaylor & Francis GroupAustralian Journal of Psychology0004-95301742-95362020-03-01721314010.1111/ajpy.1225612098958Use and predictors of health services among Australian children with mental health problems: A national prospective studyHarriet Hiscock0Melissa Mulraney1Daryl Efron2Gary Freed3David Coghill4Emma Sciberras5Hayley Warren6Michael Sawyer7Royal Children's HospitalMurdoch Children's Research InstituteMurdoch Children's Research InstituteUniversity of MichiganUniversity of MelbourneMurdoch Children's Research InstituteMurdoch Children's Research InstituteWomen's and Children's Health NetworkObjective Retrospective, parent‐reported data suggest that 50% of Australian children with mental health disorders miss out on care. In a national sample, we aimed to determine the proportion receiving mental health services and associated characteristics, using prospective, objective data. Method Prospective analysis of linked Medicare Benefits Scheme (MBS)‐rebated mental health service use in children aged 8–9, 10–11, and 12–13-years, from the Longitudinal Study of Australian Children K cohort (N = 4,983). Analyses were conducted separately for children scoring above the cut points on the Strength and Difficulties Questionnaire (SDQ) emotional and externalising problems subscales. Characteristics were compared using logistic regressions. Results Nine to 27% of children scoring above SDQ cut points accessed MBS‐rebated mental health services, typically from general practitioners, psychologists and paediatricians. Greater symptom severity, parent perception that child needs help, being a young boy and older were associated with increased service use. Children from more disadvantaged families or families speaking a language other than English were less likely to receive services for internalising problems. Conclusion In the first prospective, objective analysis, most children do not receive mental health services.http://dx.doi.org/10.1111/ajpy.12256childrenhealth service usemedicaremental healthsexsocioeconomic status
spellingShingle Harriet Hiscock
Melissa Mulraney
Daryl Efron
Gary Freed
David Coghill
Emma Sciberras
Hayley Warren
Michael Sawyer
Use and predictors of health services among Australian children with mental health problems: A national prospective study
Australian Journal of Psychology
children
health service use
medicare
mental health
sex
socioeconomic status
title Use and predictors of health services among Australian children with mental health problems: A national prospective study
title_full Use and predictors of health services among Australian children with mental health problems: A national prospective study
title_fullStr Use and predictors of health services among Australian children with mental health problems: A national prospective study
title_full_unstemmed Use and predictors of health services among Australian children with mental health problems: A national prospective study
title_short Use and predictors of health services among Australian children with mental health problems: A national prospective study
title_sort use and predictors of health services among australian children with mental health problems a national prospective study
topic children
health service use
medicare
mental health
sex
socioeconomic status
url http://dx.doi.org/10.1111/ajpy.12256
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