Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A).
Kathleen R. Merikangas,Jian-Ping He,Marcy Burstein,Joel Swendsen,Shelli Avenevoli,Brady G. Case,Katholiki Georgiades,Leanne Heaton,Sonja A. Swanson,Mark Olfson +9 more
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TLDR
Examination of rates and sociodemographic correlates of lifetime mental health service use by severity, type, and number of DSM-IV disorders in the National Comorbidity Survey-Adolescent Supplement foundmarked racial disparities in lifetime rates of mental health treatment highlight the urgent need to identify and combat barriers to the recognition and treatment of these conditions.Abstract:
Objective Mental health policy for youth has been constrained by a paucity of nationally representative data concerning patterns and correlates of mental health service utilization in this segment of the population. The objectives of this investigation were to examine the rates and sociodemographic correlates of lifetime mental health service use by severity, type, and number of DSM-IV disorders in the National Comorbidity Survey–Adolescent Supplement. Method Face-to-face survey of mental disorders from 2002 to 2004 using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview in a nationally representative sample of 6,483 adolescents 13 to 18 years old for whom information on service use was available from an adolescent and a parent report. Total and sector-specific mental health service use was also assessed. Results Approximately one third of adolescents with mental disorders received services for their illness (36.2%). Although disorder severity was significantly associated with an increased likelihood of receiving treatment, half of adolescents with severely impairing mental disorders had never received mental health treatment for their symptoms. Service rates were highest in those with attention-deficit/hyperactivity disorder (59.8%) and behavior disorders (45.4%), but fewer than one in five affected adolescents received services for anxiety, eating, or substance use disorders. Comorbidity and severe impairment were strongly associated with service utilization, particularly in youth with behavior disorders. Hispanic and non-Hispanic Black adolescents were less likely than their White counterparts to receive services for mood and anxiety disorders, even when such disorders were associated with severe impairment. Conclusions Despite advances in public awareness of mental disorders in youth, a substantial proportion of young people with severe mental disorders have never received specialty mental health care. Marked racial disparities in lifetime rates of mental health treatment highlight the urgent need to identify and combat barriers to the recognition and treatment of these conditions.read more
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Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement
Sonja A. Swanson,Scott J. Crow,Daniel Le Grange,Joel Swendsen,Joel Swendsen,Kathleen R. Merikangas +5 more
TL;DR: Eating disorders and subthreshold eating conditions are prevalent in the general adolescent population and their impact is demonstrated by generally strong associations with other psychiatric disorders, role impairment, and suicidality.
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Prevalence, Correlates, and Treatment of Lifetime Suicidal Behavior Among Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement
Matthew K. Nock,Jennifer Greif Green,Irving Hwang,Katie A. McLaughlin,Nancy A. Sampson,Alan M. Zaslavsky,Ronald C. Kessler +6 more
TL;DR: Differences suggest that distinct prediction and prevention strategies are needed for ideation, plans among ideators, planned attempts, and unplanned attempts.
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Susanna N. Visser,Melissa L. Danielson,Rebecca H. Bitsko,Joseph R. Holbrook,Michael D. Kogan,Reem M. Ghandour,Ruth Perou,Stephen J. Blumberg +7 more
TL;DR: Prevalence of a history of ADHD, current ADHD, medicated ADHD, and moderate/severe ADHD increased significantly from 2007 estimates, suggesting an increasing burden of ADHD on the U.S. health care system.
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TL;DR: CBT was no more effective than non-CBT active control treatments or TAU in reducing anxiety diagnoses and the few controlled follow-up studies indicate that treatment gains in the remission of anxiety diagnosis are not statistically significant.
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The Lancet Psychiatry Commission on psychological treatments research in tomorrow's science
Emily A. Holmes,Ata Ghaderi,Catherine J. Harmer,Catherine J. Harmer,Paul Ramchandani,Pim Cuijpers,Anthony P. Morrison,Jonathan P. Roiser,Claudi L H Bockting,Rory C. O'Connor,Roz Shafran,Michelle L. Moulds,Michelle G. Craske +12 more
TL;DR: This Commission proposes opportunities to improve training in interdisciplinary mental health sciences, and outlines an area in which it sees substantial opportunity and scope for advancements that will move psychological treatments research forward.
References
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Journal ArticleDOI
Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A)
Kathleen R. Merikangas,Jian-Ping He,Marcy Burstein,Sonja A. Swanson,Shelli Avenevoli,Lihong Cui,Corina Benjet,Katholiki Georgiades,Joel Swendsen +8 more
TL;DR: Estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates are presented to provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents.
Book
Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities
TL;DR: Mental, emotional, and behavioral (MEB) disorders—which include depression, conduct disorder, and substance abuse—affect large numbers of young people.
Journal ArticleDOI
Prevalence and Treatment of Mental Disorders, 1990 to 2003.
Ronald C. Kessler,Olga Demler,Richard G. Frank,Mark Olfson,Harold Alan Pincus,Ellen E. Walters,Philip S. Wang,Kenneth B. Wells,Alan M. Zaslavsky +8 more
TL;DR: Despite an increase in the rate of treatment, most patients with a mental disorder did not receive treatment and continued efforts are needed to obtain data on the effectiveness of treatment in order to increase the use of effective treatments.
Journal ArticleDOI
Practice Parameter for the Assessment and Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder
Steven R. Pliszka,William Bernet,Oscar G. Bukstein,Heather J. Walter,Valerie Arnold,Joseph H. Beitchman,R. Scott Benson,Allan K. Chrisman,John D. Hamilton,Helene Keable,Joan Kinlan,Jon McClellan,David Rue,Ulrich Schoettle,Saundra Stock,Kristin Kroeger Ptakowski,Jennifer Medicus,Larry Greenhill,Timothy E. Wilens,Thomas J. Spencer,Joe Biederman,Mina K. Dulcan,Lily Hechtman,Caryn L. Carlson,William E. Pelham,James M. Swanson,Russell A. Barkley,Joan P. Gerring,Guy Palmes,Cynthia W. Santos,Catherine Jaselskis +30 more
TL;DR: This practice parameter describes the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder (ADHD) based on the current scientific evidence and clinical consensus of experts in the field.
Journal ArticleDOI
Unmet Need for Mental Health Care Among U.S. Children: Variation by Ethnicity and Insurance Status
TL;DR: It is revealed that most children who need a mental health evaluation do not receive services and that Latinos and the uninsured have especially high rates of unmet need relative to other children.