ArticleFrontiers in psychiatry2021
iCCareD: The Development of an Algorithm to Identify Factors Associated With Distress Among Caregivers of Children and Youth Referred for Mental Health Services.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Service Urgency for Children and Youth: The Development of an Algorithm to Identify Urgent and Emergent Service Users in Children's Mental Health.International journal of environmental research and public health · 2026Article
- Risk factors for physical restraint use with children and youth in community and inpatient mental health settings in Ontario.Child and adolescent psychiatry and mental health · 2026Article
- The Development of Quality Indicators to Assess Family Wellbeing Outcomes Following Engagement with Children's Mental Health Services in Ontario, Canada.European journal of investigation in health, psychology and education · 2025Article
- Families of Children/Youth with Complex Needs Before, During, and After COVID-19 Pandemic Restrictions.Journal of child & adolescent trauma · 2025Article
- An examination of substance use trends among adolescents receiving mental health treatment in Ontario.Frontiers in psychiatry · 2025Article
- Evaluating a Trauma-Informed Care Training Program for Mental Health Clinicians.Journal of child & adolescent trauma · 2024Article
- Age, Sex and Relationship Strengths: Internalizing Symptom Differences in Children and Youth Within a Clinical Sample.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery.Frontiers in psychiatry · 2022Review
- A cross-sectional examination of service complexity in youths with co-occurring autism spectrum disorder and psychiatric or medical diagnoses across service sectors.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Caregiver well-being plays an important role in children's development and a number of factors have been found to impact distress levels among caregivers of children and youth referred for mental health services. Further, caregiver distress impacts youth psychopathology, its acuity as well as related mental health interventions. The purpose of this study was to develop and validate an algorithm for identifying caregivers who are at greatest risk of experiencing caregiver distress. This algorithm was derived from, and will be embedded in, existing comprehensive interRAI child and youth instruments. Ontario data based on the interRAI Child and Youth Mental Health assessment instruments (ChYMH and ChYMH-DD) were analyzed to identify predictors of distress among caregivers of children and youth ages 4-18 years. Starting with proactive aggression, the algorithm uses 40 assessment items to assign one of 30 nodes that are grouped into five levels of risk. The interRAI ChYMH Caregiver Distress (iCCareD) algorithm was validated using longitudinal data from mental health agencies across Ontario and was found to be a good predictor among this sample with a c-statistic of 0.71 for predicting new or ongoing caregiver distress and 65% for both sensitivity and specificity using algorithm values of 3 or greater. This algorithm provides an evidence-based decision-support tool embedded within a comprehensive assessment tool that may be used by clinicians to inform their selection of supports and services for families.
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