دورية أكاديمية
أعرض في EDS

Secondary data analysis of social care records to examine the provision of mental health support for young people in care.

التفاصيل البيبلوغرافية
العنوان: Secondary data analysis of social care records to examine the provision of mental health support for young people in care.
المؤلفون: Phillips AR; Department of Psychology University of Bath Bath UK., Halligan SL; Department of Psychology University of Bath Bath UK., Denne M; Department of Psychology University of Bath Bath UK., Hamilton-Giachritsis C; Department of Psychology University of Bath Bath UK., MacLeod JAA; The National Institute for Health Research Applied Research Collaboration West (NIHR ARC West) University Hospitals Bristol and Weston NHS Foundation Trust Bath UK.; Centre for Academic Primary Care Bristol Medical School The University of Bristol Bristol UK., Wilkins D; Children's Social Care Research and Development Centre School of Social Sciences Cardiff University Cardiff UK., Hiller RM; Division of Psychology & Language Sciences University College London London UK.; Anna Freud Centre for Children and Families London UK.
المصدر: JCPP advances [JCPP Adv] 2023 Mar 28; Vol. 3 (2), pp. e12161. Date of Electronic Publication: 2023 Mar 28 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 9918250414706676 Publication Model: eCollection Cited Medium: Internet ISSN: 2692-9384 (Electronic) Linking ISSN: 26929384 NLM ISO Abbreviation: JCPP Adv Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Hoboken, NJ] : John Wiley & Sons, Inc., [2021]-
مستخلص: Background: Young people in care are much more likely to experience mental health difficulties than the general population, yet little is known about the provision of mental health support for this group in the United Kingdom.
Methods: Using routinely collected social care data, we explored the provision of mental health support for 112 young people in care in the UK. We identified young people experiencing elevated internalising or externalising difficulties in their first year in care (based on strengths and difficulties questionnaire scores) and extracted data on mental health referrals and provision. We generated descriptive statistics relating to provision of mental health support and used regressions to examine predictors of mental health provision, and associations between support and mental health outcomes one and 2 years later.
Results: Eighty-one percent of the children ( n  = 79) were referred to mental health services in their first year of being in care. Referrals were usually for emotional or conduct problems. Those with higher externalising symptoms were more likely to be referred than those with higher internalising symptoms ( OR  = 1.2, (95% confidence interval (CI): 1.01, 1.38)). Females were more likely to access support than males ( OR  = 3.82 (95% CI: 1.2, 13.3)). Sixty-eight percent of children ( n  = 66) accessed mental health services in their first year of being in care. Of those who accessed services, support ended prematurely for 29 (44%) of them, often due to placement instability or disengagement. Accessing support in the first year of care was not associated with changes in mental health 1 year ( OR : 2.14 (95% CI: 0.62,7.29)), or 2 years after entering care ( OR : 0.72-8.57, (95% CI: 0.72, 8.57)), although methodological limitations are noted.
Conclusions: Mental health difficulties for children in care are recognised quickly, but mental health support may be difficult to access, with issues evident in retention and engagement.
Competing Interests: The authors have declared they have no competing or potential conflicts of interest.
(© 2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)
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فهرسة مساهمة: Keywords: maltreatment; mental health; social work; therapy; trauma
تواريخ الأحداث: Date Created: 20230927 Latest Revision: 20230928
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10519729
DOI: 10.1002/jcv2.12161
PMID: 37753160
قاعدة البيانات: MEDLINE
الوصف
تدمد:2692-9384
DOI:10.1002/jcv2.12161