Title |
Service-level variation, patient-level factors, and treatment outcome in those seen by child mental health services
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Published in |
European Child & Adolescent Psychiatry, January 2017
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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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Geographical breakdown
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Unknown | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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France | 1 | 2% |
Unknown | 60 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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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 % |
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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% |