ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2004
Detection of child mental health disorders by general practitioners.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Factors associated with the identification of child mental health problems in primary care-a systematic review.The European journal of general practice · 2019Pooled it
- What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies.European child & adolescent psychiatry · 2017Pooled it
- What do general practitioners know about ADHD? Attitudes and knowledge among first-contact gatekeepers: systematic narrative review.BMC family practice · 2016Pooled it
- An online randomised controlled trial to evaluate the effectiveness of an online intervention for parents/guardians of children aged 4-7 years old who are concerned about their children's emotional and behavioural development: EMERGENT study.Frontiers in psychology · 2026Trial
- Caring for young minds: general practitioners' self-assessed competence in child and adolescent psychiatry.Scandinavian journal of primary health care · 2026Article
- Article
- How to Approach a Child About Concerns for Their Mental Health and Seeking Help: A Delphi Expert Consensus Study to Develop Guidelines on Mental Health First Aid for Supporting Children.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Increased family psychosocial focus during children's developmental assessments: a study of parents' views.BMC pediatrics · 2024Article
- Use of healthcare services before diagnosis of attention-deficit/hyperactivity disorder: a population-based matched case-control study.Archives of disease in childhood · 2023Article
- Mental health in clinically referred children and young people before and during the Covid-19 pandemic.European child & adolescent psychiatry · 2023Article
- La promotion de l'évolution optimale de la santé mentale chez les enfants et les adolescents.Paediatrics & child health · 2023Review
- Promoting optimal mental health outcomes for children and youth.Paediatrics & child health · 2023Review
- Prevalence and demographic variation of cardiovascular, renal, metabolic, and mental health conditions in 12 million english primary care records.BMC medical informatics and decision making · 2023Article
- Parent-identified barriers to accessing exposure therapy: A qualitative study using process mapping.Frontiers in psychiatry · 2023Article
- Anxiety problems in children and adolescents: a population-based cohort study on incidence and management in Dutch primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Who should we ask about mental health symptoms in adolescents with CFS/ME? Parent-child agreement on the revised children's anxiety and depression scale.Clinical child psychology and psychiatry · 2021Article
- Introducing a single point of access (SPA) to child and adolescent mental health services in England: a mixed-methods observational study.BMC health services research · 2020Observational
- The Strengths and Difficulties Questionnaire is a usable way to address mental health at well-child visits in general practice - a qualitative study of feasibility.BMC family practice · 2020Article
- Article
- What is known about pathways to mental health care for Australian Aboriginal young people?: a narrative review.International journal for equity in health · 2018Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew children with mental disorders access specialist services. Although previous studies suggest that general practitioner (GP) recognition is limited, parents may not be presenting these problems.
aimTo compare GP recognition of disorders with child mental health data and to examine factors affecting recognition, in particular whether recognition is enhanced if the parent expresses concern during the consultation. DESIGN OF STUDY: A two-phase design involving an initial community survey of children between the ages of 5 and 11 years. In the second phase, primary care attenders who were regarded by their GP as having a mental health disorder were compared with those who were not.
settingFive general practices in Croydon, outer London.
methodFor 186 children attending primary care, GP recognition of disorders was compared with the results of a child mental health questionnaire completed by parents. Accuracy and predictors of GP recognition were examined.
resultsSeventy-four per cent of children meeting criteria for caseness were not recognised by GPs as having a mental health disorder. The expression of parental concern in the consultation about a mental health problem increased the sensitivity of recognition from 26% to 88%. Expression of concern also increased GP recognition of non-cases; this reflected GP identification of other mental health and learning problems. Only a third of parents who had concerns expressed these during the consultation.
conclusionsGPs are responsive to concern and take parental views into account. As well as detecting disorders, GPs are also sensitive to other psychosocial and educational problems that may present in primary care. There is a need for parental education about child mental health disorders.
Indexed as
Identifiers
15113517PMC1266168W2124450191What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.