Evidence map›Paper›PMID 33552169›Full record

ArticleJournal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent2021

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.

Kyleigh E Schraeder, Melanie Barwick, John Cairney, Jeff Carter, Paul Kurdyak, Richard W J Neufeld, Shannon L Stewart, Jeff St Pierre, Juliana Tobon, Evelyn Vingilis and 2 more

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In one paragraph

Article in Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
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  6. Review
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

12 authors.

Kyleigh E SchraederDepartment of Psychology, Western University, London, Ontario.
Melanie BarwickThe Hospital for Sick Children, Toronto, Ontario.
John CairneyFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario.
Jeff CarterDepartment of Psychology, Western University, London, Ontario.
Paul KurdyakDepartment of Psychiatry, University of Toronto, Toronto, Ontario.
Richard W J NeufeldDepartment of Psychology, Western University, London, Ontario.
Shannon L StewartFaculty of Education, Western University, London, Ontario.
Jeff St PierreChild and Parent Resource Institute, London, Ontario.
Juliana TobonDepartment of Psychiatry and Behavioural Sciences, McMaster University, Hamilton, Ontario.
Evelyn VingilisDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario.
Gregory ZaricDepartment of Epidemiology and Biostatistics, Western University, London, Ontario.
Graham J ReidDepartment of Psychology, Western University, London, Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAbout 20-26% of children and youth with a mental health disorder (depending on age and respondent) report receiving services from a community-based Child and Youth Mental Health (CYMH) agency. However, because agencies have an upper age limit of 18-years old, youth requiring ongoing mental health services must "transition" to adult-oriented care. General healthcare providers (e.g., family physicians) likely provide this care. The objective of this study was to compare the likelihood of receiving physician-based mental health services after age 18 between youth who had received community-based mental health services and a matched population sample.

methodA longitudinal matched cohort study was conducted in Ontario, Canada. A CYMH cohort that received mental health care at one of five CYMH agencies, aged 7-14 years at their first visit (N=2,822), was compared to age, sex, region-matched controls (N=8,466).

resultsCYMH youth were twice as likely as the comparison sample to have a physician-based mental health visit (i.e., by a family physician, pediatrician, psychiatrists) after age 18; median time to first visit was 3.3 years. Having a physician mental health visit before age 18 was associated with a greater likelihood of experiencing the outcome than community-based CYMH services alone.

conclusionMost youth involved in community-based CYMH agencies will re-access services from physicians as adults. Youth receiving mental health services only within community agencies, and not from physicians, may be less likely to receive physician-based mental health services as adults. Collaboration between CYMH agencies and family physicians may be important for youth who require ongoing care into adulthood.

Indexed as

adolescentadolescent health serviceschildenfanthealth servicesjeune adultemental health servicesservices de santéservices de santé mentaleservices de santé pour adolescenttransition aux soins pour adultestransition to adult careyoung adult

Identifiers

PMID33552169
PMCPMC7837527

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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.