ArticleEuropean child & adolescent psychiatry2019
Changes in mental health service use among 8-year-old children: a 24-year time-trend study.
Article in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Internet-Based Cognitive Behavioral Therapy and Telephone Coaching for Anxiety in Children.JAMA network open · 2026Trial
- Predictors of dropout, time spent on the program and client satisfaction in an internet-based, telephone-assisted CBT anxiety program among elementary school children in a population-based sample.European child & adolescent psychiatry · 2025Trial
- Impact of the COVID-19 pandemic on referrals and clinical activity in a child and adolescent mental health service in Qatar: a 3-year retrospective comparative analysis.BJPsych international · 2026Article
- Smartphone use, wellbeing, and their association in children.Pediatric research · 2025Article
- 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
- Primary mental health workers addressing youth mental health problems and referrals in general practice: a seven-year time-trend study.BMC primary care · 2025Article
- Epidemiology of Tourette Syndrome.Brain sciences · 2025Review
- Enduring Outcomes of Family-focused Youth Care: A Systematic Review of Child, Parent and Family Functioning After Care and at Follow-up.Child & youth care forum · 2025Review
- Psychiatric symptoms at age 8 as predictors of specialized health service use for psychiatric disorders in late adolescence and early adulthood: findings from the Finnish Nationwide 1981 Birth Cohort Study.Frontiers in psychiatry · 2025Article
- The "Let's Talk about Children" intervention in a Finnish school context: fidelity, parents' experiences, and perceived benefits.Frontiers in psychology · 2023Article
- COVID-19 and mental health disorders in children and adolescents (Review).Psychiatry research · 2022Review
- Temporal changes in sex- and age-specific incidence profiles of mental disorders-A nationwide study from 1970 to 2016.Acta psychiatrica Scandinavica · 2022Article
- Registered psychiatric service use, self-harm and suicides of children and young people aged 0-24 before and during the COVID-19 pandemic: a systematic review.Child and adolescent psychiatry and mental health · 2022Review
- Time trends in treated incidence, sociodemographic risk factors and comorbidities: a Finnish nationwide study on anxiety disorders.BMC psychiatry · 2022Article
- Article
- Referral patterns to outpatient child and adolescent mental health services and factors associated with referrals being rejected. A cross-sectional observational study.BMC health services research · 2021Observational
- Article
- Ten-year changes in the psychosocial well-being, psychopathology, substance use, suicidality, bullying, and sense of coherence of 18-year-old males: a Finnish population-based time-trend study.European child & adolescent psychiatry · 2021Article
- Parent-perceived barriers to accessing services for their child's mental health problems.Child and adolescent psychiatry and mental health · 2021Article
- The role of digital technology in bridging the child mental health care gap.European child & adolescent psychiatry · 2019Article
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Abstract
The use of children's mental health services has increased, but most children with psychiatric problems are still not in contact with these services. This time-trend study assessed changes in considered and reported service use over a 24-year period and studied the factors associated with it using four cross-sectional studies. Information was gathered on 8-year-old children living in the area covered by Turku University Hospital, Finland, at four time points: 986 children in 1989, 891 in 1999, 930 in 2005, and 942 in 2013. The same study design, methods and school districts were used each year and the participation rates varied between 86 and 95%. Parents and teachers completed questionnaires concerning the child's psychiatric symptoms and service use. The considered and reported service use increased continuously during the study period. In 1989, 2.4% of children had used services and in 2013 this was 11.0% (OR 5.0, 95% CI 3.1-8.0). Reported service use also increased among children with comorbid problems, from 18.3 to 50.7% (OR 5.0, 95% CI 2.1-12.0). Psychiatric problems and some family factors were associated with service use, but the increase was not explained by these factors. The increase in child mental health service use may reflect better public awareness of mental health problems, fewer barriers to accessing care and decrease of stigma. Although more children are using mental health services, there are still a large number of children with mental health problems who have not been in contact with services.
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