ArticleJournal of public health (Oxford, England)2024
Evaluation of practice nurses' management of paediatric psychosocial problems in general practice.
Article in Journal of public health (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Mental health problems in children and young people in Dutch general practice: trends in incidence and consultation rates from 2016 to 2022.Social psychiatry and psychiatric epidemiology · 2026Article
- 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
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChild mental health services are under major pressure worldwide. In the Netherlands, Youth Mental Health Practice Nurses (YMHPNs) have been introduced in general practice to improve access to care. In this study, we evaluated care delivered by YMHPNs.
methodsWe used medical records of a population-based cohort (21 717 children, 0-17 years). Characteristics of children consulting a YMHPN, type of problem, care delivered by YMHPNs and referrals were assessed using quantitative content analysis.
resultsRecords of 375 children (mean age 12.9 years, 59.2% girl) were analysed. These children were often in their adolescence (57.3% was between 13 and 17 years), and more often female than male (59.2% vs 40.8%). YMHPNs had a median of four consultations (IQR 2-7) with the child. YMHPNs managed a variety of psychosocial problems. YMHPNs managed 22.4% of children without need of referral, 52.0% were eventually referred for additional care. 13.3% of children dropped out during the treatment trajectory. In the remaining 12.3% of children, the treatment trajectory was stopped because the child was already attending specialized services, the treatment trajectory was still ongoing or the medical record was inconclusive.
conclusionsYMHPNs successfully managed one in four children with psychosocial problems without need for referral. Nevertheless, most children were eventually referred for additional care.
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