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Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario
BACKGROUND: The worldwide prevalence of depressive disorders among children and youth has been reported in ranges from just under 3% to over 10%. In Canada, 7% of youth report past year depression, which is higher than any other age demographic. Yet, many of these youth do not receive evidence based...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902427/ https://www.ncbi.nlm.nih.gov/pubmed/31818284 http://dx.doi.org/10.1186/s12913-019-4784-8 |
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author | Watson, Priya Mehra, Kamna Hawke, Lisa D. Henderson, Joanna |
author_facet | Watson, Priya Mehra, Kamna Hawke, Lisa D. Henderson, Joanna |
author_sort | Watson, Priya |
collection | PubMed |
description | BACKGROUND: The worldwide prevalence of depressive disorders among children and youth has been reported in ranges from just under 3% to over 10%. In Canada, 7% of youth report past year depression, which is higher than any other age demographic. Yet, many of these youth do not receive evidence based interventions, increasing their risk for serious lifetime consequences. To better understand low service use, it is crucial to map and evaluate current services. This study aimed to determine the scope and nature of services available to depressed children and youth, and compare services to best evidence treatment guidelines. METHODS: Several government and non-government resources were utilized to develop a new multi-sectoral database of depression services for children and youth across Ontario. An online survey was sent to program managers serving children/youth with depression, examining agency characteristics, populations served, services provided, patterns of service use, evaluation activities, and research priorities. RESULTS: 413 agencies with 869 program managers participated, representing mental health, addictions and other sectors. Age groups served included children up to 12 years of age (31%), adolescents aged 13–17 (70%) and transition aged youth (18–25 years) (81%). Over half of respondents worked in the mental health (43.4%) or mental health and addiction (24.4%) sectors. The most frequently provided services were assessment, psychotherapy, case management, and psychoeducation; the most common types of psychotherapy provided included cognitive behavioral therapy, social skills training, and solution-focused therapy. Psychotherapies are offered in widely varying formats, frequencies and durations. Discontinuation rates varied, with higher discontinuation among transition aged youth as compared to children. Respondents identified effective treatment, improving access, and reducing service gaps as top future research priorities. CONCLUSIONS: This study provides important new data on service provision and uptake for depressed children and youth. Comparing these results with best-evidence practice guidelines raises significant concerns about the services most commonly offered and their delivery formats. In addition, high early discontinuation rates raise questions about the service experiences of children, youth and their families. Other factors which may contribute to ongoing treatment engagement challenges include access barriers, service or client characteristics, and unintentional treatment impacts. |
format | Online Article Text |
id | pubmed-6902427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-69024272019-12-11 Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario Watson, Priya Mehra, Kamna Hawke, Lisa D. Henderson, Joanna BMC Health Serv Res Research Article BACKGROUND: The worldwide prevalence of depressive disorders among children and youth has been reported in ranges from just under 3% to over 10%. In Canada, 7% of youth report past year depression, which is higher than any other age demographic. Yet, many of these youth do not receive evidence based interventions, increasing their risk for serious lifetime consequences. To better understand low service use, it is crucial to map and evaluate current services. This study aimed to determine the scope and nature of services available to depressed children and youth, and compare services to best evidence treatment guidelines. METHODS: Several government and non-government resources were utilized to develop a new multi-sectoral database of depression services for children and youth across Ontario. An online survey was sent to program managers serving children/youth with depression, examining agency characteristics, populations served, services provided, patterns of service use, evaluation activities, and research priorities. RESULTS: 413 agencies with 869 program managers participated, representing mental health, addictions and other sectors. Age groups served included children up to 12 years of age (31%), adolescents aged 13–17 (70%) and transition aged youth (18–25 years) (81%). Over half of respondents worked in the mental health (43.4%) or mental health and addiction (24.4%) sectors. The most frequently provided services were assessment, psychotherapy, case management, and psychoeducation; the most common types of psychotherapy provided included cognitive behavioral therapy, social skills training, and solution-focused therapy. Psychotherapies are offered in widely varying formats, frequencies and durations. Discontinuation rates varied, with higher discontinuation among transition aged youth as compared to children. Respondents identified effective treatment, improving access, and reducing service gaps as top future research priorities. CONCLUSIONS: This study provides important new data on service provision and uptake for depressed children and youth. Comparing these results with best-evidence practice guidelines raises significant concerns about the services most commonly offered and their delivery formats. In addition, high early discontinuation rates raise questions about the service experiences of children, youth and their families. Other factors which may contribute to ongoing treatment engagement challenges include access barriers, service or client characteristics, and unintentional treatment impacts. BioMed Central 2019-12-09 /pmc/articles/PMC6902427/ /pubmed/31818284 http://dx.doi.org/10.1186/s12913-019-4784-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Watson, Priya Mehra, Kamna Hawke, Lisa D. Henderson, Joanna Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title | Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title_full | Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title_fullStr | Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title_full_unstemmed | Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title_short | Service provision for depressed children and youth: a survey of the scope and nature of services in Ontario |
title_sort | service provision for depressed children and youth: a survey of the scope and nature of services in ontario |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902427/ https://www.ncbi.nlm.nih.gov/pubmed/31818284 http://dx.doi.org/10.1186/s12913-019-4784-8 |
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