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Service-level variation, patient-level factors, and treatment outcome in those seen by child mental health services

Overview of attention for article published in European Child & Adolescent Psychiatry, January 2017
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Title
Service-level variation, patient-level factors, and treatment outcome in those seen by child mental health services
Published in
European Child & Adolescent Psychiatry, January 2017
DOI 10.1007/s00787-016-0939-x
Pubmed ID
Authors

Julian Edbrooke-Childs, Amy Macdougall, Daniel Hayes, Jenna Jacob, Miranda Wolpert, Jessica Deighton

Abstract

Service comparison is a policy priority but is not without controversy. This paper aims to investigate the amount of service-level variation in outcomes in child mental health, whether it differed when examining outcomes unadjusted vs. adjusted for expected change over time, and which patient-level characteristics were associated with the difference observed between services. Multilevel regressions were used on N = 3256 young people (53% male, mean age 11.33 years) from 13 child mental health services. Outcome was measured using the parent-reported Strengths and Difficulties Questionnaire. The results showed there was 4-5% service-level variation in outcomes. Findings were broadly consistent across unadjusted vs. adjusted outcomes. Young people with autism or infrequent case characteristics (e.g., substance misuse) had greater risk of poor outcomes. Comparison of services with high proportions of young people with autism or infrequent case characteristics requiring specialist input needs particular caution as these young people may be at greater risk of poor outcomes.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 61 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
France 1 2%
Unknown 60 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 21%
Researcher 10 16%
Student > Ph. D. Student 9 15%
Student > Bachelor 6 10%
Student > Doctoral Student 2 3%
Other 7 11%
Unknown 14 23%
Readers by discipline Count As %
Psychology 19 31%
Social Sciences 9 15%
Medicine and Dentistry 8 13%
Agricultural and Biological Sciences 3 5%
Nursing and Health Professions 2 3%
Other 3 5%
Unknown 17 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 February 2017.
All research outputs
#20,402,251
of 22,952,268 outputs
Outputs from European Child & Adolescent Psychiatry
#1,491
of 1,648 outputs
Outputs of similar age
#355,672
of 420,601 outputs
Outputs of similar age from European Child & Adolescent Psychiatry
#26
of 32 outputs
Altmetric has tracked 22,952,268 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,648 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 420,601 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.