ArticleBMC health services research2019
Predicting patterns of service utilization within children's mental health agencies.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Childhood Predictors of Long-Term Tic Severity and Tic Impairment in Tourette's Disorder.Behavior therapy · 2022Trial
- Early identification of individual, parent and family related factors associated with different levels of youth care services.European child & adolescent psychiatry · 2026Article
- Longitudinal relations between parental burden, adolescent externalizing symptoms, and mental health service use in the year following adolescent psychiatric hospitalization.Psychological services · 2026Article
- Associations among parental self-efficacy, symptom burden in children with medical complexity, and their use of health services.BMC nursing · 2025Article
- Frequency and impact of paediatric acute-onset neuropsychiatric syndrome/paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections diagnosis in Canada.Paediatrics & child health · 2025Article
- Exploring neurodevelopmental concerns: insights from a public neuropediatric learning disabilities multiprofessional outpatient facility in Brazil.Frontiers in psychology · 2025Article
- Examining Patient- and Community-Level Factors Associated with Pediatric Mental Healthcare Access Within a Patient Navigation Program.Community mental health journal · 2024Article
- 5-year mental health outcomes for children and adolescents presenting with psychiatric symptoms to general practitioners in England: a retrospective cohort study.The lancet. Psychiatry · 2024Article
- Predictors of amounts of child and adolescent mental health service use.European child & adolescent psychiatry · 2023Article
- Service Utilization for Parent Management of Early Childhood Behavior Problems in a Private Outpatient Behavioral Clinic: The Impact of Out-of-Pocket Cost, Travel Distance, and Initial Treatment Progress.Administration and policy in mental health · 2023Article
- Predictors of Service Utilization of Young Children and Families Enrolled in a Pediatric Primary Care Mental Health Promotion and Prevention Program.Community mental health journal · 2022Article
- Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care.Administration and policy in mental health · 2022Article
- Association of mental health and behavioral disorders with health care and service utilization in children before and after diagnosis.PloS one · 2022Article
- The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery.Frontiers in psychiatry · 2022Review
- 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
- Re-Accessing Mental Health Care After Age 18: A Longitudinal Cohort Study of Youth Involved with Community-based Child and Youth Mental Health Agencies in Ontario.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2021Article
- Predicting Dropout from Children's Mental Health Services: Using a Need-Based Definition of Dropout.Child psychiatry and human development · 2020Article
- Re-Accessing Community Mental Health Services for Children and Adolescents.The journal of behavioral health services & research · 2020Article
- Predicting patterns of service utilization within children's mental health agencies.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundSome children with mental health (MH) problems have been found to receive ongoing care, either continuously or episodically. We sought to replicate patterns of MH service use over extended time periods, and test predictors of these patterns.
methodsLatent class analyses were applied to 4 years of visit data from five MH agencies and nearly 6000 children, 4- to 13-years-old at their first visit.
resultsFive patterns of service use were identified, replicating previous findings. Overall, 14% of cases had two or more episodes of care and 23% were involved for more than 2 years. Most children (53%) were seen for just a few visits within a few months. Two patterns represented cases with two or more episodes of care spanning multiple years. In the two remaining patterns, children tended to have just one episode of care, but the number of sessions and length of involvement varied. Using discriminant function analyses, we were able to predict with just over 50% accuracy children's pattern of service use. Severe externalizing behaviors, high impairment, and high family burden predicted service use patterns with long durations of involvement and frequent visits.
conclusionsOptimal treatment approaches for children seen for repeated episodes of care or for care lasting multiple years need to be developed. Children with the highest level of need (severe pathology, impairment, and burden) are probably best served by providing high intensity services at the start of care.
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