Evidence map›Paper›PMID 27621291›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Barriers to managing child and adolescent mental health problems: a systematic review of primary care practitioners' perceptions.

Doireann O'Brien, Kate Harvey, Jessica Howse, Tessa Reardon, Cathy Creswell

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  4. Perspectives of young people who access support for mental health in primary care: a systematic review of their experiences and needs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Doireann O'BrienSchool of Psychology and Clinical Language Sciences, University of Reading, Reading.
Kate HarveySchool of Psychology and Clinical Language Sciences, University of Reading, Reading.
Jessica HowseSchool of Psychology and Clinical Language Sciences, University of Reading, Reading.
Tessa ReardonSchool of Psychology and Clinical Language Sciences, University of Reading, Reading.
Cathy CreswellSchool of Psychology and Clinical Language Sciences, University of Reading, Reading.

Funding

Department of Health RP_2014-04-018
6 · The paper itself

Abstract

backgroundMental health problems are common and typically have an early onset. Effective treatments for mental health problems in childhood and adolescence are available, yet only a minority of children who are affected access them. This is of serious concern, considering the far-reaching and long-term negative consequences of such problems. Primary care is usually the first port of call for concerned parents so it is important to understand how primary care practitioners manage child and adolescent mental health problems and the barriers they face.

aimTo ascertain primary care practitioners' perceptions of the barriers that prevent effective management of child and adolescent mental health problems. DESIGN AND

settingA systematic review of qualitative and quantitative literature in a primary care setting.

methodA database search of peer-reviewed articles using PsycINFO, MEDLINE(®), Embase, and Web of Science, from inception (earliest 1806) until October 2014, was conducted. Additional studies were identified through hand searches and forward-citation searches. Studies needed to have at least one search term in four categories: primary care, childhood/adolescence, mental health, and barriers.

resultsA total of 4151 articles were identified, of which 43 were included (30 quantitative studies and 13 qualitative studies). The majority of the barriers related to identification, management, and/or referral. Considerable barriers included a lack of providers and resources, extensive waiting lists, and financial restrictions.

conclusionThe identification of a broad range of significant barriers highlights the need to strengthen the ability to deal with these common difficulties in primary care. There is a particular need for tools and training to aid accurate identification and management, and for more efficient access to specialist services.

Indexed as

Primary Health CareAdolescentAdolescent Health ServicesAttitude of Health PersonnelChildChild Health ServicesHealth Care SurveysHumansMental DisordersPractice Patterns, Physicians'Program EvaluationQualitative ResearchReferral and ConsultationUnited Kingdomaccess to health carebarrierschild mental disordersgeneral practiceprimary health care

Identifiers

PMID27621291
PMCPMC5033306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.