ArticleBMC family practice2015
A new approach to child mental healthcare within general practice.
Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The trial behind it
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Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- Integrating youth mental health practice nurses into general practice: effects on outpatient mental health care utilization among children and adolescents.European child & adolescent psychiatry · 2025Article
- Evaluation of practice nurses' management of paediatric psychosocial problems in general practice.Journal of public health (Oxford, England) · 2024Article
- Impact of a pediatric primary care health-coaching program on change in health-related quality of life in children with mental health problems: results of the PrimA-QuO cohort study.BMC primary care · 2023Article
- Influence of stigma, sociodemographic and clinical characteristics on mental health-related service use and associated costs among young people in the United Kingdom.European child & adolescent psychiatry · 2023Article
- Longitudinal changes of mental health problems in children and adolescents treated in a primary care-based health-coaching programme - results of the PrimA-QuO cohort study.BMC primary care · 2022Article
- 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
- General practitioners' everyday clinical decision-making on psychosocial problems of children and youth in the Netherlands.PloS one · 2022Article
- "We're in good hands there." - Acceptance, barriers and facilitators of a primary care-based health coaching programme for children and adolescents with mental health problems: a qualitative study (PrimA-QuO).BMC family practice · 2020Article
- Assessing Front Office Staff Awareness on Mental Health Resources at Youth Friendly Clinics in Los Angeles County.Community mental health journal · 2020Article
- 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 changing landscape of professional practice in podiatry, lessons to be learned from other professions about the barriers to change - a narrative review.Journal of foot and ankle research · 2019Review
- GP follow-up after first diagnosing psychological problems among adolescents: a nationwide register-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Even if they are not aware of it, general practitioners improve well-being in their adolescent patients.The European journal of general practice · 2017Article
- Mental health challenges among adolescents living with HIV.Journal of the International AIDS Society · 2017Review
- Addressing Child and Adolescent Mental Health Problems in the Community. Evaluation of a Consultation and Advise Team for Assessment, Support and Referral.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChild and adolescent mental health problems are frequently not identified and properly treated within general practice. Politicians in the Netherlands are promoting more primary healthcare treatment for mental health problems. The current study aims to evaluate an integrated primary mental healthcare approach for child and adolescent emotional and behavioural problems. This integrated approach allows general practitioners (GPs) to comprehensively explore the request for help, followed by an informed decision to refer, offer short-term treatment within general practice or postpone a decision by asking for additional consultations with youth mental health specialists.
methodThe study is a naturalistic evaluation of Dutch general practices with pre-test and post-test comparison with controls based on data from Electronic Medical Records (EMR). The intervention started in September 2010. EMR data of all GP contacts with children aged 4 to 18 (including diagnosis, prescriptions, referrals) from practices involved in the intervention was used from 1 January 2009 to 31 December 2012. Extra codes were added to the EMR to record aspects of the intervention. Comparable EMR data was used in control practices in 2011.
resultsGPs in the intervention group were able to identify more emotional and behavioural problems after the integrated service had started. They also identified more problems than GPs in the control practices. They were already reluctant to prescribe psychopharmacological medication to children before the intervention, and levels of prescription at intervention GP practices remained low for psychotropic drugs compared to control practices. Referral rates to mental healthcare remained relatively steady after the introduction of the integrated service, but referrals switched from specialized to primary mental healthcare.
conclusionAn integrated mental healthcare approach within general practice may lead to an increase in detected psychosocial problems among children, and these problems can mainly be treated within the primary care setting.
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Registered trials
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